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14 Jobs

  • UM Medical Director - Orthopedic Surgery

    Nashville, Tennessee
    ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews. The Medical Director typically has program ...
  • UM Medical Director - Cardiology

    Nashville, Tennessee
    ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Nashville, Tennessee
    ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Behavioral Health HEDIS Quality Program Director

    NASHVILLE, Tennessee
    ... Quality Program Director** This is an Individual Contributor Role. Location: This ... Friday, 40 hrs a week. The Behavioral Health HEDIS Quality Program Director is ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Nashville, Tennessee
    ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews. The Medical Director typically has program ...
  • Medicare Medical Director Clinical Programs

    Nashville, Tennessee
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Nashville, Tennessee
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ...
  • Associate Medical Director - Neurosurgery

    Nashville, Tennessee
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Medical Director - Total Cost of Care, Post Acute

    NASHVILLE, Tennessee
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Nurse Appeals (RN)

    NASHVILLE, Tennessee
    ... /grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting ... for medical necessity. Extrapolates and summarizes medical information for medical director ...
  • National Solution Medical Director - Surgery

    NASHVILLE, Tennessee
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Director. This high-performing individual contributor will be responsible for serving as a **National ...
  • Pharmacy Quality Assurance Specialist

    NASHVILLE, Tennessee
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... Pharmacy Quality Assurance Specialist Location: This position will work a hybrid ...
  • Go to Market Director

    NASHVILLE, Tennessee
    ... Go to Market Director Location:  This position will work a hybrid model (remote ... . The Go to Market Director is responsible for defining, building, and operationalizing go to ...
  • Reviewer - Therapy Services

    NASHVILLE, Tennessee
    ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ... , and initiatives. Maintains quality and productivity standards and ensures reviews are conducted ...