- Cardinal Health (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …indicated develops psychosocial treatment plans in coordination with other social workers, case manager , managed care staff and discharge planners. Arrives ... benefit programs. Reviews all referral data from social workers, case managers, managed care staff and discharge planners to identify patients' needs. Makes a… more
- Indeed (Nashville, TN)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Humana (Nashville, TN)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Gentiva (Dickson, TN)
- …with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …qualified referral sources **OTHER JOB DEMANDS:** + Knowledge and experience with Managed Care , Medicare, state specific Medicaid regulations and electronic ... as required by state of practice + Experience in the long term care industry or managed care organizations, preferred + Experience with Humana / Case… 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
- 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
- Somatus (Nashville, TN)
- …years of program management experience or operational experience in population health, managed care , case management, or healthcare consulting, particularly in ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Community engagement opportunities + And more! The Clinical Operations Manager - VBC is responsible for managing an interdisciplinary… 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
- CAI (Nashville, TN)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… 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 is responsible for assisting in the development and evolution of the ... 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
- Community Health Systems (Franklin, TN)
- …data operations required + 2-4 years of experience with physician quality measures, managed care , EMRs, and clinical operations preferred **Knowledge, Skills and ... **Job Summary** The Manager , Quality Clinics is responsible for leading quality...physician practices and outpatient clinics to support value-based, patient-centered care models. The role drives performance improvement by analyzing… 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
- Elevance Health (Nashville, TN)
- …in Pharmacy or a PharmD and minimum of 5 years of experience in managed care , authorization, or related pharmacy experience; or any combination of education ... ** Manager Pharmacy Clinical Operations** **Hybrid 2:** This role...Call Center experience is a plus. + Clinical Pharmacy Care Center Experience preferred. + People leader experience is… more
- CVS Health (Nashville, TN)
- …Qualifications** + 5+ years of experience in relevant fields such as PBM, managed care , healthcare, market conduct exams, compliance, or audit. + Ability ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...ability to travel up to 40% **Position Summary** The Manager , Compliance COE will be a key member of… more