- Baptist Memorial (Memphis, TN)
- …education + Employee referral program Job Summary: Position: 16009 - Manager -Internal Audit Facility: BMHCC Corporate Office Department: HS Corporate ... conducting and controlling audits or reviews of the financial, operational and compliance audits, as may be required. Supervises Auditor and Senior Auditor staff… more
- Prime Therapeutics (Nashville, TN)
- …to ensure compliance + Facilitate, lead, assess and create CMS audit protocol universe reports and client monitoring reporting efforts to clients on a ... is required + 5 years of work experience in audit or compliance , in healthcare, PBM or...to adjust focus **Reporting Structure** + Reports to Supervisor, Manager , or Director in the Clinical Operations,… more
- ThermoFisher Scientific (Memphis, TN)
- …as applicable + Provides trial status tracking and progress update reports to the Clinical Team Manager (CTM) as required. Ensures study systems are updated per ... step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel… more
- Baptist Memorial (Memphis, TN)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... Contacts and confers with physicians regarding any irregularities. Maintains compliance with all regulatory requirements. Responsibilities Engages customers and… more
- Catholic Health Initiatives (Chattanooga, TN)
- …**Responsibilities** **The primary function of the Quality/Patient Safety Program Manager is to support, coordinate, and facilitate the quality management ... key initiatives, including but not limited to, activities focused on clinical quality improvement, patient safety and risk reduction, patient experience, efficiency,… more
- Walgreens (Memphis, TN)
- …insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager ... state and federal laws/regulations allow, accountable for performing day-to-day non- clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a(an) Sr Construction Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... the opportunity to make a difference. We are looking for a dedicated Sr Construction Manager like you to be a part of our team. **Job Summary and Qualifications**… more
- Walgreens (Selmer, TN)
- …medications and awareness with drug interactions. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient ... Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and… more
- The Cigna Group (Chattanooga, TN)
- …research, analysis, and response to inquiries from all internal and external audit departments regarding compliance , coding, and inappropriate coding. + Provides ... role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction...and efficient. + Review and act on any assigned audit educational opportunities timely and provide primary care or… more
- Baptist Memorial (Memphis, TN)
- …the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... Contacts and confers with physicians regarding any irregularities. Maintains compliance with all regulatory requirements. Responsibilities + Engages customers and… more
- HCA Healthcare (Nashville, TN)
- …operational standards and policies in accordance to the vendor contract agreement. Analyze audit including coding criteria and guidelines in clinical denials and ... to quality and provide feedback to Revenue Cycle Ops Manager + Assists in ensuring vendors adhere to process...concepts + Provide coding guidance and support on quality audit + Assists Parallon on defining process flows and… more
- Charles River Laboratories (Memphis, TN)
- …This position reports to the Associate Director Regulatory Affairs and Compliance and will be responsible for supporting the improvement, implementation and ... of potential risk. Incumbent will lead activities to ensure mitigation, improve compliance and enhance performance of key Quality activities. Core to these… more
- Covenant Health Inc. (Knoxville, TN)
- …for billing compliance and refers coding questions to the Operations Manager when additional research is needed. + Contacts physicians for clarification and ... Overview Coder Analyst Specialist, Clinical Document Integrity Full time, 80 hours per...and timely billing. + Participates in quality coding and audit reviews for each provider. + Assists provider with… more
- The Cigna Group (Nashville, TN)
- …issues, implications and decisions. The Case Management Analyst reports to the Supervisor/ Manager of Appeals and will coordinate and perform all appeal related ... have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to differentiate...as well as research and provide a written detailed clinical summary for the Plan Medical Director. + Determine… more
- Dialysis Clinic, Inc. (Murfreesboro, TN)
- …and if needed, provide additional training to those not meeting requirements + Audit medical records, infection control and regulatory compliance annually and ... to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. The… more
- Permobil (Lebanon, TN)
- …customers can trust us to provide market-leading solutions driven by insights-based clinical data. You will be responsible for the direct support of manufacturing ... department managers; and providing feedback to leadership. SUPPORTS REGULATORY COMPLIANCE BY: Identifying and educating others on regulations and standards… more