- Cardinal Health (Nashville, TN)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Care Manager II - Licensed Behavioral Analyst** **Candidates must be located in Tennessee, or be willing to relocate to Tennessee to be ... by law._ **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The **Behavioral Health Care Manager II - Licensed Behavioral Analyst,** is responsible for managing… 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
- Elevance Health (Nashville, TN)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Nashville, TN)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
- Elevance Health (Nashville, TN)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with… more
- J&J Family of Companies (Nashville, TN)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- HCA Healthcare (Nashville, TN)
- …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 ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...a difference. We are looking for a dedicated Portfolio Manager like you to be a part of our… 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
- CDM Smith (Nashville, TN)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Amrize (Nashville, TN)
- Senior Category Manager , Insulation Requisition ID: 14424 Location: Nashville, TN, US, 37214Chicago, IL, US, 60631Nashville, TN, US, 37214 Pay Type: Salary **COMPANY ... our amazing team and contribute as a: Senior Category Manager , Insulation The Senior Category Manager , Insulation...supplier interruptions. * Monitor key cost drivers for materials managed and provide monthly updates on key materials … more
- HCA Healthcare (Nashville, TN)
- …to patient scheduling, registration and insurance verification + You will oversee center managed care contracts with third party payers including Medicare and ... may vary by location._** Come join our team as a(an) Business Office Manager . We care for our community! Just last year, HCA Healthcare and our colleagues… 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
- HCA Healthcare (Nashville, TN)
- …is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager (RCOM) is responsible for assisting in the development and evolution ... and operational metrics to ensure that financial and operational risks are properly managed . + Works with the division operations team and CCU team on practice… more
- CVS Health (Nashville, TN)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- CDM Smith (Nashville, TN)
- …have an exciting opportunity for an experienced seller-doer business development-oriented Project Manager to join our Transportation group! Position can be based in ... be: - Managing and serving as Tennessee Transportation Project Manager on transportation design projects including bicycle/pedestrian, transit, traffic, planning,… more
- CVS Health (Nashville, TN)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Nashville, TN)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences** : + Managed care or healthcare experience preferred. + Behavioral health ... **Marketing Manager ** **Location:** This role requires associates to be...within a commuting distance from an office. The **Marketing Manager ** thinks strategically and end-to-end using data and insights… more
- Pacific Northwest National Laboratory (Nashville, TN)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more