- The Cigna Group (Nashville, TN)
- The Business Project Analyst is a key role working closely with the claims systems and configuration team, project management, and stakeholder SME's ... to develop, improve, monitor, and maintain EviCore Claims Systems. The work will be a mix...analysis, solutioning, document and maintain log of issues + ** Project Support** **-** Develop and manage detailed business… more
- Cognizant (Nashville, TN)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued...date of posting. This may change based on the project you're engaged in, as well as business… more
- Prime Therapeutics (Nashville, TN)
- …as the bridge between the business systems analyst team, business stakeholders, development team, broader project team and various levels of management. ... to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the… more
- Highmark Health (Nashville, TN)
- …on project teams, based upon experience and need. + Provide required business and/or subject matter expertise for both project and production related ... CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and...and all necessary approvals have been obtained throughout the project lifecycle. + Interface with the business … more
- Highmark Health (Nashville, TN)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... based role - looking for someone who has some claims experience and looking to become familiar with risk...Process Improvement + Business Process Mapping + Business Requirements + Collaborative Problem Solving + Project… more
- Prime Therapeutics (Nashville, TN)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Highmark Health (Nashville, TN)
- …and making a big impact for those we serve. This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user ... may include training, a process change, or modifications to business rules. Traces business requirements through to...and user interface design. + Participate in the full project life cycle by actively participating on project… more
- Norstella (Nashville, TN)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...successful delivery and application of RWD in support of business and analytic goals. **Responsibilities:** * Customer Enablement &… more
- Prime Therapeutics (Nashville, TN)
- …claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures ... and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance… more
- The Cigna Group (Franklin, TN)
- **The Cigna Group Sales and Contracting Development Program** **Network Contracting Analyst ** **Start Date July 13, 2026** **Hiring Cigna Network Offices:** ... to building strong healthcare provider networks. **As a Network Contracting Analyst , you will:** + **Establish, develop, and maintain relationships** with healthcare… more
- Highmark Health (Nashville, TN)
- …the Epic Resolute Hospital Billing application. Responsibilities include business /systems analysis, requirements definition and documentation, system design, and ... problem resolution. The analyst communicates with system end-users to understand issues and...**Preferred** + 2+ years of Healthcare Revenue Cycle experience ( Claims , Patient Access, Billing) + Epic Certification in Resolute… more
- Public Consulting Group (Nashville, TN)
- …resolved effectively. Collaboration: Work closely with cross-functional teams, including developers, project managers, and business analysts, to ensure quality ... change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator… more