- HCA Healthcare (Nashville, TN)
- …worth of each individual is recognized. Submit your application for the opportunity below: Senior Appeals Specialist Parallon. **Benefits** Parallon, offers a ... **_Note: Eligibility for benefits may vary by location._** We are seeking a Senior Appeals Specialist for our team to ensure that we continue to… more
- CVS Health (Franklin, TN)
- …Responsibilities:** + Possesses knowledge all Aetna health products available to the senior market. + Gives guidance with sales inquiries + Manages various software ... including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing. + Ability to work in a fast paced environment, handling… more
- Evolent (Nashville, TN)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more