- Unknown (Nashville, TN)
- Senior Vice President of Eligibility, Claims & Revenue Management About the Company Top fertility benefits management company Industry Hospital & Health Care Type ... in search of a Senior Vice President of Eligibility, Claims , and Revenue Management to take on a pivotal...a culture of collaboration, ownership, and continuous improvement. Hiring Manager Title Chief Operating Officer Travel Percent Less than… more
- Unknown (Nashville, TN)
- …payment integrity subrogation data mining cost containment healthcare admin healthcare claims ai coordination of benefits healthcare it and healthcare payment ... role requires a strong background in payment integrity, reimbursement operations, and claims auditing, with expertise across various claim types and a deep… more
- Unknown (Nashville, TN)
- …This role is pivotal in driving operational excellence across contact center, claims administration, and quality assurance departments, with a focus on personalizing ... operational functions, including omni-channel inbound customer service and sales, claims intake and adjudication, quality assurance programs, and third-party vendor… more
- WM (Nashville, TN)
- …and staff in identifying and quantifying risk of loss, and controls " claims cost" through the management, control and evaluation of expenditures associated with ... be assigned. + Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation,… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a Manager of Data Management today with HCA Healthcare. **Benefits** HCA Healthcare offers a ... vary by location._** Come join our team as a Manager of Data Management. We care for our community!...The Data Management team is responsible for ensuring that claims processing platform is optimally and accurately configured to… more
- Ryder System (Nashville, TN)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... Director assisting with all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as well as a team of 40+ claims … more
- Zurich NA (Nashville, TN)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional… more
- CDM Smith (Nashville, TN)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Baylor Scott & White Health (Nashville, TN)
- …payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves ... Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed… more
- Towne Park (Nashville, TN)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne Park account and is responsible for… more
- Sedgwick (Nashville, TN)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Capture Manager **PRIMARY PURPOSE OF THE ROLE** **:** The Capture Manager serves ... Partnership team with responsibility across the full sales cycle. The manager gathers and analyzes business intelligence, develops pipeline forecasts, and leverages… more
- AO Smith (Lebanon, TN)
- Regional Field Service Manager II Date: Jan 2, 2026 Location(s): Lebanon, TN, US, 37090 Company: A. O. Smith Corporation Hybrid, Onsite or Remote: Remote PRIMARY ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
- Sedgwick (Nashville, TN)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Manager , Client Services | SIU **PRIMARY PURPOSE** : To manage accounts of multiple ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job** **Summary** The Manager , Clinical Operations works closely with the OPDC Monitoring Oversight Lead to manage monitoring oversight activities including ... achieve timelines and deliverables across the portfolio. Additionally, the Manager , Clinical Operations will support planning, resourcing, contracting, and budgeting… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job Summary** **Senior Manager , Digital Content and Social Strategy** Position Overview The Senior Manager , Digital Content & Social Strategy is responsible ... the Director of Corporate Brand and Reputation, the Senior Manager leads corporate website governance, social media strategy, analytics,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Bowling Green, KY)
- …Analysis_ * Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. * Applies understanding of ... health care regulations, managed care claims workflows, and provider reimbursement models to shape payment integrity related recommendations and action plans. *… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- The ** Manager , Manufacturing Product Quality (Small molecule)** is responsible for ensuring **GMP compliance** in the manufacturing packaging, labeling, and ... maintained throughout the commercial and clinical supply chains. The manager will collaborate with cross-functional teams including Clinical Operations, Regulatory… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …and provide insight on our business processes that support our business. The Senior Manager of National Systems Training work with the field sales teams to design, ... operations, IT, sales leadership, and marketing partners. The Senior Manager of National Systems Training will report to the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Newell Brands (Nashville, TN)
- …and collaborative environment where you can be your best, every day. The Associate Manager , Tax Incentives & Grants will support the Manager in identifying, ... coordinate tax audits, inquiries, and notices from tax authorities regarding incentive claims . + Assist in preparing reports and presentations for senior management… more
- Prime Therapeutics (Nashville, TN)
- …pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
