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24 Jobs in Tennessee

  • 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 - Physiatry, Post Acute Solutions

    BRENTWOOD, Tennessee
    ... responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ...
  • 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)

    KNOXVILLE, 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 ...
  • Nurse Appeals (RN)

    HENDERSONVILLE, 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 ...
  • Nurse Appeals (RN)

    MURFREESBORO, 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 ...
  • Nurse Appeals (RN)

    BRENTWOOD, 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 ...
  • Nurse Appeals (RN)

    MEMPHIS, 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 ...
  • 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

    KNOXVILLE, 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 ...
  • Reviewer - Therapy Services

    BRENTWOOD, 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 ...
  • 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 ...
  • Reviewer - Therapy Services

    MEMPHIS, 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 ...
  • CMO MBM - Carelon

    BRENTWOOD, Tennessee
    ... savings across an expanding set of clinical domains, including Radiology, Cardiology, Oncology, HH and DME ... responsible for the overall clinical performance and integrity of all Carelon solutions ensuring that all ...
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