• Medical Director - Claims

    Humana (Nashville, TN)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/16/25)
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  • Senior Claims Supervisor

    HCA Healthcare (Nashville, TN)
    …department and company strategy and philosophy of proactive, efficient and effective claims management . + Continuous and appropriate documentation within, and ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. People + Work collaboratively… more
    HCA Healthcare (09/30/25)
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  • Senior Property Claims Supervisor

    HCA Healthcare (Nashville, TN)
    …within HCA Healthcare's Risk & Insurance department reporting directly to the Managing Director of Property Claims . You will support the Insurance programs ... and vendor selection process. + Assist the VP Insurance, AVP Insurance and Manager/ Director of Property Claims with other responsibilities as needed. **What… more
    HCA Healthcare (08/26/25)
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  • East Florida Division Claims Administrator

    HCA Healthcare (Nashville, TN)
    …the department and company strategy and philosophy of proactive, efficient and effective claims management . + Manage local claims workflow/processes from the ... the larger Risk & Insurance Department reporting to a Director of Claims . As the Division ...JD) is preferred + 5+ years of experience in claims management , hospital operations, or risk … more
    HCA Healthcare (09/14/25)
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  • Medical Director - Florida

    Humana (Nashville, TN)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/03/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (10/14/25)
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  • Patient Safety and Risk Management

    HCA Healthcare (Chattanooga, TN)
    …colleagues invested over 156,000 hours impacting our communities. As a Patient Safety & Risk Management Director with Parkridge Medical Center, you can be a ... join our team as a Patient Safety & Risk Management Director . We care for our communities...activities which include identification and mitigation of risk exposures, claims management , coordination of litigation, along with… more
    HCA Healthcare (08/03/25)
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  • Corporate Medical Director

    Humana (Nashville, TN)
    …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
    Humana (09/05/25)
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  • Medical Director - Medicare…

    Humana (Nashville, TN)
    …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/02/25)
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  • Associate Director , Established Brands…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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