• Medicare Healthcare Internal

    Vanderbilt University Medical Center (Nashville, TN)
    Healthcare Environment, hospital, physician practice, third party payer, Medicare intermediary, health insurer, or accounting/consulting firm. (Required) 10 ... to ensure compliant and efficient clinical billing activities. Assists with both internal and external audits of data as required to identify opportunities for… more
    Vanderbilt University Medical Center (11/07/24)
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  • RN Senior Stars Improvement, Clinical…

    Humana (Nashville, TN)
    …and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars Improvement Program within ... promotion of interoperability solutions + Maintains collaborative relationships with internal partners (Provider Engagement, Finance, Medicare Risk Adjustment,… more
    Humana (11/13/24)
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  • Medical Policy Consultant (US)

    Elevance Health (Nashville, TN)
    **Medical Policy Consultant ** National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts ... for Medicare and partner with the Centers for ...8 am - 4:30 pm EST.** The **Medical Policy Consultant ** is responsible for researching and drafting NGS Medical… more
    Elevance Health (11/07/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Nashville, TN)
    …into the overall Enterprise strategy through collaboration with Senior-level internal /external stakeholders. Ensures a high degree of development, efficiency, and ... relationships within the organization, external local, regional and national healthcare industry leadership to both inform market transformation strategies as… more
    Highmark Health (10/10/24)
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  • Compliance Principal - Remote

    Prime Therapeutics (Nashville, TN)
    …manage multiple projects within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid, state healthcare product or program related ... position works closely with designated business areas, legal, and other internal stakeholders on the development, implementation, and monitoring of compliance… more
    Prime Therapeutics (10/11/24)
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