- Sharecare (Nashville, TN)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Highmark Health (Nashville, TN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Wolters Kluwer (Nashville, TN)
- …will live in the eastern time zone area._** The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing ... the industry. **Additional Information** : Lippincott Solutions for Patient Care | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/lippincott-solutions) **Responsibilities:** * Maintains, extends,… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Financial Systems - Remote **Job Description** The Manager , Financial ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Sr. Health Plan Account Manager - Remote **Job Description** The Sr Health Plan Account Manager ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Nashville, TN)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Highmark Health (Nashville, TN)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of diverse individuals who come to work each ... is to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** Infectious Disease - Admin 30 **Job… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of diverse individuals who come to work each ... to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** Emergency Medicine Research **Job Summary:**… more
- Sharecare (Nashville, TN)
- …and accurately explains the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- CDM Smith (Clarksville, TN)
- …CDM Smith office, in the US nationwide. We offer in office, hybrid, or remote working environments allowing for flexible work options.** We currently have an opening ... other duties as assigned. **Job Title:** Senior Contract Administrator (fully remote work options) **Group:** FAO - Contracts **Employment Type:** Regular **Minimum… more
- POWER Engineers (Nashville, TN)
- **Mid-Level Transmission Line Engineer ( REMOTE )** Location **Southeast** Job Code **17393** \# of openings **2** Apply Now ... locations (offices located in Alabama, Georgia, Florida, Carolinas, and Virginia); or remote (or hybrid) from a mutually acceptable location. This position has a… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Employer Account Executive - Remote **Job Description** The Employer Account Executive serves as the primary ... relationship manager for multiple employer/administrative services only (ASO) accounts. This...environment **Preferred Qualifications** + PBM, health plan, or health care experience **Minimum Physical Job Requirements** + Ability to… more
- Prime Therapeutics (Nashville, TN)
- …make. **Job Posting Title** Sr Perimeter Network Engineer - Palo Alto - Remote **Job Description** The Systems Engineer Senior IT is responsible for constructing ... + Experience with Palo Alto Prisma Access, Strata Cloud Manager and Cloud Identity Engine + Regulatory compliance requirements...PCI, etc.) + Previous experience in PBM / health care industry + Understanding of security implications of domain… more
- Prime Therapeutics (Nashville, TN)
- …Posting Title** Senior Privacy Analyst (Incident Management Risk Mitigation) - Remote **Job Description** Purpose: The Senior Privacy Analyst is responsible for ... Preferred Qualifications: + Healthcare, Pharmacy Benefit Management (PBM) or other managed care work experience + Master's degree or other advanced education in… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Mgr Solution Products- REMOTE **Job Description** The Manager Solution Products is responsible for the ... design concepts, practices, and procedures + SAFe Product Owner / Product Manager (POPM) Certification + Experience in Pharmacy Benefit Management (PBM) or related… more
- Prime Therapeutics (Nashville, TN)
- …**Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance Analyst assists in the ... or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) + Must be eligible to work in the United States… more