- CVS Health (Nashville, TN)
- Bring your heart to CVS Health . Every one of us at CVS ...as well as researching claim specific questions. As a Manager of Client Audit , you will be ... purpose: Bringing our heart to every moment of your health . This purpose guides our commitment to deliver enhanced...sends a personal message that how we deliver our services is just as important as what we deliver.… more
- HCA Healthcare (Nashville, TN)
- …Introduction Do you want to join an organization that invests in you as a IT Audit Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... a difference. We are looking for a dedicated IT Audit Manager like you to be a... audit opportunities to provide a more effective audit service to management. + Assists in… more
- Elevance Health (Nashville, TN)
- …with the Centers for Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare ... Services (CMS) division of the Department of Health and Human Services ). The Audit...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Nashville, TN)
- …locations as necessary. + BA/BS preferred. + Medical claims review with prior health care fraud audit /investigation experience preferred. + Certification as a ... **Nurse Audit Sr** **Location:** This position will work virtual....Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity,… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement III** **Location** : This is a virtual position; must be US based. The ** Audit & Reimbursement III** is responsible for completing ... BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of...This position is part of our NGS (National Government Services ) division which, per CMS TDL 190275, requires foreign… more
- PwC IT Services Co. (Nashville, TN)
- **Line of Service ** Internal Firm Services **Industry/Sector** Not Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** ... technical standards (eg refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence...requirements. This position will be part of PwC IT Services (US) LLC, a member of the PwC network… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Inpatient Coding Audit Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... 3% to 9% of pay based on years of service ) + Academic Assistance and Reimbursements for Tuition and...difference. We are looking for a dedicated Inpatient Coding Audit Manager like you to be a… more
- HCA Healthcare (Nashville, TN)
- …and billing audits for physicians, urgent care centers, and oncology centers. The Outpatient Services Coding Audit Manager position will work on various ... organization that invests in you as a Outpatient Coding Manager ? At HCA Healthcare, you come first. HCA Healthcare...3% to 9% of pay based on years of service ) + Academic Assistance and Reimbursements for Tuition and… more
- HCA Healthcare (Nashville, TN)
- …an organization that invests in you as a Regulatory and Accreditation Clinical Compliance Audit Manager ? At HCA, you come first. HCA Healthcare has committed up ... 3% to 9% of pay based on years of service ) + Academic Assistance and Reimbursements for Tuition and...looking for a dedicated Regulatory and Accreditation Clinical Compliance Audit Manager ? like you to be a… more
- Pearson (Nashville, TN)
- …Summary** As a key member of the Service Delivery team, the Counseling Services Manager is responsible for the overall strategy, planning, and execution of ... maintain high levels of professionalism, clinical support, and customer service ; Audit documentation and service ...years of experience in K-12 school setting delivering mental health services to Special Education populations, virtual… more
- The Cigna Group (Nashville, TN)
- … and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services , we are committed to enhancing the lives of our clients, ... **SOC1 Compliance and Delivery Manager ** This is a senior, individual contributor role...practices for Evernorth, identify gaps in controls, and support audit activities. The successful candidate will have the knowledge… more
- Ensono (Nashville, TN)
- …andPassion. **About the role and what you'll be doing:** As a Security Services Manager you will be providing consulting, advisory and operational ... with security-related technologies in all OSI stack (Web applications, Web Services , Service Oriented Architectures) and of network/web related protocols.… more
- Elevance Health (Nashville, TN)
- **PBM Compliance Manager ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will ... live within 50 miles of one of our Elevance Health PulsePoint locations. A proud member of the Elevance Health family of companies, **CarelonRx** (formerly… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... join an organization that invests in you as a(an) Manager Contracts II? At HealthTrust, you come first. HCA...HealthTrust, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Cardinal Health (Nashville, TN)
- Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of… more
- Wolters Kluwer (Nashville, TN)
- …in proper order to meet the internal and external audit requirements. The Manager will proactively engage with the Health NA business leaders to address ... **Basic Function** The Manager will be responsible for directly supporting the...audit programs (financial and operational) across Wolters Kluwer Health NA division with internal audit and… more
- Cardinal Health (Nashville, TN)
- Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of… more
- Cardinal Health (Nashville, TN)
- **_What Software Engineering contributes to Cardinal Health ?_** Software Engineering is responsible for designing, developing, implementing, and supporting ... effective development, delivery, and operation of computing and information services . This function anticipates, plans, and delivers Information Technology solutions… more
- Highmark Health (Nashville, TN)
- …with the Medicare Stars program. We are looking for someone who has health plan and stars experience.** **ESSENTIAL RESPONSIBILITIES** + Work with business and ... to the Organization's project management methods, project life-cycle methodologies, and audit requirements. Support and contribute to the improvement of project… more
- NASCO (Nashville, TN)
- **Overview** As Senior Technical Manager , Operations you will function as the primary operational leader and deputy to the Director of Technical Operations, ... issues, and executing disaster recovery initiatives. The Senior Technical Manager drives strategic initiatives in change management, capacity planning, and… more