• Medical Director -Pharmacy Appeals

    Humana (Nashville, TN)
    …Qualifications:** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, preferably including some experience ... caring community and help us put health first** The Medical Director relies on broad clinical expertise to review...responsibilities as determined necessary to support optimal value based care in accordance with Medicare and Humana policy. The… more
    Humana (08/22/25)
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  • Specialist-Customer Care II

    Baptist Memorial (Memphis, TN)
    …+ Works all insurance denials, via paper and/or electronic in work queues with patient on phone. + Reviews accounts for possible assignment to BD. + Reviews and ... sets up payment plans as requested by patient . + Reviews and processes adjustments as needed to...of experience in credit and collections. Some College or Associate degree desired. Training Minimum Required + PC skills… more
    Baptist Memorial (08/25/25)
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  • Medical Director - OneHome

    Humana (Nashville, TN)
    …for various states in region of assignment + 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions from Federal ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance...+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65… more
    Humana (08/25/25)
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  • Medical Staff Services Coordinator

    HCA Healthcare (Brentwood, TN)
    …be contacted for interviews. Submit your application and help us raise the bar in patient care ! We are an equal opportunity employer. We do not discriminate on ... + Utilize "paper-lite" procedures. **What qualifications you will need:** + Associate 's Degree preferred. + Knowledge of medical terminology required.… more
    HCA Healthcare (07/20/25)
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  • ROI Medical Records Specialist - Remote

    Sharecare (Nashville, TN)
    …right to privacy by ensuring that only authorized individuals have access to the patient 's medical information and that all releases of information are in ... **Essential Functions:** + Completes release of information requests including retrieving patient 's medical chart and returning chart, scanning medical more
    Sharecare (08/21/25)
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  • Medical Lab Tech PRN

    Community Health Systems (Jefferson City, TN)
    …tests on blood, body fluids, and other specimens to support accurate and timely patient diagnosis and care . This role requires expertise in performing moderate ... **Job Summary** The Medical Lab Technician is responsible for conducting routine...+ Complies with all policies and standards. **Qualifications** + Associate Degree in Chemical, Physical, Biological, or Clinical Laboratory… more
    Community Health Systems (07/01/25)
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  • Senior Inpatient Medical Coding Auditor…

    Humana (Nashville, TN)
    …a variety of medical records and assigns appropriate procedural terminology and medical codes (eg, ICD-10-CM, PCS) to patient records. This position works ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
    Humana (08/02/25)
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  • Maintenance Engineer III

    Community Health Systems (Clarksville, TN)
    …vendors to ensure maintenance activities align with hospital priorities and do not disrupt patient care . + Responds to fire alarms, disaster alerts, and security ... fill and use required **State Specific Requirements** + New Mexico: Medical Gas ( Med /Gas) Certification and/or Pipefitters Certification preferred. Equal… more
    Community Health Systems (07/01/25)
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  • Medical Director - Medicare Grievances…

    Humana (Nashville, TN)
    …a part of 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...established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products +… more
    Humana (08/08/25)
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  • Area Chief of Staff Veterinarian

    Banfield Pet Hospital (Nashville, TN)
    …driving a culture of quality and safety at the hospital level to optimize medical care , client experience, associate engagement and hospital performance. + ... aligning with our six domains of quality(safe, effective, patient /client centered, timely, efficient and equitable care .)...associate and lead veterinarians to deliver high quality medical care and outstanding client service. +… more
    Banfield Pet Hospital (07/08/25)
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