- Public Consulting Group (Nashville, TN)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and ... Integrity, and other staff to execute contractual obligations. In addition, the Consultant will focus on growth and retention, ensuring that client relationships are… more
- Public Consulting Group (Nashville, TN)
- …and the revenue generated from those identified opportunities. The Senior Consultant will manage complex projects and/or produce sophisticated deliverables; they ... and supervise staff; work independently with minimal supervision; serve as an internal consultant to other projects or product lines; play a key role in proposals… more
- CVS Health (Nashville, TN)
- …actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting. This is an individual contributor role. Job ... data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid … more
- Baylor Scott & White Health (Nashville, TN)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Public Consulting Group (Nashville, TN)
- …+ Strategy + Project and Grants Management + Assessments and Feasibility Studies Consultant - Human Services Practice Area (Child and Family Services Center of ... services agencies across the country. * Track policy changes (eg, FFPSA, IV-E, Medicaid , Medicare, SSI/SSDI) that may drive new service needs. * Support writing and… more
- Oracle (Nashville, TN)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid /Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Humana (Nashville, TN)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Humana (Nashville, TN)
- …with the organization's strategy and long-term goals. * Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that ... and consulting. + Knowledge of healthcare business domains, including Medicare, Medicaid , Group, Specialty, etc. + Development level knowledge utilizing the Power… more
- Aveanna Healthcare (Gallatin, TN)
- …between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (PTA, HHA) as applicable. ... between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA, HHA) as applicable.… more
- Aveanna Healthcare (Bumpus Mills, TN)
- …between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (PTA, HHA) as applicable. ... between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA, HHA) as applicable.… more
- Elevance Health (TN)
- …or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May be required to represent the ... 1-2 years utilization management review experience preferred. + Knowledgeable of Medicaid /Medicare policies and guidelines strongly preferred. Please be advised that… more
- Humana (Nashville, TN)
- …and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Nashville, TN)
- …maximize revenue. + Develop and maintain multiple benefits brokerage and consultant relationships within assigned territory. + Collaborates with internal partners ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Covenant Health Inc. (Crossville, TN)
- …by providing data to support priorities. + Acts as resource, internal consultant , and educator for patient safety/risk management issues. + Responds to professional ... and federal agencies. + Complies with required mandatory reporting of the Medicare, Medicaid , and SCHIP Extension Act of 2007. + Plans, develops and presents… more
- Aveanna Healthcare (Mcminnville, TN)
- …between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA, HHA) as applicable. ... and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Aveanna Healthcare (Dickson, TN)
- …between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA, HHA) as applicable. ... and completion of OASIS documentation As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more