- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Specialist (Remote) serves as a subject matter expert and team lead, responsible for ... technologies administered by the department to support payment compliance and contract management activities. + Analyzes workload demands through data… more
- Community Health Systems (Franklin, TN)
- …management , case management collaborations, utilization, and quality reviews, contract management , data and reporting, training and coaching. Compile ... **Job Summary** The Corporate Director, Payment Innovation has responsibility for supporting the company...Services, Managed Care, Strategy and Business Development, Legal, and Compliance . This position will serve as a knowledge leader… more
- ASM Research, An Accenture Federal Services Company (Nashville, TN)
- …compensation is made in a timely, accurate, and efficient manner. The Payment Technician is responsible for processing payments for Employment Networks (ENs) who ... he or she will work closely with the Sr. Payment Specialists to ensure all deliverables are accomplished. The...to performance requirements + Provide EN's with updates ensuring compliance with timeline expectations + Making the ENs aware… more
- CDM Smith (Nashville, TN)
- …issues, and coordinates reviews with other corporate functional groups. * Advises company management on risk and compliance issues. * Supports project ... our Federal Group. This position will focus on ensuring compliance with both corporate policies and procedures as well...knowledge of Federal Acquisition Regulations (FAR). * Experience with Contract Lifecycle Management (CLM) systems. * NCMA… more
- e CancerCare (Nashville, TN)
- …The role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other ... payers, and the community. . Load contracted rates into contract management system. . Analyze relevant data...impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling necessary… more
- CDM Smith (Nashville, TN)
- …operations, and contribute to the development and maintenance of privacy and compliance programs. Key Responsibilities include: Third-Party Risk Management * ... software for security and privacy risks and recommend appropriate contract terms. Internal Risk & Compliance *...from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from… more
- HCA Healthcare (Nashville, TN)
- …registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance , credentialing, health information management ... rates, autosuggested codes entry method and actionable edits resolution percentages, ensuring compliance with contract agreements + Prepares coding accuracy and… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job Summary** Under the direction of the Director/Associate Director of Clinical Management , the Senior Clinical Study Manager is responsible for the oversight and ... management of Otsuka clinical studies, including coordination with other...communication flow with CRO and investigative sites to maximize compliance with study protocol.** **Provide oversight of ESP in… more
- Lumen (Nashville, TN)
- …contracts to meet requirements and deliverables necessary for Lumen to maintain contract compliance . This role participates in and leads discussions internally ... Responsibilities** + Develop, plan and manage processes and activities that promote contract compliance for highly complex non-standard government contracts +… more
- Humana (Nashville, TN)
- …plan and/or specialty companies relative to Medicaid product implementation, operations, contract compliance , and federal contract application submissions. ... ranging from moderate to substantial. The Medicaid Market Development Advisor- Vendor Management serves as the primary resource on regulations for all assigned… more
- Lumen (Nashville, TN)
- …claims. + Select counsel for litigated claims and ensure outside counsel's compliance with litigation management guidelines and billing practices. + Directly ... and Counsel and serves as the primary litigation Attorney for the Risk Management group within Treasury responsible for managing all litigated auto liability (AL) &… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The IT Vendor Management Lead for Mergers and Acquisitions identifies and evaluates potential acquisition or ... and complexity ranging from moderate to substantial. The IT Vendor Management Lead investigates available hardware and software products; reviews licenses and/or… more
- HCA Healthcare (Nashville, TN)
- …registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance , credentialing, health information management ... PPO, Medicaid, + Medicare, Auto and Workers' Compensation + Effectively utilize ERA payment information to identify trends and make recommendations + Be able to… more
- Lumen (Nashville, TN)
- …of contractual terms to the business decision makers and third-parties during contract negotiations + Provides ongoing management and maintenance of contracts, ... contract summaries and interpretations to sales teams and executive management ; and investigating, negotiating and resolving contract disputes. +… more
- Prime Therapeutics (Nashville, TN)
- … of the account, including P&L responsibility; and accountability for contract compliance .Accountable for developing and executing the strategic plan ... of the contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service… more
- Cushman & Wakefield (Nashville, TN)
- …Manager, including approving construction contract and invoices * Ensure compliance with Property Management Policies and Procedures, codes, regulations, and ... reimbursements to overhead * Maintain interface with third-party owners, ensuring total contract compliance , and accurate and timely reporting * Resolve tenant… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …Office leadership for non- compliance with VHA Scheduling Directives. Ensures compliance with provider profile management scheduling guidance with regards to ... Uses customer service data for service improvement. Operates a sound personnel performance management system in compliance with the Union Master Agreement and HR… more
- Tractor Supply Company (Brentwood, TN)
- …**Required Qualifications** Experience: 5 to 7 years of retail, project management or related experience required. Experience with contract negotiations ... Initiatives. The position will be responsible for managing team members, vendors, contract negotiations, the ordering of vendor and Tractor Supply owned inventory,… more
- Actalent (Brentwood, TN)
- …work areas, address scheduling concerns and sequence operations, and settle other contract labor compliance and administrative matters. + Assign, schedule, ... Manage construction contracts utilizing Site Manager and Laboratory Information Management System (LIMS) software. Responsibilities + Supervise the preparation of… more
- Prime Therapeutics (Nashville, TN)
- …intermediate pharmaceutical manufacturer contracts. This includes all aspects of the contract from formulary compliance , to system capabilities to reconciliation ... and resolve contract disputes working with manufacturers to ensure timely payment of rebates and admin fees + Research and analyze client questions related… more