- CMA CGM (Mount Juliet, TN)
- …templates or details to ensure operations are meeting expectations. Review operational claims , failures or damages, perform root cause and other reviews to determine ... for transportation and logistics management. Characteristics: Ability to review operational claims , failures or damages, perform root cause analysis and other… more
- DXC Technology (Nashville, TN)
- …policies + Willingness to learn new payment processes and/or other processes within death claims depending on where the need is on any given day + Responsible for ... completed + 2+ years of relevant life insurance death claims business experience + Claims processing experience + Working knowledge of life insurance products… more
- Molina Healthcare (Bowling Green, KY)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Molina Healthcare (Bowling Green, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Amazon (Nashville, TN)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... Research and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise,… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- CoreCivic (Brentwood, TN)
- …to better the public good. CoreCivic is currently seeking a **Financial Analyst within our Health Services Department** located at our corporate office in ... to making an impact for the people and communities we serve. The **Financial Analyst ** supports activities related to the management of inmate medical claims … more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Senior Financial Analyst like you to be a part of our...allocation database that includes facility level detail on self-insured claims , fully insured premiums and ASO administration expense for… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and… more
- CVS Health (Nashville, TN)
- …with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, assesses ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Norstella (Nashville, TN)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why MMIT?** ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- Evolent (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Nashville, TN)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Highmark Health (Nashville, TN)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Wellpath (Nashville, TN)
- …and point of care support. **How you make a difference** The Financial Analyst will support the Accounting Manager in reconciling internal systems related to a ... variety of large legal and medical claims data sets. This role is critical in ensuring data completeness and accuracy when delivering to both internal and external… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- TEKsystems (Nashville, TN)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems Analyst ... + Understanding of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel, PowerPoint, Project **Physical… more
- Lyric (Nashville, TN)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... business operations leaders to develop reporting and analyze large-scale healthcare claims and clinical datasets. By leveraging advanced coding, analytic reporting,… more
