- Prime Therapeutics (Nashville, TN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job ... Description The Compliance Analyst assists in the implementation of Prime's ...**Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D, Medicaid, and/or Affordable Care… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** We are seeking an Actuarial Analyst 2 to join our Medicare Dental & Vision forecasting ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- HCA Healthcare (Hermitage, TN)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting opportunity ... for you to join Parallon which is part of the nation's leading provider of healthcare services,...to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient… more
- HCA Healthcare (Nashville, TN)
- …fellows with that number growing to nearly 8,000 by 2028. The Research Analyst will assist in translating clinical needs into analytic questions, design and conduct ... for both the department and for assigned projects. + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics.… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The HIIM Data Integrity Analyst is responsible for reviewing medical records for completeness, timeliness, and accuracy, ensuring compliance with ... The Joint Commission (TJC) or other accrediting bodies' standards, the Medicare Conditions of Participation for Hospitals, and other regulatory requirements upon… more
- Prime Therapeutics (Nashville, TN)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report ... information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Lead Data Scientist at Humana Healthcare Research uses mathematics, statistics, modeling, ... of experience at a research organization in roles such as researcher, data analyst /engineer, data scientist, or developer. + Expert proficiency in SQL and Python. +… more