- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement Lead ** _This is United States, virtual based position._ **National Government Services** is a proud member of Elevance Health's ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Lead ** will support our Medicare Administrative Contract… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement Lead - Quality Auditor** _Location: This is a United States based, virtual position._ **National Government Services** is a proud ... for Medicare and Medicaid Services to transform federal health programs. **The Audit & Reimbursement Lead ** **is a member of the Quality Assurance (QA)… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement III- Medicare Cost...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement Senior** **Location:** This is a virtual position; US based. _National Government Services is a proud member of Elevance Health's family ... and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement Senior -** **Medicare Cost Report Audit ** **Locations:** _This is a United States based, virtual position._ **National Government ... and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement Senior** , will support...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Nashville, TN)
- ** Audit & Reimbursement III- Medicare Cost...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... for Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract… more
- Elevance Health (Nashville, TN)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The **Nurse Audit Lead ** is responsible for leading a team of clinicians… more
- Elevance Health (Nashville, TN)
- …Admin** ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate ... reimbursement criteria. **How You Will Make an Impact:** +...and system edits to identify adjudication issues and to audit claims adjudication for accuracy. **Minimum Requirements:** Requires a… more
- Takeda Pharmaceuticals (Nashville, TN)
- …therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of ... Cross-Functional Team (GLOC) + In alignment with TAU/MPD Labeling Lead , coordinates the process to obtain labeling approval by...the organization and globally. + Knowledge of Health Authority audit process and ability to participate in partner /… more
- LifePoint Health (Brentwood, TN)
- *Team Lead Provider Enrollment Specialist-Remote* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our ... find purpose and fulfillment. *What you'll do:* As a*Team Lead Provider Enrollment Specialist*, you will be responsible for...each specialist based on priorities. . Provide oversight and audit the quality of work produced by the team… more
- Sevita (Nashville, TN)
- …the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for ... all Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according to legal and regulatory… more
- Sevita (Nashville, TN)
- …the United States. Our extraordinary team offers innovative, quality services and support that lead to growth and new opportunities for the people we serve and for ... and Compliance Officers to contribute to projects related to the Compliance Audit , Self-Monitoring, Data Mining and Risk Assessment programs. Supports the leadership… more
- Elevance Health (Nashville, TN)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- HealthEdge Software Inc (Nashville, TN)
- …configuration, provider relations, medical management, medical economics, audit , compliance) related to implementation/consulting engagements, strategic user ... a moreholistic approachto payment integrity that focuses on comprehensive reimbursement , agile editing, and integrated analytics. Our interoperable, cloud-based… more
- AON (Franklin, TN)
- …look like In this position, you will support the Account Executive as the Lead Consultant on the team taking ownership of and accountability for projects and ... Consultant will: + Coordinate with internal Subject Matter Experts including audit , legal, and specialized broking teams + Facilitate communication with external… more
- Haleon (Nashville, TN)
- …both insider and external risks and security risks. **Role Responsibilities** + Lead all aspects of architectural activities for a technology domain, or ... and own and define the architectural security standards for OT. The candidate will lead a team of domain specialists on this matter. + Analyzes, designs, and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and Finance teams. Implements large/multiple development projects. Functions as lead on projects. Additional responsibilities include reviewing current managed care ... and Finance teams. Implements large/multiple development projects. Functions as lead on projects. Additional responsibilities include reviewing current managed care… more
- Philips (Nashville, TN)
- The Director of Regulatory Affairs & Quality will lead the Philips RespirTech InCourage Vest Therapy Regulatory Affairs and Quality teams in the development and ... regulatory and quality decision making, meaningful actions, and continuous improvement. + Lead the development and execution of regulatory and quality strategies to… more
- The Hertz Corporation (Nashville, TN)
- …You'll Do:** 1. Sales 1. Meet and exceed sales targets 2. Manage and lead the sales team 1. Including scheduling, interviewing, hiring, and performance management 2. ... as needed 5. Support omni-channel sales 6. Monitor Store and ICC (Internal Audit Checklist) compliance 7. Manage employee, consumer and vendor issues as needed 1.… more
- HCA Healthcare (Nashville, TN)
- …support for Regulatory Products and 3M HIS products, including the 3M Web Coding and Reimbursement System (3M CRS), the 3M 360 Encompass System, and the 3M Audit ... patients and the growth of HCA Healthcare - Required ** Lead and Develop Others:** Ability to lead ...Required ** Lead and Develop Others:** Ability to lead others to accomplish organizational goals and objectives; provide… more