• Corporate Medical Director

    Humana (Nashville, TN)
    **Become 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Medical Director - Medicare

    Humana (Nashville, TN)
    **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (05/14/25)
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  • Medical Director - National…

    Humana (Nashville, TN)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (05/29/25)
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  • Principal Data Scientist - Aetna Medicare

    CVS Health (Nashville, TN)
    …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
    CVS Health (05/29/25)
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  • Medical Director - Care Plus…

    Humana (Nashville, TN)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (04/24/25)
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  • Director Enterprise Emergency Management

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Director Enterprise Emergency Management? At HCA Healthcare, you come first. HCA Healthcare has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director Enterprise Emergency Management like you to be a… more
    HCA Healthcare (05/23/25)
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  • Nursing Regulatory and Compliance Director

    HCA Healthcare (Nashville, TN)
    …an organization that invests in you as a Regulatory and Accreditation Clinical Compliance Director ? At HCA, you come first. HCA Healthcare has committed up to $300 ... met. We offer eligible colleagues an attractive benefit package that includes medical , wellbeing, dental and vision benefits along with some unique benefits… more
    HCA Healthcare (05/01/25)
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  • Director of Nursing

    Signature Healthcare (Johnson City, TN)
    …Plan of Care for each resident in coordination with the physician, Medical Director , nursing staff, and outside consultants (ie, nursing, dietary, ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Modern Healthcare's "Best Places to Work!" Overview The ideal Director of Nursing Candidate is very detailed orientated, organized,… more
    Signature Healthcare (05/15/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …verbal and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other ... CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization,… more
    Covenant Health Inc. (05/16/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …recovery and claim acceleration. This role requires extensive knowledge of Medicare Integrated Outpatient Code Editor (I/OCE) associated with Healthcare Common ... and delegated reports and completion from senior leadership and/or department director . Assist the Revenue Integrity Coordinator to ensure consistency in delivering… more
    Baptist Memorial (04/22/25)
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