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12 evaluator jobs found in Nashville

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EH
Full time
 
Manager II Case Management (US)
Elevance Health Nashville, TN, USA
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 Elevance Health. 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. Manager II Case Management Sign on Bonus: $5000 Location : 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. Preferred location is Louisville, KY, but the following alternate locations will be considered:...

Dec 15, 2025
UU
Dir. Customer Account Management
UKG (Ultimate Kronos Group) Nashville, TN, USA
Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the team: UKG is seeking a Sales Director for our Customer Base Midmarket sales organization. At UKG we foster a company culture that supports success at every level, prioritizing our employees. While the challenges are significant, UKG provides ample support for our sales teams to thrive. About the role: As the Director, you'll be...

Dec 15, 2025
Humana
Associate / Product Owner - Marketing Resource Management (MRM)
Humana Nashville, TN, USA
Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Dec 15, 2025
CBRE
Operations Management Associate
CBRE Nashville, TN, USA
Operations Management Associate Job ID 250710 Posted 09-Dec-2025 Service line GWS Segment Role type Full-time Areas of Interest Administrative Location(s) Remote - US - Remote - US - United States of America, San Jose - California - United States of America About the Role: As a CBRE Operations Management Associate, you will be responsible for completing day to day business support operations across a variety of business segments. This job is part of the Operations Management job function. They are responsible for coordinating staff functions and operations that support the organization's goals and strategies. What You'll Do: Develop a thorough business understanding and expertise across a variety of business segments through sales, marketing, and operations functions in support of unit objectives. Assist sales professionals in identifying potential sales opportunities and researching connections to turn cold calls into warm calls....

Dec 13, 2025
Humana
Senior Workforce Management Professional
Humana Nashville, TN, USA
Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Dec 12, 2025
Lensa
Full time
 
Utilization Management Behavioral Care Advocate - Remote
Lensa Nashville, TN, USA
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 UnitedHealth Group. 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. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you...

Dec 09, 2025
Xerox
Organizational Change Management Lead
Xerox Nashville, TN, USA
Organizational Change Management Lead General Information Press space or enter keys to toggle section visibility Country United States Department ORGANIZATION LEARNING & DEVELOPMENT Date Thursday, December 4, 2025 Working time Full-time Ref# 20036687 Job Level Executive Manager Job Type Experienced Job Field ORGANIZATION LEARNING & DEVELOPMENT Seniority Level Mid-Senior Level Currency USD - United States - US Annual Base Salary Minimum 103,080 Annual Base Salary Maximum 206,160 The salary range above represents the low and high end in the local currency of Xerox's salary range for this position and is reflected in an annualized amount. Actual salaries will vary based on factors including, but not limited to, geographic location, market competition, and/or the successful applicant's education, experience, knowledge, skills, and abilities. The range listed is just one component of Xerox's total compensation package for...

Dec 09, 2025
Or
Senior Director, Product Management (Agentic AI)
Oracle Nashville, TN, USA
Job Description We are seeking an experienced product leader to define and execute the strategy for the AI Agent and Agentic apps within the customer service domain as part of the Fusion CX Service product team. This includes developing intelligent, autonomous agents that enhance service request automation, knowledge management, agents that handle real-time digital customer interactions to drive self-service containment, and integration with Contact Center as a Service (CCaaS) platforms. You will lead a high-performing product team, collaborating closely with Engineering, User Experience, Sales, Marketing, Services, and Customer Success to deliver AI-driven solutions that transform customer service experiences. Strategy and Vision: Develop a compelling product vision and multi-year strategy for AI Agents in customer service, aligning with the company's overall objectives. Establish clear market positioning and value propositions to drive adoption and revenue...

Dec 06, 2025
Lensa
Full time
 
Utilization Management Nurse Consultant
Lensa Nashville, TN, USA
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 CVS Health. 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. At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And...

Nov 26, 2025
Highmark Health
Medical Director, Medical Management
Highmark Health Nashville, TN, USA
Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members...

Nov 24, 2025
Humana
Actuary, Medicaid Trend Analytics and Data Management
Humana Nashville, TN, USA
Become a part of our caring community and help us put health first Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to support modeling, reporting, and decision-making. Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation, partnering with teammates to implement data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with actuarial, financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on data architecture and improvements. Support team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary,...

Nov 24, 2025
WG
Full time
 
Manager, Academic Product Management
Western Governors University Nashville, TN, USA
If you’re passionate about building a better future for individuals, communities, and our country—and you’re committed to working hard to play your part in building that future—consider WGU as the next step in your career. Driven by a mission to expand access to higher education through online, competency-based degree programs, WGU is also committed to being a great place to work for a diverse workforce of student-focused professionals. The university has pioneered a new way to learn in the 21st century, one that has received praise from academic, industry, government, and media leaders. Whatever your role, working for WGU gives you a part to play in helping students graduate, creating a better tomorrow for themselves and their families. The salary range for this position takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other...

Nov 22, 2025
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