- Unknown (Nashville, TN)
- …& Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights predictive analytics data-driven intervention ... of experience, with a proven track record in senior program management, and a strong understanding of healthcare and...innovation and strategic guidance to enhance customer relationships. Hiring Manager Title BU President & GM Travel Percent Less… more
- Molina Healthcare (Bowling Green, KY)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Bowling Green, KY)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Bowling Green, KY)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Meta (Nashville, TN)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Molina Healthcare (Bowling Green, KY)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- HCA Healthcare (Nashville, TN)
- …years being healthcare management experience OR completion of the Parallon Manager Trainee Program . **Parallon** provides full-service revenue cycle management, ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- GovCIO (Nashville, TN)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... **Overview** GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... Do you have the career opportunities as a Project Manager II you want with your current employer? We...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- The Hertz Corporation (Nashville, TN)
- …someone who isn't working for you Join our team The Financial & Insurance Manager will interact with customers and build customer loyalty by assisting them with ... Sell finance and insurance products to customers and process payment Provide outstanding customer service that is memorable Train...the sales dept. in the absence of the store manager Submit paperwork to and obtain approval from finance… more
- AbbVie (Nashville, TN)
- …Louis, MO + Nashville, TN + Birmingham, AL The Parkinson's Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address ... tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and procedures.… more
- RELX INC (Brentwood, TN)
- …to drive insights from complex data sets, improving operation efficiency, increasing program integrity , discovering, and recovering revenue, and making timely ... ability to mitigate and manage risk. About the job: The Strategic Account Manager role will ensure and grow additional revenue opportunities and protect revenue base… more
- Coinbase (Nashville, TN)
- …that make up this group which include Product Foundations (ie Identity, Payment , Risk, Proofing & Regulatory, Finhub), Machine Learning, Customer Experience, and ... embedding growth pods directly within teams across the organization. As an Engineering Manager on our team, you'll be driving this transformative shift within the… more
- HCA Healthcare (Smyrna, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Molina Healthcare (Bowling Green, KY)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Molina Healthcare (Bowling Green, KY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- HCA Healthcare (Nashville, TN)
- …include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
