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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Evolent Health
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Nashville, Tennessee
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Medical Director for the Musculoskeletal department, you will be a key member of the utilization ... statistical sample of cases for Field Medical Director audits and makes recommendations into the types of
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve
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Evolent Health
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Nashville, Tennessee
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Medical Director- Physical Health, you will be a key member of the utilization management team. We can ... .
Collaboration Opportunities:
Evolent is looking for a Field Medical Director to be a member of the Evolent
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Evolent Health
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Nashville, Tennessee
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Behavioral Health Field Medical Director will be a key member of the utilization management team. We can ... .
Collaboration Opportunities:
Evolent Health is looking for a Behavioral Health Medical Director to be a
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CVS Health
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Nashville, Tennessee
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’ health care and social determinant needs.
The Duals Care Management (CM) Medical Director will ... members’ physical, behavioral and socioeconomic needs.
• Partner closely with the Executive Director of
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CVS Health
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Nashville, Tennessee
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.
Primary Job Duties & Responsibilities:
Behavioral Health Medical Director
Collaborates ... determinants of health. The medical director will develop, implement, support, and promote Medical Affairs
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CVS Health
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Nashville, Tennessee
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.
Position Summary
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director ... .
The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in
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CVS Health
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Nashville, Tennessee
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resides in North Carolina and have a NC License without encumbrances.**
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the
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HCA Healthcare
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Nashville, Tennessee
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CareNow Urgent Care is recruiting an Urgent Care Area Medical Director with demonstrated leadership ... team under the direction of the Market Medical Director, it is important that the following traits and
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
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Humana
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Nashville, Tennessee
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Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial
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HCA Healthcare
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Nashville, Tennessee
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:**
Intensive Care Consortium (ICC) Healthcare is seeking a Critical Care Intensivist Facility Medical Director to lead the TriStar Skyline Medical Center team in Nashville, Tennessee.
**Qualified
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Highmark Health
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Nashville, Tennessee
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electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of ...
ESSENTIAL RESPONSIBILITIES
Conduct electronic review of escalated cases against medical policy
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Humana
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Nashville, Tennessee
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Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director ... will understand how to operationalize this knowledge in their daily work.
The Medical Director
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director ... Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios
...
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Humana
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Nashville, Tennessee
...
Become a part of our caring community and help us put health first
The Medical Director ... daily work.
The Medical Director's work includes computer-based review of moderately complex to
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Humana
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Nashville, Tennessee
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Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of
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UnitedHealth Group
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Nashville, Tennessee
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the Focus Claims Review team at Optum, the Medical Director provides leadership ... , effectiveness and coordination of the medical services provided through Optum. The Medical Director will
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J&J Family of Companies
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Nashville, Tennessee
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Director, Regulatory Medical Writing (1 of 4) - 2406211847W
Description
Johnson & Johnson is currently seeking a Director, Regulatory Medical Writing. The primary location for this position
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CVS Health
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Nashville, Tennessee
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at home) based anywhere in the US.**
The Medical Director (Ortho/Total Joint) will be a ... patient care experience specifically. This role expands Aetna's medical management programs to address
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Vanderbilt University Medical Center
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Nashville, Tennessee
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Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating ...
Job Summary:
Vanderbilt University Medical Center recently launched a board-approved, high
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UnitedHealth Group
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Nashville, Tennessee
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Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation ... medical societies & stakeholders
Deliver the Optum clinical value proposition focused on quality
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UnitedHealth Group
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Nashville, Tennessee
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.**
The C&S Plan Associate Medical Director is accountable for ensuring top performance in clinical ... Associate Medical Director’s primary responsibilities are monitoring utilization management, appeals and
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Merck
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Nashville, Tennessee
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Job Description
The Executive Director, Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of scientific & medical affairs Value and
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Vanderbilt University Medical Center
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Nashville, Tennessee
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Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating ...
Job Summary:
JOB SUMMARY
As a member of the leadership team, the Director of Clinical
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Highmark Health
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Nashville, Tennessee
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Director will provide qualified medical direction and consultation for care delivery and complex case ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically
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UnitedHealth Group
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Nashville, Tennessee
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Ensure the right service is provided at the right time for each member
Work with medical director ... , medical claim review and provider appeals clinical review
Success in this technology-heavy role
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Evolent Health
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Nashville, Tennessee
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consulting, medical economics, or strategic analytics role
BS or BA in Business, Statistics, Economics
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