• Sr. Health & Disability Insurance Claims

    DXC Technology (Nashville, TN)
    …of technology to deliver essential IT services that help clients modernize operations and drive innovation across their entire IT infrastructure. Our services span ... Within **DXC Insurance Services** , we help clients optimize and transform operations , reduce costs, automate complex business processes, and build agile channels… more
    DXC Technology (12/19/25)
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  • Senior Fraud and Waste Professional

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and ... abusive practices. The Senior Fraud and Waste Professional work assignments...CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in… more
    Humana (12/24/25)
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  • Nurse Auditor Senior - Payment Integrity…

    Elevance Health (Nashville, TN)
    …and medical policy guidelines strongly preferred + BA/BS preferred + Medical claims review with prior health care fraud audit/investigation experience preferred ... **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit**...and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review.… more
    Elevance Health (12/24/25)
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  • Senior Director, Medical Communications CNS

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Senior Director, Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the assigned ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Medical Information Content Generation:** + Oversee the… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Director, Medical Communications,…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    **Job Summary** The Senior Director, Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership** + Act as a thought leader… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Manager, External Engagement…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Senior Manager, External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... **Cross-Functional Collaboration** + Work close with Medical Excellence and Operations team to facilitate cross-functional workshops and planning sessions to… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Senior Director, Brand Lead, Neuroscience

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    **_Sr. Director, Brand Lead, Neuroscience_** **Position Summary** The Senior Director, Brand Lead, Neuroscience is responsible for leading the commercial strategy, ... the commercial go-to market model and overall cross-functional launch plan. The Senior Director will lead a cross-functional team, working closely with market… more
    Otsuka America Pharmaceutical Inc. (12/23/25)
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  • Senior Manager, Global Quality Management…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    **Job Summary** The Senior Manager of Global Quality Management (GQM) supports the execution of clinical quality activities to ensure compliance with Good Clinical ... issues, protocol deviations, and potential noncompliance. + Collaborate with Clinical Operations , Regulatory Affairs, and Medical Affairs to embed quality practices… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Senior Manager, Quality Centers…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Senior Manager, Centers of Excellence (CoEs) is responsible for establishing, leading, and optimizing one or more prioritized CoEs within the Global Quality ... Operations organization-such as Inspection Readiness, Audit Effectiveness, or other...contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection… more
    Otsuka America Pharmaceutical Inc. (12/16/25)
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  • Senior Manager, Global Product Quality…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Senior Manager, Global Product Quality - Biologics is responsible for managing quality oversight of clinical and commercial products at CMOs under contract by ... and commercial products. + Works collaboratively with GMP Suppliers, OPDC Technical Operations , QC and Clinical Supplies Operations , and other Otsuka Companies,… more
    Otsuka America Pharmaceutical Inc. (12/03/25)
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