- CVS Health (Nashville, TN)
- …systems and on daily operations and programs + Responsible to support targeted quality audit projects. Report results and make recommendations eg, training ... service to our internal and external customers. **Position Summary** + Performs routine quality audits for network operations and claim testing for PPO … more
- Cardinal Health (Nashville, TN)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... and continuous improvement. Accurately score interactions to gauge employee's quality performance based on organizational and departmental policies and requirements.… more
- Amazon (Nashville, TN)
- …meeting legal and contractual obligations relating to business practices, driver / provider eligibility, and safety standards. You will be expected to understand ... laws and regulations applicable to the Amazon transportation network , assess effectiveness of existing risk and control concepts, and propose innovative mitigation… more
- Highmark Health (Nashville, TN)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all...in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of… more
- Cardinal Health (Nashville, TN)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... point of contact handling inbound calls, with ability to determine needs and provide one call resolution + Process enrollments via inbound fax, phone, and… more
- Amazon (Nashville, TN)
- …tenant improvement (TI), and engineering deployment for new facilities within the network * Provide technical direction concerning engineering design / AutoCAD, ... (NACF) design parameters * Survey facilities, develop and document procedures to audit the facility, provide evaluations and analysis, and recommend solutions… more
- Amazon (Nashville, TN)
- …tenant improvement (TI), and engineering deployment for new facilities within the network * Provide technical direction concerning engineering design / AutoCAD, ... Fulfillment (NACF) design parameters *Survey facilities, develop and document procedures to audit the facility, provide evaluations and analysis, and recommend… more
- Humana (Nashville, TN)
- …with upstream business partners such as Claims, Clinical Guidance, and the Provider Network to identify opportunities and drives initiatives that will ... midst of a people, process and technology transformation that will improve quality , timeliness and the overall experience for our associates, members and providers.… more
- Community Health Systems (Franklin, TN)
- …corrective actions for all participants and reporting teams. + Lead annual ACO GRPO Quality Audit through coordination of data collection and data submission to ... in operational needs, including but not limited to post-acute collaborative network management, case management collaborations, utilization, and quality reviews,… more
- PwC IT Services Co. (Nashville, TN)
- …a centralized model to provide security services across the entire member firm network . Mandated at the network level, Network Information Security (NIS) ... strategies. They work to identify vulnerabilities, develop secure systems, and provide proactive solutions to safeguard sensitive data. Those in application security… more
- Amazon (Nashville, TN)
- …Manage the program charter by driving strategic initiatives for growth and quality improvement. * Build and manage relationships with key stakeholders across Amazon ... About the team Amazon Shipping is an industry leading shipping service provider (SSP) that offers better reliability and shipper/recipient experience at the right… more
- Amazon (Nashville, TN)
- …(NACF) design parameters * Survey facilities, develop and document procedures to audit the facility, provide evaluations and analysis, and recommend solutions ... Managers will also handle the implementation of the facility network infrastructure; including sortation centers, delivery stations, and auxiliary buildings… more
- Amazon (Nashville, TN)
- …(NACF) design parameters. * Survey facilities, develop and document procedures to audit the facility, provide evaluations and analysis, and recommend solutions ... Managers will also handle the implementation of the facility network infrastructure; including sortation centers, delivery stations, and auxiliary buildings… more
- Cardinal Health (Nashville, TN)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... using the appropriate database for the inquiry + Must self- audit intake activities to ensure accuracy and efficiency for...the program + Make outbound calls to patient and/or provider to discuss any missing information as applicable +… more
- Cardinal Health (Nashville, TN)
- …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced...inquiry + Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related… more
- Chewy (Mount Juliet, TN)
- …. Responsible for partnering with the Site Operations team, Inventory Control, Learning, Quality , and Facility teams to manage the network food safety programs. ... also work cross functionally to perform risk assessments and provide guidance on corrective measures. **What you'll do:** +...Supervise food safety programs across 4-5 fulfillment centers + Audit Fulfillment Centers (FC) on a regular cadence and… more
- Cardinal Health (Nashville, TN)
- …experience, preferred. Diploma or degree in relevant field desirable. + 3+ years' call quality audit experience strongly preferred. + 3+ years' experience in a ... remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer...that can be improved or celebrated. + Analyze and provide weekly & monthly trend analysis to leadership. +… more
- Canon USA & Affiliates (Nashville, TN)
- …programs are executed in the field effectively while maintaining ongoing product quality and services to all stakeholders. **Your Impact** Field Support: - Provides ... including guidance in utilization of available sources of information. - May audit accounts/equipment for performance and ensure proper maintenance, report on others… more
- Datavant (Nashville, TN)
- …presenting to leadership, clients, and your Team via Video or in person. + Solution provider and forward thinking + Detail and quality oriented as it relates to ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...with leadership on issues, opportunities, or challenges. + Lead Audit Team which receives requests from Payors + Review… more
- Nelnet (Nashville, TN)
- …with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. ... with the industry standards for compliance and information security issues to provide our customers with world class information security & compliance services. The… more