- Sedgwick (Nashville, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- Prime Therapeutics (Nashville, TN)
- …uplift efforts for department level applications. **Responsibilities** + Serve as lead Analyst for complex and/or escalated analysis requests; coordinate ... our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical Analyst… more
- The Cigna Group (Nashville, TN)
- …Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes ... **Summary** The Business Analytics Lead Analyst will be responsible for...clinical metrics. **Responsibilities** + Extract and analyze large healthcare claims using Toad, SQL, SAS, Teradata, etc. + Use… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas, including, but… more
- The Cigna Group (Nashville, TN)
- This Financial Analysis Lead Analyst role will be responsible for supporting the financial analysis through data analytics for the Tennessee Medicare market ... within the Finance. The analyst will focus on the analysis of medical claims , revenue and related financial information to make recommendations based on relevant… more
- HomeSafe Alliance (Nashville, TN)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... better than the last. **_About the Role:_** As the Lead IT Business process analyst , you will...Create Custom tables and views for non-native functionality (ie, Claims ) and develop custom logic in Costpoint + Integrate… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst -REMOTE **Job Description Summary** Serves as liaison between ... departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports… more
- The Cigna Group (Nashville, TN)
- **Summary** The Business Analytics Lead Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, ... database and data management with SQL and/or Teradata + Experience with claims analytics and/or clinical data + Experience with business intelligence visualization… more
- Windstream Communications (Nashville, TN)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...Casualty claims handling as an adjuster or claims Team Lead or Supervisor experience. +… more
- HCA Healthcare (Nashville, TN)
- …fellows with that number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic questions, design and ... Summary and Qualifications** + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
- Evolent Health (Nashville, TN)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable ... Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) + Experience with EDI X12 structure and syntax rules; chiefly with 834 files + Superior root cause analysis… more
- Prime Therapeutics (Nashville, TN)
- …interpreted, and presented by various levels within the organization + Serves as the lead analyst in producing production data for reports, scorecards, or other ... and drives every decision we make. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst… more
- Tractor Supply Company (Brentwood, TN)
- Analyst , OC Operations **Overall Job Summary** The Omni Channel Analyst is responsible for managing all aspects of either fulfillment or the returns processes ... from Store, Ship from DC, Return to Vendor (RTV), Claims process, In store returns and 3rd Party Liquidators/Vendors....which is why we empower our Team Members to lead balanced lives through our benefits total rewards offerings.… more
- Prime Therapeutics (Nashville, TN)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst **Job Description** The Senior Pricing Analyst participates in the ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Evolent Health (Nashville, TN)
- …culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical aspects and design of ... Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product...teams, product, and engineer through forums (bringing all POs, Lead engineers, and stakeholder into a consistent forum to… more
- Prime Therapeutics (Nashville, TN)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out ... quality. This position has the responsibility to participate and/or lead in defining the issues to be studied as...Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... and update appropriate stakeholders of changes or new requirements + Take the lead on any new business issues and opportunities generated by Government and/or… more
- Elevance Health (Nashville, TN)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Elevance Health (Nashville, TN)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... to execute on strategies to solve complex and open-ended business problems. + Lead prototyping of potential solutions. + Perform implementation reviews. + Lead … more