- The Cigna Group (Nashville, TN)
- …and Problem Management practices and operational implementation of said practices. As a Service Management Advisor in this role, you will be expected to balance ... all problem resolution groups to ensure swift resolution of problems within service level targets + Arrange, run, document, and coordinate all follow-up activities… more
- The Cigna Group (Nashville, TN)
- The Medicare Technology Operations organization is looking for experienced, innovative and motivated leaders with strong technology engineering and cloud ... cost accountability across applications and project teams. + Build partnerships with Medicare programs and operations , and collaborate to prioritize, design, and… more
- The Cigna Group (Nashville, TN)
- **Job Description** Medicare Technology Operations - Data Measurement and Reporting Senior Analyst **Overview** Guides the team to deliver tasks in the Data ... development and support of key data-related deliverables within the Medicare Technology Operations team, including...that interfaces with various systems, like ServiceNow, and IT service operations insights and reporting, mostly driven… more
- The Cigna Group (Nashville, TN)
- …important role in the development and support of key data-related deliverables within the Medicare Technology Operations team, including but not limited to, ... data lake that interfaces with various systems, like ServiceNow, and IT service operations insights and reporting, mostly driven out of Tableau. This individual… more
- The Cigna Group (Nashville, TN)
- The Disaster Recovery Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the MTO datacenter recovery effort using a BCP ... Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of...obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps… more
- The Cigna Group (Nashville, TN)
- …and usage of each element. The team will work with multiple stakeholders across Medicare operations , as defined by the Dedicated Medicare Operating Model ... Functions and Responsibilities** + Coordinate and partner with the key Medicare operations teams, including claims,enrollment, fulfillment, network operations… more
- The Cigna Group (Nashville, TN)
- …the difference in our success. First things first. We're a global health service company dedicated to helping people improve their health, well-being and sense of ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of Compliance; + Identification of best practices and control procedures over operations and/or patient care to promote regulatory compliance; + Assistance in ... specific to revenue cycle processes as needed. Interfaces and maintains appropriate service with customers including Office of Compliance, Health IT, Revenue Cycle,… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by ... and/or providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support… more
- Conviva (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... and help us put health first** The Revenue Cycle Manager (Onshore Operations ) oversees the onshore team responsible for the comprehensive management of revenue… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards… more
- The Cigna Group (Nashville, TN)
- …that the Team produces. This individual will work with business, compliance, technology , and solution teams to define/refine Features and User Stories, and ... FHIR Implementation Guides and Standards, and data management specific to Medicare along with focuses on respective components of the data ecosystem… more
- Humana (Nashville, TN)
- …performing team focused on data, data visualization and data science supporting Humana's Service Operations . The team is focused on converting data to actionable ... and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics -...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel,… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... position will manage a Provider Activation Team within the Provider Network Operations area under Provider Process & Services. The Manager role is strategic… more
- Public Consulting Group (Nashville, TN)
- …with our Technology Consulting team, you will help organizations streamline operations and achieve strategic goals to serve the public better. We provide the ... (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and...full spectrum of technology consulting services to help state and local agencies… more
- Public Consulting Group (Nashville, TN)
- …planning, risk management, and change management. + Comprehensive knowledge of fire service and EMS industry operations including applicable standards and best ... public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of...reports to identify findings and recommendations to help improve operations and service delivery for public safety… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... the Professional will work to identify areas of opportunity to optimize business operations that improve productivity and efficiency. This body of work will span… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... of variable factors that span across people, process and technology foundations. This foundational body of work will focus...place to support sustained impact and merge into BAU operations + Operate with an iterative design mindset and… more
- Humana (Nashville, TN)
- …industries (Healthcare, Banking, Cybersecurity) **Additional Information** Solid understanding of operations , technology , communications and processes Must be ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large.… more
- Conviva (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management Program + Facilitate the creation… more