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Nashville, Tennessee
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Clinical Operations Medical Director
Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical
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Nashville, Tennessee
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miles of one of our Elevance Health locations.**
The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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Nashville, Tennessee
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Clinical Operations Associate Medical Director
Neurosurgery
Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing
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Nashville, Tennessee
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.**
The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and
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Nashville, Tennessee
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Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an
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Nashville, Tennessee
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miles of one of our Elevance Health locations.**
The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program.
How you
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Nashville, Tennessee
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Clinical Operations Associate Medical Director
**Carelon Medical Benefit Management ... and oncology._
The Clinical Operations Medical Director is responsible for supporting
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NASHVILLE, Tennessee
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A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology.
Carelon Medical Benefits Management is looking to hire a National Medical
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Nashville, Tennessee
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Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an
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Nashville, Tennessee
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.**
The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates
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BRENTWOOD, Tennessee
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Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product
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NASHVILLE, Tennessee
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Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions
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NASHVILLE, Tennessee
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Director Programs & Project Management
Location: This position will work a hybrid ... third-party administrator (TPA) of medical benefits, also providing medical management, human resource
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KNOXVILLE, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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HENDERSONVILLE, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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MURFREESBORO, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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BRENTWOOD, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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MEMPHIS, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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NASHVILLE, Tennessee
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for medical necessity.
Extrapolates and summarizes medical information for medical director ... forwards to Medical Director for approval.
Ensures that appeals and grievances are resolved timely to
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Nashville, Tennessee
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Health Benefits Executive Director
Location: This position will work a hybrid ... .
The Health Benefits Executive Director is responsible for leading the development and
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NASHVILLE, Tennessee
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) Specialist** .
This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven
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Nashville, Tennessee
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looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... .
Provides advice, analytic and consultative support to Medical Directors and management on cost of care
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KNOXVILLE, Tennessee
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** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a
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BRENTWOOD, Tennessee
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** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a
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NASHVILLE, Tennessee
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** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a
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MEMPHIS, Tennessee
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** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary.
Acts as a
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Nashville, Tennessee
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-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or
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Brentwood, Tennessee
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-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or
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NASHVILLE, Tennessee
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-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or
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Mt. Juliet, Tennessee
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-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or
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