98 general medicine jobs found in Nashville

JOB TITLE: Donor Engagement Manager REPORTS TO: Director of Development SUPERVISORY RESPONSIBILITY: No FLSA STATUS: Salary, Exempt LOCATION: Hybrid with on-site requirement in Nashville, TN BIGGER AND BETTER TOGETHER About Us For over 50 years, Big Brothers Big Sisters of Middle Tennessee has served young people in the Middle TN region. Our work supports our belief that every child has the ability to succeed and thrive in life. Big Brothers Big Sisters makes meaningful, monitored matches between adult volunteers (Bigs) and youth (Littles). Through our commitment to quality, innovation, and the passion we have for our work, we develop and sustain positive, life-changing relationships that have a direct and lasting impact on the lives of our youth and the adults who mentor them. Our Mission is to create and support one-to-one mentoring relationships that ignite the power and promise of youth. As noted by our Vision , we are driven by a future...

Summary The Health System Specialist (HSS) is located in the Specialty Medicine Service at the Tennessee Valley Healthcare System. The HSS has the principal responsibility to assist the Chief(s) of clinical services by fulfilling administrative duties. Incumbent applies specialized knowledge of health care management to the planning, organization, and evaluation of the delivery of health care services to veterans. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency ALL US CITIZENS DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (5 CFR 337.201) for this occupation. Current V9 employees, then VHA, then all other federal employees will be evaluated prior to non-government employees. Duties The incumbent will provide administrative leadership to the staff in a complex clinical service (Specialty Medicine Service) and supervise the...

Company : Highmark Health Job Description : JOB SUMMARY This role delivers high-impact analytics and insights focused on Social Determinants of Health (SDOH) to support enterprise strategy and population health initiatives. The position contributes to the development and evolution of enterprise SDOH dashboards and self-service analytic tools, with a focus on analytical rigor, scalability, and alignment to high-value use cases. The incumbent serves as a consultative analytic partner to the Enterprise SDOH team, collaborating to refine analytic questions and translate complex needs into clear, actionable analytic approaches. As reporting capabilities mature, this role will support advanced analysis of varied and multilevel data in exploratory, evaluative, and research-adjacent analytic work, and development of insights that inform program design and strategic decision-making. ESSENTIAL RESPONSIBILITIES Supports and leads the design, development, execution,...

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 Sumitomo Pharma. 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. Sumitomo Pharma Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the U.S. (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) and Europe (Sumitomo Pharma Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health, rare diseases, psychiatry & neurology, and cell & gene therapies. With several marketed products in the U.S., Canada, and Europe, and a diverse pipeline of early- to...

We anticipate the application window for this opening will close on - 24 Apr 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Bring your talents to a leader in medical technology and healthcare solutions.? Rooted in our long history of mission-driven innovation, our medical technologies open doors. We support your growth with the training, mentorship, and guidance you need to own your future success. Join us for a career that changes lives. CAS seeks...

We anticipate the application window for this opening will close on - 24 Apr 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! In this dynamic role, you'll work alongside a collaborative team of clinicians, engineers, physicians, and innovators to execute mapping solutions for cardiac and other electrophysiological systems. By...

Company : Highmark Inc. Job Description : JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within their scope. In addition to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer reviews as part of the quality review process. In addition to policy ownership, the...

We anticipate the application window for this opening will close on - 23 Dec 2025 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life The Medtronic Pelvic Health Sales Representative?manages territory base business and growth by initiating, supporting and developing strategic implanting centers and assisting in developing key referral networks. In certain geographies this role will also have primary responsibility for development of referral networks. The Pelvic Health Sales Representative is also expected act as primary account/implanter relationship contact for assigned territory's customer needs including account level reimbursement responsibility. This includes coordination of all support activities and development of sales partnerships with distribution...

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 Member Communications Specialist - Remote Job Description The Member Communications Specialist is responsible for the development of routine and complex member material initiatives. This position will develop relationships with key partners inside and outside of Prime and will focus on flawlessly executing and improving the end-to-end communication development process for internal and externally focused member communication initiatives. Responsibilities Coordinate the development of tactical member communications (letters, postcards, flyers, emails, etc.) using job tracking tool, while completing jobs on time and on budget; prepare presentations for meetings and client use; present information to internal clients...

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 Baylor Scott & White 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. Description - External JOB SUMMARY The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful...

Become a part of our caring community and help us put health first We are searching for a Senior Software Engineer to architect, develop, and maintain action and policy platforms that enable real-time, personalized decisioning across both digital and assisted channels. These platforms determine which actions can be taken, contextual variations, and the conditions under which they are permitted, leveraging structured metadata, deterministic rule engines, and resilient backend services. This position demands expertise in microservices development, advanced database schema design, and seamless integration of enterprise rules systems. You will be responsible for designing robust, scalable data models, building high-throughput, low-latency services, and integrating policy evaluation engines. Additionally, you will employ AI-assisted and agentic engineering practices to enhance productivity, ensure correctness, and streamline long-term maintainability. Key Responsibilities...

Become a part of our caring community and help us put health first The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Grievances & Appeals Representative 2 assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work...

Become a part of our caring community and help us put health first We are seeking a seasoned Lead Software Engineer to architect and deliver the foundational services that enable real time recommendations to become dependable, auditable, and scalable outcomes. In this position, you will own the design and implementation of the State Machine (managing authoritative state and legal transitions) and Transactional Outbox (ensuring exactly-once intent emission for downstream consumers). Your solutions must be robust, traceable, and maintain high performance under significant concurrency and latency demands. This role is hands-on, combining technical leadership with active engineering: you will architect systems, set technical standards, mentor peers, and collaborate closely across platform, data, and product teams. Key Responsibilities State Machine Architecture Define execution lifecycles and business states, implementing strict legal transition guards....

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: As an Occupational Therapist, Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients...

Become a part of our caring community and help us put health first Job Title: CenterWell Senior Associate, Digital Department: CenterWell Digital Marketing Location: Remote Reporting To: Associate Director, CenterWell Digital Marketing Become a part of our caring community and help us put health first. At CenterWell, we're transforming healthcare by delivering integrated, personalized experiences that put patients at the center of care. As a leading provider of senior-focused primary care, home health services, and pharmacy solutions-including specialty, mail order, and retail, we're committed to whole-person wellness: physical, emotional, and social. We're seeking a strategic digital marketing associate to help elevate CenterWell's digital presence and connect more seniors with personalized care. As Senior Associate, Digital you'll own and execute digital strategies across key owned channels-website, email, SMS, and organic social-to drive awareness, engagement,...

ROLE SUMMARY At Pfizer Oncology, we are committed to "Outdo Cancer" by advancing transformative medicines wherever we can make a profound difference in the lives of patients. Today, Pfizer Oncology has an industry-leading pipeline that includes the combined legacy Pfizer and Seagen portfolio across breast, genitourinary, hematology-oncology and thoracic therapeutic areas. Core to Pfizer's Hematology-Oncology strategy is long-term leadership in multiple myeloma. We aim to position Elrexfio as the bispecific of choice and deliver a successful lifecycle program that has the potential to address the needs of more patients earlier in the treatment journey. The Team Lead role provides an excellent opportunity to lead a talented team of global marketing colleagues focused on driving Elrexfio's global commercial potential and addressing the significant unmet needs of multiple myeloma patients. In Global Marketing, we translate science into value for patients. Our remit is to own...

Become a part of our caring community and help us put health first The Clinical Pharmacist Lead-Florida monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Clinical Pharmacist Lead- Florida develops, maintains, and/or operationalizes formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. Conducts analysis on drug utilization trends to evaluate and inform formulary strategies. Collaborates on research projects and develops proposals for research projects. Develops corporate communications to be shared with senior leadership. Supports...

Become a part of our caring community and help us put health first We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. Key Responsibilities Product Vision & Strategy Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all...

Become a part of our caring community and help us put health first Become a part of our caring community and help us put health first Are you detail-oriented and passionate about protecting brand integrity? As the Associate, Enterprise Initiatives & Brand Governance, you'll support the development and execution of marketing strategies that span Humana's enterprise and brand portfolio as well as the implementation Humana's brand standards across all marketing and communication touchpoints. Role Responsibilities Support enterprise-wide marketing initiatives , contributing to the planning and execution of programs that span multiple brands, business units, and strategic priorities. Contribute to annual planning and intake processes , helping create and refine annual plans, business intake briefs, and marketing briefs. Partner cross-functionally to enable cohesive storytelling , working with Brand Strategy, Product Marketing, Corporate...

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: As a Field Medical Director, Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in...

Become a part of our caring community and help us put health first Become a part of our caring community and help us put health first Are you energized by connecting dots across brands and business units? As the Senior Associate, Enterprise & Cross Brand Initiatives, you'll support the development and execution of marketing strategies that span Humana's enterprise and brand portfolio. You'll help ensure consistency, cohesion, and strategic alignment across initiatives that impact multiple lines of business and the broader enterprise. Role Responsibilities Support the planning, development, and execution of enterprise-wide marketing initiatives that span multiple brands, business units or enterprise efforts, ensuring cohesive storytelling and brand alignment. Collaborate closely with Brand Strategy, Product Marketing, and Corporate Communications to ensure integration, consistency, and clarity across all enterprise and cross-brand marketing efforts....

Become a part of our caring community and help us put health first We are seeking a Lead Automation Engineer to establish and guide a sophisticated quality and test automation function for a large-scale, real-time decisioning platform. This platform delivers personalized recommendations and actions across digital, call-center, and marketing channels through a combination of stateful logic, business rules, and machine learning. This position extends beyond conventional test automation. You will spearhead the adoption of AI-driven and agentic automation methods to validate intricate decision logic, broaden coverage for edge cases, and enhance system confidence where accuracy, explainability, and reliability are essential. Key Responsibilities Automation Strategy & Architecture Develop and own the comprehensive automation strategy for a distributed, real-time decisioning platform, including: API and service-level validation Stateful workflow and...

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 Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and assistance for all cardiology administrative and clinical utilization...

Become a part of our caring community and help us put health first We are seeking a Lead Machine Learning Engineer to architect, develop, and manage machine learning systems that enable real-time, personalized decision-making across digital and assisted channels. These platforms leverage predictive modeling, optimization algorithms, and contextual data to identify the most relevant next action for each individual-at scale, with minimal latency, and with a strong emphasis on reliability and explainability. This position centers on production machine learning engineering. You will lead the creation of ML pipelines, online inference services, and decision-time scoring logic, utilizing AI-assisted and agentic solutions to enhance development velocity, model quality, and operational effectiveness. Key Responsibilities ML System Design & Architecture Design and manage end-to-end machine learning systems, including: Feature engineering and reuse strategies...