- Molina Healthcare (Bowling Green, KY)
- …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of ... supply vendors. + Assist with forecasting and ordering bulk research drugs from manufacturing department. + Support with developing...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- The Cigna Group (Nashville, TN)
- …of our enterprise growth goals. As a National Health & Benefits consulting Senior Manager , you will have a highly visible role, both internally and externally, as ... your primary responsibility is to conduct research for client, articulate findings and work with them...of a larger group including Account Executives, clinical consultants, operations support and service executives. You will play a… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and wellness through preeminent programs in patient care, education, and research . **Organization:** Center for Patient and Professional Advocacy **Job Summary:** We ... accounts. + Manage internal strategic projects that improve delivery operations and client experience. + Lead process analysis and...and design efforts. + Mentor and manage a project manager , with potential to grow the team as the… more
- CenterWell (Nashville, TN)
- …We're seeking a Sr. Business Intelligence Engineer with a strong background in data operations & BI reporting and a passion for data quality and process improvement. ... Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality, audits, and reporting. Manage lifecycle… more
- Prime Therapeutics (Nashville, TN)
- …to adjust focus **Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations , Specialty Operations , Clinical ... on internal and client projects, regulatory requirements, process improvement, advanced research , root cause analysis, complex issue research , documentation,… more