- CVS Health (Franklin, TN)
- …day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... insurance claims processing , preferably with Medicare Supplement claims . * Proven ability to lead or mentor others in a team environment. * Strong… more
- HCA Healthcare (Nashville, TN)
- …liability claims management decisions. **People** + Work collaboratively with entire HCI Claims team , as well as other HCI departments such as Finance, ... and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead ...are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sr Claims… more
- Lincoln Financial (Nashville, TN)
- … Manager, you will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead claim specialists. You will be ... you'll be accountable for managing the talent on your team in support of career growth & development. **What...* Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies,… more
- Cognizant (Nashville, TN)
- ** Team Lead Configuration Healthcare** This position...of tasks. + Provide technical expertise in Facets + Claims and Facets to support team members ... **Job Summary** We are seeking a dedicated and skilled Team Lead - HC with 1 to...Ensure compliance with industry standards and regulations related to Claims and Payer domains. + Conduct regular team… more
- Cardinal Health (Nashville, TN)
- …organizational skills and prioritizes getting the right things done. **The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of ... appropriate. + Acts as a subject matter expert in claims processing . + Processes claims :...claims ; properly resolves by follow-up & disposition. + Lead and manage escalation projects, addressing complex issues and… more
- Ford Motor Company (Memphis, TN)
- …for managing all operations including but not limited to inbound, outbound, claims processing , building maintenance, and UAW relationships. *Deliver objectives ... ** Lead Warehouse Supervisor** We are the movers of...all operations including but not limited to inbound, outbound, claims processing , building maintenance, and UAW relationships.… more
- Walmart (Nashville, TN)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing...the best talent Respect the Individual: Works as a team builds strong and trusting relationships communicates with impact… more
- Walmart (Clarksville, TN)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Sedgwick (Memphis, TN)
- …Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client ... clinicians, ADA job accommodation specialists). + Refers cases as appropriate to team lead . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS… more
- Sedgwick (Nashville, TN)
- …Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client ... clinicians, ADA job accommodation specialists). + Refers cases as appropriate to team lead . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS… more
- Cardinal Health (Nashville, TN)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...+ Mentors new hires; assists + Assists management and team lead with motivating and coaching employees… more
- Evolent (Nashville, TN)
- …a more connected care journey. We are hiring for a Senior Director to join our Finance Team . The candidate selected for this role will be part of a team who ... contracting. **What You'll Be Doing:** + Serve as the lead advocate and owner for clean data transfer between...in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client… more
- Elevance Health (Nashville, TN)
- …Requirements:** Requires HS diploma or equivalent and minimum 2 years internal claims processing (adjustments) experience; or any combination of education and ... Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits,… more
- The Cigna Group (Nashville, TN)
- …to the client. + Determine opportunities and identify solutions to increase analytical processing efficiency within the team . + Maintain knowledge of industry, ... this role you will operate as an account management team component of a larger group including Account Executives,...Conduct analyses across various data domains such as medical claims , pharmacy claims , eligibility, etc. + Create… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …Director, Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business questions & ... driven insights on a continuous basis that are actionable + Lead reporting and visualization strategy for various dashboards **Qualifications/ Required** Knowledge/… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …simulation activities. You will interact with early development and business development team members and external collaborators to assess/ lead development and ... **(PK)** , **Pharmacokinetics-Pharmacodynamics (PK/PD)** and regulatory submissions. You will lead study design, execution and reporting of **clinical pharmacology**… more
- Mass Markets (TN)
- …a call center or customer service environment. + Proven experience in a supervisory or team lead role. + Strong understanding of key performance metrics such as ... industry. We are looking for a motivated and results-driven Team Leader to oversee a team of...736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP),… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …and provide insights to senior leadership on progress toward operational and business goals. ** Team Development & Management:** + Lead , mentor, and develop a ... are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations for the launch of a new specialty pharmacy… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …requirements. + Investigate and resolve any challenges related to prescription processing , distribution, patient access, or reimbursement. + Create and manage ... product and channel specific contract strategies **Collaboration with Internal Stakeholders:** + Lead and manage all touchpoints with internal and external parties +… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …marketing programs. This individual will report to the Director, HCP Marketing Lead . This position requires a highly motivated individual that can work efficiently ... disease state and brand indication messages. In addition, we are looking for a team member that is passionate about bringing their skills to one of the largest… more