- CVS Health (Nashville, TN)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Elevance Health (Nashville, TN)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... and/or teams across the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- EquipmentShare (Nashville, TN)
- Build the Future with Us - EquipmentShare is Hiring a Regional Safety Manager At EquipmentShare, we're not just filling a role - we're assembling the best team on ... real-time support, and a team that truly cares. We're hiring a Regional Safety Manager and we're looking for someone who's ready to grow with us, bring energy… more
- Thorntons LLC (Hermitage, TN)
- The Store Manager (SM) is responsible for managing all aspects of the business, with minimal direct supervision from the General Manager (GM), to ensure that ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Thorntons LLC (Hermitage, TN)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Ryder System (Nashville, TN)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Cardinal Health (Nashville, TN)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… more
- M/I Homes (Nashville, TN)
- …initial land development budgets and coordinating geotechnical and environmental investigations . + Verifies availability and location of all utilities, including ... Landscape and Amenity improvements, and turn over to HOA manager as soon as each area is completed. +...soon as each area is completed. + Assists with special projects as requested and performs additional duties as… more
- Elevance Health (Nashville, TN)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Elevance Health (Nashville, TN)
- …and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual ... and risk avoidance based on the outcome of the investigation . + Assists with training of new associates. **Minimum...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Nashville, TN)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- L3Harris (Nashville, TN)
- …programs. Our tightly integrated hardware and software solutions enables front-line special operations aviators to save lives by allowing aircrew members to ... friendly ground forces. We are the Trusted Choice of End-Users in the Special Operations Aviation Community. Working at L3Harris ForceX puts you at the forefront… more
- Travelers Insurance Company (Nashville, TN)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Metro Nashville Government (Nashville, TN)
- …of CMA Festival, Stanley Cup Finals, Titans games, and any number of special events. These require big preparation and big clean-up and the Nashville Department ... and policies. + Prepares and presents various reports for the Division Manager , Traffic and Parking Commission, and Council. Minimum Qualifications EDUCATION AND… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …The LPN, Primary Care GS-7 is under the supervision of the Nurse Manager at the International Plaza Outpatient Clinic in Nashville TN., yet demonstrates independent ... to patients' ages, cultural backgrounds, education level, and any other special needs. The panel population is multi-faceted, including geriatric patients, patients… more
- Kiewit (Nashville, TN)
- …bid and contract documents and home office legal department opinions. + Conduct site investigation prior to forming a plan of operations to identify any problems or ... May lead small estimating teams and lead estimates for projects. + Prepare special engineering studies or reports required by certain bid items or conditions.… more
- Actalent (Gallatin, TN)
- …design, and installation. + Identify safety concerns, participate in incident investigations , and support the development of corrective actions. + Collaborate with ... the Maintenance and Engineering Manager to develop and recommend budget items and short...off-shift work as needed. + Ability to travel for special projects and meetings. Job Type & Location This… more
- CDM Smith (Nashville, TN)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Nashville, TN)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Nashville, TN)
- …for TDOT and/or municipalities. -Technical writing experience, including project special provisions, design reports, functional design reports, and technical ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more