- S&P Global (Nashville, TN)
- …to our clients who work within the Private Capital Markets. The Associate for Managed Data Services works within a team environment to help process PCM ... Level (for internal use):** 07 **The Team:** S&P Global Managed Data Services aims to...financial data . The associate /analyst will extract relevant capital… more
- HCA Healthcare (Nashville, TN)
- …a preferred partner to thousands of top-performing hospitals, we are the largest managed services provider in the healthcare industry. With over 28,000 ... **Description** **Introduction** Do you have the career opportunities as an Associate Recruiter you want with your current employer? We have an exciting opportunity… more
- Vanderbilt University (Nashville, TN)
- …letter and resume with your application to be considered for this position. The Associate Director of Employer Relations is part of the Career Center at Vanderbilt ... and full-time professional opportunities for Vanderbilt University students. The Associate Director of Employer Relations manages the Employer Relations team… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** Join our team as a Data Visualization Engineer 2 and revolutionize how we interact with data ! As a pivotal ... member, you'll leverage cutting-edge tools and techniques to translate complex data into captivating visual stories. Harness your creativity to design intuitive… more
- Humana (Nashville, TN)
- …and help us put health first** CPSS Business Intelligence is a Consumer & Provider Services and Solutions team focused on data , reporting and data science ... Service Operations. The team is focused on converting data to actionable insights for our business partners who...Computer Science, Engineering and/or related field + Healthcare or managed care experience + Experience with any of these:… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data... systems + Minimum 3 years of experience within Managed Care or Healthcare setting + Advanced Microsoft Excel… more
- HCA Healthcare (Nashville, TN)
- …plans and programs include: + Comprehensive medical coverage that covers many common services 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 transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Humana (Nashville, TN)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Conviva (Nashville, TN)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Nashville, TN)
- …Director relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team… more
- Humana (Nashville, TN)
- …of various types of research studies and the strategic interpretation of data , the mission of Humana Healthcare Research (HHR) is to produce high-quality, ... research important to internal and external stakeholders. The Health Services Research Team in HHR is seeking a Senior...combining and analyzing diverse types of primary and secondary data to extract new, actionable discoveries about our members… more
- Humana (Nashville, TN)
- …The **Business Intelligence Lead** solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Advises… more
- CenterWell (Nashville, TN)
- …for program implementation. Leveraging expertise in health trend forecasting and data analysis, the Director will collaborate across functions (particularly Data ... evaluation process to determine go/no-go decisions for initiatives, ensuring data -driven and evidence-based justifications for implementation. + Develop and oversee… more
- Regions Bank (Nashville, TN)
- …the organization with business and IT partners, as well as external service partners to deliver the Identity Governance and Administration (IGA) capabilities across ... inappropriate degrees of access, disclosure, damage and/or loss + Analyzes and maintains data to ensure projects deliver on time + Ensures the maintenance, patching,… more
- Regions Bank (Nashville, TN)
- …the organization with business and IT partners, as well as external service partners to deliver the Identity Governance and Administration (IGA) capabilities across ... inappropriate degrees of access, disclosure, damage and/or loss + Analyzes and maintains data to ensure projects deliver on time + Ensures the maintenance, patching,… more
- CenterWell (Nashville, TN)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior RX Clinical ... experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand...structure and how they interrelate to provide products and services that create value for Humana members + Previous… more
- CenterWell (Murfreesboro, TN)
- …The **Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements, analyzes, and ... organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients,...criteria and make the decision to admit patients to service . Assigns appropriate clinicians to a case, as needed.… more
- Evolent (Nashville, TN)
- …and administrative auditing. This position reports to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist, ... Credentialing Operations team collaborates with the Provider Data Management (PDM) team through our Jira ticking system. **What You Will Be Doing:** + Maintenance of… more
- Broadridge Financial Solutions (Nashville, TN)
- …in attracting top-tier tech talent to help shape the future of financial services . Responsibilities: In this role, you will execute the full recruitment lifecycle, ... performance goals. + Exceptional organizational, follow-up, and multi-tasking abilities. + Client service focused with a keen sense of duty to client needs. +… more
- Humana (Nashville, TN)
- …performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs ... + 5 or more years of Health care or managed care with Provider Contracting, Network Management or Provider...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more