16 general claims manager jobs found in Nashville

Job Description Are you a results-oriented sales specialist with a strong background in supply chain transformation? Do you have a track record of driving SaaS growth across complex sectors like healthcare, distribution, and life sciences? If so, this is your opportunity to lead strategic engagements across North America and shape the future of digital supply chains. At Oracle, we are redefining healthcare and life sciences operations through intelligent, cloud-based supply chain solutions. Oracle Supply Chain Management (SCM) Cloud connects procurement, planning, logistics, and inventory with financial and operational systems - driving efficiency, resilience, and performance. We are looking for a high-performing Supply Chain Solution Sales Specialist (SSE) to lead Oracle SCM solution sales across life sciences and pharmaceutical organizations in NA. Join us and play a key role in enabling our customers' digital future. Responsibilities Develop and execute regional...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies,...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Sales Account Manager, Oncology. In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals in their assigned geographic territory. This role serves the Greater Sacramento area and the successful candidate must live within territory. This individual will...

Job Summary The Field Force Effectiveness team at Otsuka America Pharmaceutical, Inc. plays a highly visible role in optimizing the performance of the sales and marketing efforts, for the field sales teams. As a result, Systems Training plays a key role in ensuring that the sales force understands how to effectively utilize our technology to enhance customer interactions, optimize selling opportunities and provide insight on our business processes that support our business. The Senior Manager of National Systems Training work with the field sales teams to design, develop and deliver new hire systems tech training on our InGenius (CRM System), ORION (Field Reporting) and Business Planning system across all brands. The role is also responsible or continual training on system enhancements and capabilities for the organization. In addition, the role will require system training content updates and cross collaboration between systems owners and multiple departments such as...

The Manager, Manufacturing Product Quality (Small molecule) is responsible for ensuring GMP compliance in the manufacturing packaging, labeling, and distribution of commercial and clinical trial materials across global operations. This role supports the oversight of manufacturing and packaging activities performed internally and at external vendors, ensuring that quality standards are met and regulatory requirements are maintained throughout the commercial and clinical supply chains. The manager will collaborate with cross-functional teams including Clinical Operations, Regulatory Affairs, and Supply Chain to ensure the integrity and traceability of investigational products from manufacturing and packaging through delivery. Key Responsibilities Oversee manufacturing of commercial and clinical products at contract manufacturers to ensure compliance with GMP, and applicable global regulatory requirements. Performs batch record review and quality release...

Job Summary The Manager, Clinical Operations works closely with the OPDC Monitoring Oversight Lead to manage monitoring oversight activities including managing Clinical Monitoring Consultants (CMC) contracted to perform monitoring oversight duties as well as escalating issues related to CRO monitoring quality. While focusing on quality and compliance, uses metrics and key performance indicators to drive monitoring oversight activities to achieve timelines and deliverables across the portfolio. Additionally, the Manager, Clinical Operations will support planning, resourcing, contracting, and budgeting of CMC resources to conduct monitoring oversight tasks. The Manager, Clinical Operations will also coordinate reporting and review of CRO related Key Performance Indicators (KPIs) Monitoring Oversight Lead. Job Description Manage Monitoring Oversight activities in North America, and other regions as assigned With the OPDC Monitoring Oversight Lead, plan...

Territory Manager, MEP - Nashville, TN Come build your career. It takes great people to achieve greatness. People with a sense of purpose and integrity. People with a relentless pursuit of excellence. People who care about making things better For Those Who Make The World™. Sound like you? Join our top-notch team of approximately 48,000 diverse and high-performing professionals globally who are making their mark on some of the world’s most beloved brands, including DEWALT®, BLACK+DECKER®, CRAFTSMAN®, STANLEY®, CUB CADET®, and HUSTLER®. The Job: As a Territory Manager, MEP (Mechanical, Electrical, Plumbing) you will be part of the US Commercial Field Sales team working as a remote/field worker. You will manage a territory of various mechanical, electrical, and plumbing (MEP) accounts or a combination of these accounts. You will be responsible for managing your accounts and managing your daily activities including in-person account visits. In this role, you will be...

Territory Manager, MEP - Nashville, TN Come build your career. It takes great people to achieve greatness. People with a sense of purpose and integrity. People with a relentless pursuit of excellence. People who care about making things better For Those Who Make The World™. Sound like you? Join our top-notch team of approximately 48,000 diverse and high-performing professionals globally who are making their mark on some of the world’s most beloved brands, including DEWALT®, BLACK+DECKER®, CRAFTSMAN®, STANLEY®, CUB CADET®, and HUSTLER®. The Job: As a Territory Manager, MEP (Mechanical, Electrical, Plumbing) you will be part of the US Commercial Field Sales team working as a remote/field worker. You will manage a territory of various mechanical, electrical, and plumbing (MEP) accounts or a combination of these accounts. You will be responsible for managing your accounts and managing your daily activities including in-person account visits. In this role, you will be...

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department by email at HRAdmin@glowbrands.com. Earn up to $20.00/hr!* Base Pay - $15.00/hr or more + performance and store bonuses =average $20.00/hr * While $20.00 an hour is not guaranteed, it reflects the average earnings of management who meet all performance and training criteria. We reward strong performance, reliability, and leadership with ongoing and monthly bonus opportunities! We're looking for motivated leaders to join our management team at Sun Tan City. If you have retail management experience, strong customer service skills, and a passion for team leadership, this is your opportunity to grow your career. Top Benefits and Perks Health Insurance options (Medical, Dental, Vision) Life Insurance & Disability...

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department by email at HRAdmin@glowbrands.com. Earn up to $20.00/hr!* Base Pay - $15.00/hr or more + performance and store bonuses =average $20.00/hr * While $20.00 an hour is not guaranteed, it reflects the average earnings of management who meet all performance and training criteria. We reward strong performance, reliability, and leadership with ongoing and monthly bonus opportunities! We're looking for motivated leaders to join our management team at Sun Tan City. If you have retail management experience, strong customer service skills, and a passion for team leadership, this is your opportunity to grow your career. Top Benefits and Perks Health Insurance options (Medical, Dental, Vision) Life Insurance & Disability...

Manager Process Improvement - Payment Integrity Location : It is highly preferred that the selected candidate resides in one of the following cities/states: Chicago, IL; Miami, FL; Tampa, FL; Atlanta, GA; Indianapolis, IN; Nashville, TN; Grand Prairie, TX. Hybrid 2 : This role requires associates to be in-office *3 * days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Manager Process Improvement is responsible for...

Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our payments solutions for credit, debit, prepaid and merchant services. Our worldwide team helps over 3 million companies, more than 1,300 financial institutions and over 600 million cardholders grow with confidence and achieve amazing results. We are driven by our passion for success and we are proud to deliver best-in-class payment technology and software solutions. Join our dynamic team and make your mark on the payments technology landscape of tomorrow. Summary of This Role Plans and oversees enterprise-level support and service activities for company products and services for a designated client or group of clients. Ensures quality service and operational performance within the parameters of program and delivery standards. Develops client relationship and understanding of client business and product installations to identify service needs, plan service...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Accenture. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. We Are Accenture’s SAP practice, and we live to see how this can transform the way we live and work. We bring reinvention to life using design thinking, modern delivery methodologies, embedding AI into the way we deliver and into business processes. Additionally, the Life Sciences Industry is going through remarkable levels of transformation with new therapies that improve lives of patients, new implantable devices that improve health and wellness and much more global supply...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Mgr Reporting & Analytics - Remote Job Description The Manager Reporting and Analytics is responsible for developing strategic priorities and executing operational plans for information delivery to both internal and external customers. The position works in concert with all areas of the business to define and implement overall reporting program goals, data storage, and tasks related to scope, quality, efficiency, budget, schedule and benefit. Responsibilities Lead the development of the department reporting strategy based on compliance and regulatory needs, client demands, continuous improvement, and inter-departmental requirements Serve as mentor and manager of team of reporting; develop and coach staff...

Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and...

Job Description The ideal candidate will have a strong background in cost control, contract administration, and risk management within the data center or critical infrastructure sector. Responsibilities include collaborating with cross-functional teams, monitoring project expenditures, and ensuring projects are delivered on time and within budget. The candidate will play a pivotal role in managing and controlling project costs for our data center construction and infrastructure initiatives. You will be responsible for developing and maintaining accurate project budgets, overseeing cost estimation processes, and implementing effective cost control and reporting strategies. The ideal candidate will bring extensive experience in cost management, contract administration, and risk mitigation within the data center or critical infrastructure sector. Responsibilities Review and maintain project budgets and cost forecasts throughout the project lifecycle. Monitor...