- Trustmark (Nashville, TN)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Covenant Health Inc. (Knoxville, TN)
- …Auditor Full Time, 80 Hours Per Pay Period, Day Shift In person training with work from home option, at Manager's discretion, after successful completion of ... training . In person meetings required, as needed Covenant Health...and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million… more
- Intermountain Health (Nashville, TN)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- CenterWell (Nashville, TN)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Nashville, TN)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Nashville, TN)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Atlas (Bartlett, TN)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- Walgreens (Nashville, TN)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Wellpath (Hendersonville, TN)
- …and belonging * Autonomy in a warm team environment * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical, dental, ... is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and...which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare… more
- Zurich NA (Nashville, TN)
- Senior Construction Risk Engineering Consultant 122827 Senior Construction Specialties Risk Engineering Consultant: Midwest/Plains states or South-Central region ... Eastern Texas, Western Tennessee. Zurich is currently looking for a Senior Construction Risk Engineer for the Builders Risk/Construction Property Line of… more
- Walgreens (Nashville, TN)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- CenterWell (Nashville, TN)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- UNUM (Chattanooga, TN)
- …help others, and join Team Unum today! **General Summary:** Unum Group seeks Senior Data Scientists in Chattanooga, TN. Applicants who are interested in this ... Develop robust validation, aggregation, and reconciliation processes to maintain data quality for complex business needs. + Statistics & Statistical Modeling: Build… more
- Walgreens (Memphis, TN)
- …**Job Summary:** In accordance with state and federal regulations assists in the training of team members under direct supervision in the practice of pharmacy within ... to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good… more
- Prime Therapeutics (Nashville, TN)
- …passion and drives every decision we make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job ... analysis, complex issue research, documentation, advanced communications, client interaction, training , testing, ongoing system support, and developing reports and… more
- Highmark Health (Nashville, TN)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... and competitive rate recommendations in a timely manner. + Maintain underwriting quality . + Achieve overall growth and profit objectives. + Consistently maintain… more
- Carrington (Franklin, TN)
- …pay for this position is $31.73 an hour. **What you'll do:** * Provides training , creates and updates Policy & Procedures, and reviews control reports to ensure ... overall quality and performance of the Bankruptcy processes * Handles...with recommendations and solutions. * Conduct informal and formal training sessions with the staff on the bankruptcy processes.… more