- Universal Health Services (Brentwood, TN)
- …of facilities. Position Summary: The Corporate Insurance team at UHS is looking for motivated Senior Program Manager - Claims to join our innovative team ... contribute to the maintaining of a rolling diary of claims based in Brentwood, TN. Essential Job Duties: +...Job Duties: + Maintain a rolling diary of 150-175 claims at any given time. + Work with Risk… more
- The Cigna Group (Franklin, TN)
- **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager ** **Position Overview:** The job profile for this position is ... Application Development Senior Manager , which is a Band 4 Management role. The Claims & Enrollment Applications organization is looking for an experienced… more
- The Cigna Group (Nashville, TN)
- …personnel to support the business in ongoing claim operations. **Essential Functions** The Senior Manager of Claim Operations will oversee a team of 3-15 ... reducing total healthcare costs. Evernorth Accountable Care will be delegated select claims processing capabilities in certain geographic markets as part of its… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... products and services. Activities address impact on customers, operations, program integrity, pricing, quality, satisfaction, and outcomes. Develops and tracks… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Project Solution Manager (Utilization Management) - Remote **Job Description ... IT, Claims and Clinical departments. This role will provide program expertise, project management planning, execution and reporting to individual project teams,… more
- Walgreens (Nashville, TN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Travelers Insurance Company (Franklin, TN)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... $168,200.00 **Target Openings** 1 **What Is the Opportunity?** Reports to Specialist Manager , Boiler & Machinery. Performs boiler and machinery risk assessments and… more
- Upperline Health (Nashville, TN)
- …in Nashville with flexibility to work remotely. About the Audit and Medical Records Manager Upperline Health is seeking an Audit and Medical Records Manager to ... all coding and billing guidelines and regulatory requirements. This Manager will also manage the medical records team for...prior experience as a managing a corporate internal auding program and all legalities of release of personal health… more
- Brookdale Senior Living (Brentwood, TN)
- …and future strategy development. + Provides direction and training to community management on claims management issues. + Meets with manager to review new and ... at least a year. Responsibilities Administers the company's workers compensation program . Works in a team environment, interacting with associates, adjusters,… more
- Walgreens (Franklin, TN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including… more
- Walgreens (Nashville, TN)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Stantec (Nashville, TN)
- …the implementation of Stantec's Health, Safety, Security, and Environment (HSSE) program within the Environmental Services Business Operating Unit. The position will ... US and will report to a Business Line HSSE Manager . This is a full-time position, and work hours...requirements of the geography. **Your Key Responsibilities** + Applies senior level practical knowledge and experience to independently solve… more
- Sedgwick (Nashville, TN)
- …Specialist Sr, GRC **PRIMARY PURPOSE** **:** To advance the IT Compliance program including coordinating and reporting of the work; to represent Sedgwick IT ... the controls. + Identifies gaps/actions in cases of non-compliance and works with senior members of the team to collaborate with solution owners to design and… more
- Prime Therapeutics (Nashville, TN)
- …depth perception and ability to adjust focus **Reporting Structure** + Reports to Manager , Director or Senior Director in the Consulting Analytics department ... experience conducting complex analysis on enterprise level data sets of pharmacy, claims , medical, and/or financial data + Extensive experience with analytic tools… more