- CVS Health (TN)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- AccentCare, Inc. (Franklin, TN)
- Overview Hospice Care Consultant Location: Position: Hospice Care Consultant Job ID: Position Type: Full-Time Remote/Virtual Position: No Coverage Area: ... and Hickman counties Find Your Passion and Purpose as a Hospice Care Consultant Salary: 70,500-90,000 + bonus and commission Offer Based on Years of Experience… more
- Prime Therapeutics (Nashville, TN)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- Humana (Nashville, TN)
- …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- CVS Health (TN)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... pricing consultation and strategy in an evolving regulatory environment to ensure compliance . + Exercising sound business judgment to achieve proper balance between… more
- Aveanna Healthcare (Columbia, 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
- Humana (Nashville, TN)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- ChenMed (Memphis, TN)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and… more
- Covenant Health Inc. (Lenoir City, TN)
- …FMEA (Failure Mode and Effects Analysis). + Acts as resource, internal consultant , and educator for patient safety/risk management issues. + Responds to ... families in a compassionate and honest manner and in compliance with policies and procedures. + Oversees investigation of...agencies. + Complies with required mandatory reporting of the Medicare , Medicaid, and SCHIP Extension Act of 2007. +… more