- Sumitomo Pharma (Nashville, TN)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...with internal departments (Internal Audit, Commercial Insights, Contracting, SOX Compliance , and Legal) to clarify policy compliance … more
- Prime Therapeutics (Nashville, TN)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- HCA Healthcare (Brentwood, TN)
- …to be a part of our team. **Job Summary and Qualifications** As Reimbursement Manager , you will complete Medicare and Medicaid cost reports to obtain appropriate ... an organization that invests in you as a Reimbursement Manager ? At HCA Healthcare, you come first. HCA Healthcare...reimbursement from these programs and monitor hospitals' compliance with the company's reimbursement policies and procedures. Your… more
- HCA Healthcare (Nashville, TN)
- …an organization that invests in you as a Vendor Resource Management Profee Coding Manager ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... looking for a dedicated Vendor Resource Management Profee Coding Manager like you to be a part of our...and documentation + Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines as it… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a HIM and Coding Senior Manager you want with your current employer? We have an exciting opportunity for you ... want to work as a HIM and Coding Senior Manager where your passion for creating positive patient interactions...coding operations and HIM initiatives. + Assist in ensuring compliance with the business case model including the promotion,… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Project Manager II? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... the opportunity to make a difference. We are looking for a dedicated Senior Project Manager II like you to be a part of our team. **Job Summary and Qualifications**… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Senior Manager Business Continuity Program with Parallon you can be a part of an ... our organization. We are looking for an enthusiastic Senior Manager Business Continuity Program to help us reach our...continuity program as it relates to audit and regulatory compliance to help identify any potential gaps. + Assists… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Project Manager II with HCA Healthcare, you can be a part of an organization ... you need to succeed in our organization. We are looking for an enthusiastic Project Manager II to help us reach our goals. Unlock your potential! **Job Summary and… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Sr Project Manager I with HCA Healthcare, you can be a part of an organization that ... need to succeed in our organization. We are looking for an enthusiastic Sr Project Manager I to help us reach our goals. Unlock your potential! **Job Summary and… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Project Manager I you want with your current employer? We have an exciting ... caring group of colleagues. Do you want to work as a Senior Project Manager I where your passion for creating positive patient interactions is valued? If you… more
- BlueCross BlueShield of Tennessee (Nashville, TN)
- **Join Our Team as a Nurse Care Manager with the Katie Beckett Program** Are you passionate about supporting children under the age of 18 with disabilities and/or ... communities? Katie Beckett is seeking a dedicated Nurse Care Manager with pediatric experience to join our team\. In...Support Plans + Collaborate with private insurance \(TPL\) and Medicaid to coordinate care to ensure that members needs… more
- HCA Healthcare (Springfield, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Patient Access Manager with TriStar NorthCrest Medical Center you can be a part of an ... to succeed in our organization. We are looking for an enthusiastic Patient Access Manager to help us reach our goals. Unlock your potential! **Job Summary and… more
- Datavant (Nashville, TN)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Sanofi Group (Nashville, TN)
- **Job Title:** Field Reimbursement Manager , Tzield, Nashville TN **Location:** Nashville, TN (Field Based) **About the Job** Sanofi General Medicines is currently ... and reimbursement matters + Stay educated about and strictly adhere to compliance and OIG guidance and policies regarding patient support programs and offerings… more
- Humana (Nashville, TN)
- …help us put health first** Humana's Marketing organization is seeking a Senior Product Manager who specializes in Next Best Action (NBA) execution to join the team ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Nashville, TN)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Deloitte (Hermitage, TN)
- …and the workforce. Work you'll do As a Implementation Enhancement Project Delivery Manager in the GPS HST Technology group you will: + Support Implementation and ... to SNAP, and TANF, programs. + Design and implement solutions to address compliance , error reduction, and process optimization in line with federal and state… more
- Cardinal Health (Nashville, TN)
- …* Process all patient applications in accordance to set policy, procedures and PHI compliance * Speak with manufacturer field team members on case updates via phone ... benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred… more
- Community Health Systems (Franklin, TN)
- …of evaluation and management services, procedures, and other physician work in compliance with Medicare, Medicaid , and other payer requirements. + Identifies ... CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state, and local laws. This role involves conducting… more
- HCA Healthcare (Nashville, TN)
- …patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more