- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Humana (Nashville, TN)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...Do you want to work as a Quality Control Senior Manager where your passion for creating… more
- Danaher Corporation (Nashville, TN)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- Elevance Health (Nashville, TN)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Health Care Service Corporation (Nashville, TN)
- …large scale complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering ... including establishing working relationships across departments, preparing presentations to senior management cross-functional stakeholders (including senior management),… more
- Humana (Nashville, TN)
- …Experience Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Our… more
- CVS Health (Nashville, TN)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- CVS Health (Nashville, TN)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Preferred Qualifications** **3+ year vendor ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Nashville, TN)
- …of our caring community and help us put health first** The Program leader, Provider Education builds strategies for development, engagement, best clinical practices ... and processes for clinical community within the enterprise. The Program leader, Provider Education requires a solid understanding of how organization capabilities… more
- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Hermitage, TN)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...For** **Required:** + Graduate of accredited MD or DO program from an accredited University. + Board Certification or… more
- CenterWell (Nashville, TN)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice… more
- CVS Health (Nashville, TN)
- …is an integral part of the Medicare Stars business. We are seeking a ** Senior Manager , Business Analysis** , to join our team. This team manages data ... environments, reporting and web applications that support Medicare and Stars-specific initiatives. **This position will include:** +...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CenterWell (Hendersonville, TN)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... as required + Graduate of accredited MD or DO program of accredited university + Excellent verbal and written...Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Nashville, TN)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- CVS Health (Nashville, TN)
- …the delivery of high quality care to the Medicare population. As a Senior Product Manager , you will be responsible for driving the strategic direction of ... a core part of our platform. Through partnership with senior business and engineering leaders, you will oversee the...experience **Preferred Qualifications** 4+ years operating in a Product Manager role (or similar) MA / MBA in any… more
- CenterWell (Nashville, TN)
- …is not guaranteed. There also may be opportunity to cover other aspect of the program , such as covering PTO for APPs in CenterWell Medical group (phase 1). There are ... **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice… more
- CenterWell (Nashville, TN)
- …+ Hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft ... eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities \#LI-JM3 Travel:… more
- HCA Healthcare (Nashville, TN)
- …+ 2-4 years of accounting experience preferred. + Previous experience in a senior level accounting position preferred. + Medicare and third-party payer knowledge ... TriStar Southern Hills Medical Center, you can be a manager in an organization that is devoted to giving!...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more