- Vanderbilt University Medical Center (Nashville, TN)
- …the organization in contract negotiations, implementation, and management of managed care payor contracts. This position contributes to strategy ... preeminent programs in patient care , education, and research. **Organization:** Managed Care Contracting **Job Summary:** Provides leadership in securing… more
- Cardinal Health (Nashville, TN)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Elevance Health (Nashville, TN)
- …or related field; minimum of 5 years' experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract /Cost of Care Consultant** **Location:** This...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HCA Healthcare (Brentwood, TN)
- … Pricing Advisor is responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced ad hoc analyses partnering with ... an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first....recommendations to drive decision making + Model more advanced managed care contracts through the Alliance for… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate for ... of ASD, as defined by the ACD. The **Telephonic Care Manager (Autism Care Navigator)**... care + Minimum of 1 year of managed care experience **OR** A current, valid,… more
- HCA Healthcare (Nashville, TN)
- …and value of that portfolio to both internal and external audiences.** The contract portfolio managed tends to include: + mostly multi-source or optional ... Do you want to join an organization that invests in you as a(an) Portfolio Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations, managed care , legal support, and service line leaders. Your primary ... have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have...with customers and peers. + Assist the Payor Relations Managed Care teams and Managed … more
- Humana (Nashville, TN)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- Lumen (Nashville, TN)
- …digitally connect the world and shape the future. **The Role** The Lead Project Manager will be responsible to lead cross functional teams in the planning and ... execution of all Government telecom projects. The Lead Project Manager must successfully implement and support projects, such as proposal support, project scheduling… more
- CDM Smith (Nashville, TN)
- …an exciting opportunity for an experienced seller-doer business development-oriented Project Manager to join our Transportation group in Nashville, TN! CDM Smith ... will be: *\tManaging and serving as Tennessee Transportation Project Manager on transportation design projects including bicycle/pedestrian, transit, traffic,… more
- Datavant (Nashville, TN)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... to realize our bold vision for healthcare. **Job Summary** The Senior Manager , Facilities at Datavant will lead all aspects of facilities operations across… more
- Western Digital (Nashville, TN)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... stakeholder relationship management * Deep knowledge of legal systems ( contract management, e-discovery, compliance platforms) * Legal industry process expertise… more
- HCA Healthcare (Nashville, TN)
- …auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling ... assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more...portfolio to both internal and external audiences. The portfolio managed may include, significant spend categories that are sole… more
- Valor Health (Columbia, TN)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and...with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health… more
- BrightSpring Health Services (Nashville, TN)
- …cycle including but not limited to billing, collections, cash posting, contract analysis, communications with insurance providers, and account management. Perform ... plans. Ensure that the productivity and actions of the managed group meet and support the quality goals. +...+ Possesses the versatility required to be a leader, manager , teacher, coach, and mentor while placing high value… more