- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between ... preferred + 2-4 years of experience in revenue cycle management , contract compliance , or healthcare...to compile and interpret complex data sets related to contract compliance and payment trends.… more
- HealthEdge Software Inc (Nashville, TN)
- …contract configuration capabilities for Commercial lines of business. Payment Integrity Transformation includes rich editing libraries with history-based ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role...role in analyzing claims data, as well as translating contract terms, policies, and regulatory guidelines into actionable requirements… more
- ASM Research, An Accenture Federal Services Company (Nashville, TN)
- …compensation is made in a timely, accurate, and efficient manner. The Payment Technician is responsible for processing payments for Employment Networks (ENs) who ... he or she will work closely with the Sr. Payment Specialists to ensure all deliverables are accomplished. The...to performance requirements + Provide EN's with updates ensuring compliance with timeline expectations + Making the ENs aware… more
- CDM Smith (Nashville, TN)
- …issues, and coordinates reviews with other corporate functional groups. * Advises company management on risk and compliance issues. * Supports project ... our Federal Group. This position will focus on ensuring compliance with both corporate policies and procedures as well...knowledge of Federal Acquisition Regulations (FAR). * Experience with Contract Lifecycle Management (CLM) systems. * NCMA… more
- e CancerCare (Nashville, TN)
- …The role includes loading and maintaining reimbursement rates in ION contract management system. Additional responsibilities include collaborating with other ... payers, and the community. . Load contracted rates into contract management system. . Analyze relevant data...impact of adjustments to managed care reimbursement terms and/or contract compliance , along with rate modeling necessary… more
- Lumen (Nashville, TN)
- …or equivalent experience in a business related field. + Proven experience in compliance management , preferably within a sales or marketing organization. + Strong ... abilities. + Proficiency in preparing detailed reports and presentations for senior management . + Experience in Lumen's sales compliance policies and procedures… more
- HealthEdge Software Inc (Nashville, TN)
- …network contracting, payment /policy configuration, provider relations, medical management , medical economics, audit, compliance ) related to ... contracting, payment /policy related configuration, provider relations, medical management , medical economics, audit, compliance ) + Conduct collaborative… more
- Prime Therapeutics (Nashville, TN)
- …EBIDTA targets achieved for the assigned account(s). + Develops and maintains contract compliance tool for periodic assessment of company performance to ... of the contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service… more
- GovCIO (Nashville, TN)
- …an assigned portfolio of projects. Prepare and disseminate information regarding contract status, compliance , modification, deviation, and negotiation. Prepare ... regulations. Prepares and disseminates information throughout the company regarding contract status, compliance , modification, deviation, negotiation, and… more
- Fujifilm (Nashville, TN)
- **Overview** The Head of Global Program Management (VP) is responsible for leading the Global Program Management team in the Manufacturing Sciences organization ... of your potential, so join our team as the Global Head of Program Management and become part of a fast-growing global company, united by Genki. FUJIFILM Diosynth… more
- WSP USA (Brentwood, TN)
- …labor and expenses, investigating project variances and submitting variance reports to management . + Verify contract and change order characteristics for ... Manager/billing team and submits the invoice to the client. + Subcontract management and coordination with Contract Administrators. This includes evaluating… more
- HCA Healthcare (Brentwood, TN)
- …Care contracting experience, specifically in the areas of financial analysis, payment methodologies, contract language and negotiations. + Significant Revenue ... of the RVP of Operations: Collaborate with IRC, Case Management / URS, Parallon, PCA, Legal and other HUB...to oversee the strategic resolution and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's… more
- American Homes 4 Rent (Nashville, TN)
- …issues. Ensures timely and expedient processing, receipt of vendor and national contract rebates. Monitors compliance with established contracts and agreements. ... our goal is to simplify the experience of leasing a home through professional management and maintenance support, so our residents can focus on what really matters… more
- Lumen (Nashville, TN)
- …to plan. + Proactively identify, manage and mitigate company risk associated with contract non- compliance . + Establish and approve costs and delivery plans for ... who will be supplying products and services to satisfy contract deliverables. + Executive management of operational,...advised that Lumen does not require any form of payment from job applicants during the recruitment process. All… more
- EDB (Nashville, TN)
- …with mission critical capabilities built in such as security, compliance controls, and observability. For more information, visit www.enterprisedb.com **What ... activities and market trends to guide strategic planning. + Lead and conclude contract negotiations with clients, focusing on terms, pricing, and payment … more
- HealthEdge Software Inc (Nashville, TN)
- …contract configuration capabilities for Commercial lines of business. Payment Integrity Transformation includes rich editing libraries with history-based ... and executing Disaster Recovery (DR) and Business Continuity Planning (BCP) plans. Supporting compliance efforts such asHiTrustand SOC 2 will also be part of your… more
- GovCIO (Nashville, TN)
- …reviewed and approved in accordance with the Authority to Operate and in compliance with all contract requirements, company policies and procedures, and ... you ready to be a transformer? + Administer full life cycle subcontract management activities for programs within assigned operations, including but not limited to:… more
- GovCIO (Nashville, TN)
- …reviewed and approved in accordance with the Authority to Operate and in compliance with all contract requirements, company policies and procedures, and ... you ready to be a transformer? + Administer full life cycle subcontract management activities for programs within assigned operations, including but not limited to:… more
- GovCIO (Nashville, TN)
- …reviewed and approved in accordance with the Authority to Operate and in compliance with all contract requirements, company policies and procedures, and ... fully remote position. **Responsibilities** + Administer full life cycle subcontract management activities for programs within assigned operations, including but not… more
- Sumitomo Pharma (Nashville, TN)
- …the requirements outlined in the Medicaid Drug Rebate Program or program contract . This individual will review utilization by these programs to identify potential ... all invoice information, review trending against prior periods, prepare payment packages, coordinate approval process, provide backup documentation and follow… more