Sr Director of Patient Access and Utilization Management

Nashville General Hospital is seeking a Sr. Director of Patient Access and Utilization Management to oversee registration, financial clearance, insurance verification, and utilization review processes. The role requires strategic leadership, strong budgeting, and compliance with state and federal regulations, aiming to optimize revenue cycle performance and improve patient care. The company has a strong commitment to community and healthcare needs within Davidson County.

Requirements

• Minimum 10 years of progressive administrative and supervisory experience
• Minimum 8 years in a healthcare management position (preferred)
• Proven ability to handle multiple projects simultaneously with strong budgeting and negotiation skills
• Functional knowledge of computers, word processing, spreadsheets, and hospital information systems
• Thorough knowledge of patient access, utilization management, and medical terminology
• Detailed knowledge of Joint Commission, NCQA, CMS, state, and federal requirements
• Experience with insurance verification, coverage interpretation, and revenue cycle optimization
• Strong verbal and written communication skills
• Demonstrated ability to independently identify problems and implement solutions

Benefits

• Medical, Dental, and Vision Insurance
• Metro Health Incentive Program
• Short and Long-Term Disability
• Life Insurance
• Retirement Plan
• Shift and Weekend Differential Pay
• Tuition Reimbursement
• Flexible Spending Accounts
• Free Parking for all employees