Jobs in Troy, TN

Join a team that's pivotal in managing extensive care programs, ensuring cross-functional coordination, delivering effective outcomes, and leading improvements in project management processes across t...

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Explore innovative AI solutions by designing, implementing, and deploying advanced models. Collaborate with diverse teams to tackle complex business challenges and leverage cutting-edge technologies f...

Engage in improving clinical outcomes through collaboration, education, and oversight, while ensuring regulatory compliance. Lead initiatives across care management, quality improvement, and clinical...

Shape the future of healthcare EDI solutions by leading product vision, strategy, and execution. Collaborate cross-functionally to deliver scalable, compliant integrations that enhance data quality an...

Grow your career with impactful leadership in managing information security risks while ensuring compliance and developing mitigation strategies to safeguard organizational assets and enhance vendor r...

Design operational goals and life services initiatives; collaborate with stakeholders to enhance member engagement and support underserved populations through effective leadership and strategic planni...

Explore exciting opportunities to analyze and enhance healthcare data solutions, ensuring operational efficiency and strategic initiatives are met. Collaborate with cross-functional teams to improve p...

Explore advanced statistical methodologies to enhance quality and performance improvement in healthcare. Lead data analysis and design epidemiological studies to drive impactful health outcomes and su...

Empower patients during transitions in care. Leverage nursing expertise to guide individuals through post-acute options and services, ensuring optimal support and communication with the clinical team...

Build strong relationships as you guide members through health challenges, using telephonic support for care coordination. Drive positive health outcomes by assessing needs and implementing effective...

Engineer lasting change by leading a team of clinical professionals in providing care management services. Drive member satisfaction and support staff development, ensuring effective outreach and adhe...

Advance audience segmentation strategies through data analysis, driving impactful marketing campaigns while collaborating with stakeholders to optimize processes and enhance our marketing capabilities...

Lead initiatives to enhance provider performance and improve Medicare Stars metrics. Collaborate across functions to develop strategies, reporting frameworks, and quality programs that optimize provid...

Shape strategic direction and execution of consumer product initiatives, collaborating across teams to enhance operational efficiency and drive transformative projects essential to the organization’s...

Join a team that's dedicated to driving strategic technology partnerships while influencing key stakeholders to align initiatives with business goals. Your expertise will enhance operational excellenc...

Shape our multi-channel distribution strategy to drive growth, enhance agent and consumer experiences, and foster cross-functional collaboration. Your leadership will impact our long-term objectives a...

Shape the future of healthcare by utilizing clinical skills to manage Grievance & Appeals cases. Collaborate with multidisciplinary teams to ensure timely resolutions, enhance member outcomes, and dri...

Elevate healthcare access by driving behavioral health product strategies. Collaborate cross-functionally to enhance provider performance and deliver initiatives that improve care quality across Medic...

Drive strategic leadership for Medicaid utilization and care management. Lead development and execution of initiatives aimed at enhancing quality, access, and cost management while collaborating with...

Shape the future of healthcare by using your medical expertise to evaluate and authorize services. Engage with clinical scenarios while ensuring compliance and fostering collaborative relationships to...

Engage in journey optimization by configuring and deploying personalized campaigns using Adobe tools, enhancing member experiences through collaboration in an agile environment while supporting data-d...

Drive impactful enhancements in Medicare Risk Adjustment by leveraging your technical expertise and consultative skills to align business needs with IT solutions, maximizing platform value and ensurin...

Lead the charge in optimizing Medicaid revenue and member programs. Drive strategic initiatives, oversee operations, and collaborate with cross-functional teams to enhance member engagement and achiev...