- Sedgwick (Nashville, TN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Complex Claims Advisor **PRIMARY PURPOSE** **:** To develop targeted ... strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- Sedgwick (Nashville, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Advisor , Professional Liability To analyze complex or technically difficult ... Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and… more
- The Cigna Group (Nashville, TN)
- The Financial Medical Expense Modeling Enablement Advisor will carry out projection and results analysis for core Medical Advantage Part C medical claims expense ... to explain variances to projection. Outside of core deliverables, the Advisor will implement model enhancements for greater efficiency, granularity, and accuracy.… more
- The Cigna Group (Franklin, TN)
- This job profile for this posting is Systems Analy Advisor which is a band 4 Career Track Role with Cigna-Evernorth Services Inc. **Responsibilities** + Analyzing, ... documentation as necessary. + Work with management to identify and specify complex business requirements and processes and in application design, testing, and… more
- Evolent Health (Nashville, TN)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... curiosity, creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role… more
- Evolent Health (Nashville, TN)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... curiosity, creativity, and independence as we work collaboratively to solve complex problems. **Collaboration Opportunities** : Your role works closely with customer… more
- Travelers Insurance Company (Nashville, TN)
- …and Professional Liability businesses. Coordinates the placement of complex international Management Liability requests through Travelers Foreign Subsidiaries, ... partnership with the B&SI Senior Management team. -Serves as trusted advisor for external constituents **Post-transaction responsibilities include but are not… more
- Cardinal Health (Nashville, TN)
- …to the Managed Care environment. They will be a seasoned leader and advisor , with proven experience supporting physicians in oncology to identify and realize payer ... and implementation of contracts. + Must have experience with facilitating billing and claims issues attributed to payor contracts + Demonstrate a high level of… more