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16 Jobs in Nashville, TN

  • UM Medical Director - Orthopedic Surgery

    Nashville, Tennessee
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • UM Medical Director - Cardiology

    Nashville, Tennessee
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Nashville, Tennessee
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Nashville, Tennessee
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Nashville, Tennessee
    ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ... will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ...
  • Provider Contract/Cost of Care Consultant Senior

    Nashville, Tennessee
    ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ... drivers and support initiative design for remediation. The **Provider/Cost of Care Consultant Senior ...
  • Medicare Business Strategy Director

    Nashville, Tennessee
    ... : Experience in Medicare and value base care as well as cost of care management preferred Master’s degree ... will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ...
  • Medicare Medical Director Clinical Programs

    Nashville, Tennessee
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • National Medical Director - Total Cost of Care, Post Acute

    NASHVILLE, Tennessee
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor ...
  • Behavioral Health Case Manager ll

    NASHVILLE, Tennessee
    ... ** You will not work outside of your local area. **Remote position with 50% Field Work in ... goals as identified during assessment. Monitors and evaluates effectiveness of care plan and ...
  • Wound Care UM RN

    NASHVILLE, Tennessee
    ... Wound Care UM RN Location: Remote, within 50 miles of a pulse point ... the advancement of care for the people we serve. The Wound Care UM RN is responsible for ...
  • Associate Medical Director - Neurosurgery

    Nashville, Tennessee
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... and advanced practice nurses regarding established guidelines and accepted standards of care as it ...
  • National Solution Medical Director - Surgery

    NASHVILLE, Tennessee
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ...
  • Associate Medical Director - Interventional Pain

    Nashville, Tennessee
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... ** Interventional Pain Benefit Review Location : This position will work a hybrid model (remote and ...
  • Managed Care Coordinator Clinician Non RN

    NASHVILLE, Tennessee
    ... Managed Care Coordinator Clinician Non RN Location: Remote, within 50 miles of an ... , member and the health care team, to ensure cost effective and efficient utilization of health benefits ...
  • Medical Oncology Medical Director - Utilization Review

    Nashville, Tennessee
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... guidelines and accepted standards of oncology care. Document the pre-certification review in a complete ...
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