- The Cigna Group (Nashville, TN)
- …an advocate of Change Management + Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of three (3) years working ... Coordinator will be one of the faces of the Medicare Tech Ops (MTO) BCP/DR team and oversee the...disaster is declared. The ideal candidate will have a technical and Project Management background combination, excellent and open… 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 ... team practices, skills, and partnerships needed to achieve business and technology objectives. **Responsibilities** Technical Leadership: + Provides engineering… 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 ... important role in the development and support of key data-related deliverables within the Medicare Technology Operations team, including but not limited to,… 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 role… more
- The Cigna Group (Nashville, TN)
- …+ Ability to thrive in a fast-paced environment + Ability to exhibit technical ability and agility + Continuous improvement mindset + Ability to exhibit ... verbal communications experience + Experience using or knowledge in general technical knowledge, Midrange, Network, Application, Database, Mainframe + High School… 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 ... audit results. Monitors new regulatory and/or billing requirement changes from Medicare Administrative Carriers and CMS websites and published guidance. Performs… more
- The Cigna Group (Nashville, TN)
- …progress and blockers + Provides linkage and continuity to business units, development, operations and technical support groups in the testing and implementation ... that the Team produces. This individual will work with business, compliance, technology , and solution teams to define/refine Features and User Stories, and… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Humana Enterprise Operations Enablement (EOE) - CPSS Data & Analytics - BI (Business Intelligence) team is ... team focused on data, data visualization and data science supporting Humana's Service Operations . The team is focused on converting data to actionable insights for… more
- Public Consulting Group (Nashville, TN)
- …and best practices. + Experience conducting data analysis to understand agency operations , and writing (internal and/orexternal) technical reports to identify ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- Humana (Nashville, TN)
- …position will manage a Provider Activation Team within the Provider Network Operations area under Provider Process & Services. The Manager role is strategic ... in nature managing multiple work streams with a focus on leveraging technology and solving for systemic challenges. Management includes the oversight of meeting… more
- Humana (Nashville, TN)
- …The Senior Data and Reporting Professional is responsible for supporting clinical operations through the delivery of dashboards, reports, and analysis. + Determine ... independently make decisions on moderately complex to complex issues regarding technical approach for project components + Design, development, maintenance, and… more
- Conviva (Nashville, TN)
- …applications + Coordinate the implementation of policies, standards, and daily operations of Identity and Access Management Program + Facilitate the creation ... of clear, concise, and easy to access technology standards to provide engineering teams with tactical direction...related relevant experience + 7 or more years of technical cyber security architecture experience architecting cloud solutions in… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Assist in development of a quarterly report of submissions and SRC operations . * Demonstrates facilitative leadership to foster productive teamwork through coaching ... audit tools. Conduct complex internal audits. Present findings to department's operations committee. * Provides continued assistance, consultation and education to… more
- Humana (Nashville, TN)
- …makes decisions on moderately complex to highly complex issues regarding technical approaches for project components, and performs work without direction. They ... user access in **Prisma portal** based on least privilege roles, and provide operations training and support, as needed. + Participate in a **24/7 on-call rotation**… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** Job Description Summary Technology is what will help us create a more integrated healthcare experience for our ... Business Systems Analysis Professional to be a liaison between operations and IT and assist in making decisions on...and process experience + Prior experience working directly with technical developers as well as the end users of… more
- HealthEdge Software Inc (Nashville, TN)
- …and innovative 21st-century software company focused onprovidingnext-generation, business-transforming technology products to the healthcare payor market. We enable ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
- Humana (Nashville, TN)
- …optimization inclusive of activities spanning decisions required for day-to-day operations to strategic planning and addressing specific business performance issues ... strategy. + Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. +… more
- Humana (Nashville, TN)
- …Medical Coding works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in ... information. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires… more
- Humana (Nashville, TN)
- …a self-starter with a successful analytical, financial analysis, strategic and technical background, proven work ethic, and entrepreneurial attitude. This person ... Experience in managing data to support and influence decisions on day-to-day operations , strategic planning, and specific business performance issues. + Advanced use… more