- Humana (Bowling Green, KY)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Health Care Service Corporation (Nashville, TN)
- …on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager , Medicare experience + Advanced analytical skills, databases ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...Do you want to work as a Quality Control Senior Manager where your passion for creating… more
- Danaher Corporation (Nashville, TN)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- Elevance Health (Nashville, TN)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a(an) Senior Accountant American Group you want with your current employer? We have an ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...of colleagues. Do you want to work as a(an) Senior Accountant American Group where your passion for creating… more
- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with... leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Manager Clinical Compliance and Regulatory Accreditation? At HCA Healthcare, you come ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...make a difference. We are looking for a dedicated Senior Manager Clinical Compliance and Regulatory Accreditation… more
- CenterWell (Nashville, TN)
- …from 7am-3:30pm EST.** + **Required to work every other holiday.** The **Care Manager , Telephonic Nurse** helps to ensure optimal continuity of care for patients ... appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Hendersonville, TN)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... as required + Graduate of accredited MD or DO program of accredited university + Excellent verbal and written...Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Nashville, TN)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... , a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group...the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible… more
- CenterWell (Nashville, TN)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- CenterWell (Nashville, TN)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- CenterWell (Nashville, TN)
- …is not guaranteed. There also may be opportunity to cover other aspect of the program , such as covering PTO for APPs in CenterWell Medical group (phase 1). There are ... **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice… more
- Deloitte (Nashville, TN)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare...meetings to explain CDI benchmarks, KPIs and demonstrate overall program accomplishments and challenges through analytics and dashboards +… more
- CenterWell (Nashville, TN)
- …+ Primarily conduct facility visits at the physicians' request to assist program clinical team in determining eligibility. + Ensure effective communication and ... collaboration with program staff and other field sales resources via weekly...license. + Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan… more