- CVS Health (Nashville, TN)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Nashville, TN)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Nashville, TN)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Property Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare ... make a difference. We are looking for a dedicated Senior Property Claims Supervisor like you to...process. + Assist the VP Insurance, AVP Insurance and Manager /Director of Property Claims with other responsibilities… more
- CVS Health (Nashville, TN)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Danaher Corporation (Nashville, TN)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- Humana (Nashville, TN)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Bridgestone Americas (Nashville, TN)
- …Finance **Position Summary** We're currently looking for an experienced and highly motivated Senior Manager Insurance Risk Management leader to join our team in ... including policy administration, commercial contract risk review, and insurance claims and financial reporting + Participate as the insurance...are Free to Be** We believe people can only provide superior service and quality to others when they… more
- Zurich NA (Nashville, TN)
- Senior Environmental Underwriter (Sr. Level III or AVP...office.We may, at the sole discretion of the Hiring Manager , be willing to hire at other Zurich offices ... Level IV) 127364 Zurich is seeking an experienced Senior Environmental Underwriter, ( Senior Level III or...III) or AVP, Environmental Underwriter (Level IV). The hiring manager will determine the appropriate level based upon the… more
- Elevance Health (Nashville, TN)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review… more
- BrightSpring Health Services (Nashville, TN)
- …Professional Billing / Revenue Cycle Management and/or Collections in a large healthcare provider setting or a Medical Claims Processing organization. + Proven ... Sr Director's responsibilities include identifying reimbursement issues, ensuring that claims , denials, and appeals are efficiently processed, and resolving… more
- Walgreens (Brentwood, TN)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (Nashville, TN)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- WTW (Nashville, TN)
- **Description** You will serve as the project manager on select projects, interface with vendors and key clients internally and externally, create client ... spectrum of health and benefit programs. You will serve as the project manager on select projects, interface with vendors and key clients internally and externally,… more
- Cardinal Health (Nashville, TN)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Nashville, TN)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Nashville, TN)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- CenterWell (Nashville, TN)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Brentwood, TN)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Brentwood, TN)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more