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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
Or
Senior Director, Product Management - Compute and AI Infrastructure, Outbound
Oracle Nashville, TN, USA
Job Description Oracle Cloud Infrastructure delivers high-performance, secure, and scalable compute and AI infrastructure for mission-critical workloads. We are seeking a Senior Director (M5) to lead the Outbound Product Management organization for OCI's Compute and AI Infrastructure portfolio. This single-threaded leader will own market and competitive insights, benchmarking strategy, data and analytics for product health, and customer adoption programs. The role partners closely with Product, Engineering, Sales, Marketing, Finance, and Customer Success to inform roadmap and investment decisions, accelerate adoption of newly launched services, and drive customer and revenue growth with clear, executive-ready communications and recommendations. Strategy and Insight Perform continuous market, customer, and competitive analysis across cloud compute and AI infrastructure to inform roadmap, positioning, and investments. Establish an insights operating cadence and...

Dec 16, 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
Or
Oracle Health Senior Consultant - Community Care and Referral Management
Oracle Nashville, TN, USA
Job Description As a Senior Consultant, you will consult with clients on service line workflow, and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives. Responsibilities Basic Qualifications: At least 4 years total combined related work experience and completed higher education including knowledge and experience with the Oracle Health Referral Management product(s) Highly organized with the ability to manage multiple projects simultaneously. Self-starter capable of independently handling tasks and projects. U.S. citizenship required due to...

Nov 22, 2025
CO
Director, Technical Program Management - Capital One Software (Remote)
Capital One Financial Corporation Nashville, TN, USA
Director, Technical Program Management - Capital One Software (Remote) Ever since our first credit card customer in 1994, Capital One has recognized that technology and data can enable even large companies to be innovative and personalized. As one of the first large enterprises to go all-in on the public cloud, Capital One needed to build cloud and data management tools that didn't exist in the marketplace to enable us to operate at scale in the cloud. And in 2022, we publicly announced Capital One Software and brought our first B2B software solution, Slingshot, to market. Building on Capital One's pioneering adoption of modern cloud and data capabilities, Capital One Software is helping accelerate the data management journey at scale for businesses operating in the cloud. If you think of the kind of challenges that companies face - things like data publishing, data consumption, data governance, and infrastructure management - we've built tools to address these various needs...

Dec 16, 2025
Or
Senior director product management
Oracle Nashville, TN, USA
Job Description Oracle Cloud Infrastructure delivers high-performance, secure, and scalable compute and AI infrastructure for mission-critical workloads. We are seeking a Senior Director (M5) to lead the Outbound Product Management organization for OCI's Compute and AI Infrastructure portfolio. This single-threaded leader will own market and competitive insights, benchmarking strategy, data and analytics for product health, and customer adoption programs. The role partners closely with Product, Engineering, Sales, Marketing, Finance, and Customer Success to inform roadmap and investment decisions, accelerate adoption of newly launched services, and drive customer and revenue growth with clear, executive-ready communications and recommendations. Strategy and Insight Perform continuous market, customer, and competitive analysis across cloud compute and AI infrastructure to inform roadmap, positioning, and investments. Establish an insights operating cadence and...

Dec 16, 2025
Or
Manager, Adoption Program Management (Fusion Analytics)
Oracle Nashville, TN, USA
Job Description We are seeking a Team Lead / Manager for our Adoption Program Managers (APMs) supporting Fusion Analytics (FDI / FAIP). In this player-coach role, you will manage a group of APMs and your own portfolio of high-touch enterprise customers. Your primary objective will be to drive customer adoption, increase product and AI usage, and ensure customer success with Fusion Analytics. APMs are responsible for increasing usage and product adoption for select Fusion Analytics (FDI / FAIP) customers. This is achieved by understanding desired analytics business use cases, evangelizing best practices, and influencing customers on their analytics strategy to support organization-wide adoption of Fusion Analytics. APMs will work within a matrixed set of customer stakeholders, including IT & business leaders, partners, and Oracle teams such as Customer Success, Sales, Product Management, and solution architects (CEAL). Responsibilities Lead, mentor, and develop...

Dec 14, 2025
Humana
Associate Director - Finance Data Management
Humana Nashville, TN, USA
Become a part of our caring community and help us put health first The Associate Director, Finance Data Management supports all aspects of configuration control, data management, and deficiency reporting. The Associate Director, Finance Data Management requires a solid understanding of how Finance organization data capabilities interrelate across department(s). The Associate Director, Finance Data Management supports implementation of government and industry policies for requirements management, document management, change management, production and delivery, and configuration management of the performance, functional, and physical baselines. Acquires, validates, stores, protects, and processes required data to ensure the accessibility, reliability, and timeliness of the data for its users. Develops and executes architecture, policies, practices and procedures that properly manage the full data lifecycle needs of an enterprise. Decisions are typically related to identifying...

Dec 12, 2025
SE
Revenue Cycle Management (RCM) Business Analyst (Consulting)
SolomonEdwards Nashville, TN, USA
About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Revenue Cycle Management (RCM) Business Analyst to join a growing, nationwide healthcare organization with a technology-forward model and strong telehealth presence. In this high-impact role, you will partner directly with Revenue Cycle leadership to uncover and communicate key performance insights. The ideal candidate brings both executive presence and hands-on data...

Dec 12, 2025
WayUp
Digital Strategist / Change Management (Adobe Practice)
WayUp Nashville, TN, USA
We are seeking a dynamic and strategic Digital Strategist / Change Management to lead clients through the change management lifecycle as part of value realization engagements. This role is pivotal in enabling marketing organizations to unlock growth, improve performance, and accelerate digital transformation by aligning people, processes, and platforms. You'll partner with executive sponsors and product owners to activate prioritized use cases, accelerate adoption, and institutionalize new ways of working. Key Responsibilities: Change Management & Enablement Lead stakeholder mapping, sponsorship models, and governance; run change impact assessments and readiness plans. Design and deliver enablement (role-based training, playbooks, office hours) for marketers, analysts, data engineers, and journey designers. Orchestrate communication plans and feedback loops to sustain adoption and continuously improve ways of working. Operating Model &...

Dec 06, 2025
Or
Director of Product Management - Clinical Note AI Agent
Oracle Nashville, TN, USA
Job Description The Clinical Note AI Agent Product Management Leader will be responsible for defining and executing the global strategy for our rapidly expanding product - Clinical Note AI Agent. This role will drive product innovation and growth across multiple geographies and specialties, lead cross-functional collaboration, and ensure seamless integration with healthcare systems and key stakeholders, including government and reimbursement teams. This is a hands-on product management role with people responsibilities. Strategy & Leadership: Develop and own the product strategy for the Clinical Note AI Agent to drive continued growth and global expansion. Customer Value: Ensure the Clinical Note AI agent provides measurable business value across customer bases, including Emergency Departments, Inpatient settings, and 18+ specialties across the US, UK, Canada, and Australia. Government Engagement: Serve as the principal product manager for...

Dec 06, 2025
Or
Principal Engineer (IC5), OCI Networking - Transport Protocol Controllers & E2E Congestion Management
Oracle Nashville, TN, USA
Job Description In this role, you will provide foundational expertise in transport protocols (TCP, RDMA, and hybrids), leading efforts to design and optimize congestion controller algorithms that deliver high throughput, low latency, and fairness across OCI's hyperscale environment. Responsibilities Responsibilities: End-to-End Congestion Management: Develop, analyze, build and deploy transport protocol controllers (hybrid, both loss-based and delay-based) for managing congestion across a variety of workloads and network conditions. System Architecture & Theory: Architect robust, scalable solutions grounded in deep understanding of transport theory and practical constraints-balancing queue management, buffer occupancy, throughput, and fairness. Protocol Design & Optimization: Advance algorithmic approaches to congestion control at both host and switch level, considering the interplay between TCP, RDMA, hybrid transport protocols, and existing...

Dec 06, 2025
Cushman & Wakefield
Full time
 
MEP Category Management Program Lead (Procurement)
Cushman & Wakefield Nashville, TN, USA
Job Title MEP Category Management Program Lead (Procurement) Job Description Summary This role interfaces with the business lines to lead the development and implementation of category strategies and supplier relationship management company wide. The primary responsibility of this position is to select and manage robust preferred supplier program in mechanical, electrical, plumbing (MEP) and adjacent materials & services that drive value for our clients. Job Description Responsibilities: Leadership- Creates a working environment that encourages high performance and innovation. Becomes a trusted advisor and subject matter expert on the categories. Removes roadblocks to enable the delivery of procurement, company and client goals. Promotes compliance with C&W’s code of conduct. May manage the work of others directly or indirectly. Category Management- Establishes category plans and strategy to ensure the right solution for C&W...

Nov 27, 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
Or
Senior Director of Program Management
Oracle Nashville, TN, USA
Job Description Senior Director of Program Management - Security, Compliance & Strategic Programs Oracle Health Applications & Infrastructure (OHAI) Oracle Health Applications & Infrastructure (OHAI) is seeking a highly strategic and influential Senior Director of Program Management to lead enterprise-wide Security, Compliance, and cross-organizational strategic programs. This leader will operate as a senior advisor, execution driver, and integrator across eight major product lines and ~6,000 engineers. The successful candidate will own high-stakes initiatives tied to release governance, OHRM maturity, audit readiness, and the transition to a monthly release model. The role partners closely with executives, engineering leadership, Security, Compliance, Product, and cross-functional stakeholders to ensure operational excellence at scale. Key Responsibilities Lead Enterprise Security, Compliance & Release Governance Own end-to-end...

Nov 22, 2025
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