- Elevance Health (Nashville, TN)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Financial Analysis Director with Parallon, you can be a part of an organization that is ... organization. We are looking for an enthusiastic Financial Analysis Director to help us reach our goals. Unlock your...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- HCA Healthcare (Nashville, TN)
- …21 states and the United Kingdom. We are looking for a Neuroscience Director for our TriStar Skyline Medical Center team where excellence creates excellence. ... be an influencer in healthcare? Apply for our Neuroscience Director role today! **Job Summary and Qualifications** Under the...and the governmental regulation for Centers for Medicare and Medicaid (CMS) compliance. **What you will do in this… more
- Evolent (Nashville, TN)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Nashville, TN)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- ChenMed (Memphis, TN)
- …3 years preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in… more
- Gentiva (Nashville, TN)
- …leadership ensures compassionate care reaches every patient, every day. As an Executive Director Specialist - RN, you'll serve as the operational and clinical leader ... with all federal, state, and organizational standards. **What You'll Do as Executive Director Specialist - RN:** + Serve as the Administrator on record at assigned… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Regional Director , Survey Readiness and Improvement is responsible for evaluating and enhancing the readiness of facilities for regulatory and ... those conducted by The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), State Licensing, and other federal and state regulatory agencies.… more