- 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 ... in the development and support of key data -related deliverables within the Medicare Technology Operations team, including but not limited to, a data … more
- The Cigna Group (Nashville, TN)
- …role in the development and support of key data -related deliverables within the Medicare Technology Operations team, including but not limited to, a ... **Job Profile** Data Measurement and Reporting Lead Analyst **Overview** Guides...interfaces with various systems, like ServiceNow, and IT service operations insights and reporting, mostly driven out of Tableau.… 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)
- 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 ... support these efforts listed above + Ability to gather data from multiple sources and analyze it to support...Minimum of Five (5) years working in IT or technology department in a technical capacity. + Minimum of… 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)
- …and have high level familiarity with the applications and services + Ensuring data accuracy and currency for Problem tickets. Develop deep understanding of the ... data including trends and themes. Provide recommendations on actions...hands-on ITIL experience (Foundations Certification preferred) + Familiarity with data visualization and reporting tools such as ServiceNow and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and interacts with executive leaders to formalize compliant strategies. Healthcare Data Analysis (Advanced) - Navigates within established technology ... compliance with federal and state regulations and organizational policies. Prepares data for inclusion in presentations on strategic requirements to senior… more
- The Cigna Group (Nashville, TN)
- …. Ability to learn quickly and adapt to change . Knowledge of systems and technology and proficient with data analytics . Knowledge of marketing strategy, value ... about the role:** **SUMMARY:** Responsible for the execution of the Cigna Medicare strategy for local topline sales agencies, directly contracted agents, and broker… more
- Humana (Nashville, TN)
- …caring community and help us put health first** The Manager, Encounter Data Management develops business processes to ensure successful submission and reconciliation ... of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance...meet or exceed all compliance standards via analysis of data , and develops tools to enhance the encounter acceptance… more
- Humana (Nashville, TN)
- …caring community and help us put health first** The Consumer Service Operations Representative 2 represents the Dual Eligible Outreach Department by taking inbound ... providers regarding a variety of issues. The Consumer Service Operations Representative 2 performs advanced administrative/operational/customer support duties that… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments… more
- The Cigna Group (Nashville, TN)
- …strong understanding of CMS Interoperability, FHIR Implementation Guides and Standards, and data management specific to Medicare along with focuses on respective ... Team produces. This individual will work with business, compliance, technology , and solution teams to define/refine Features and User...components of the data ecosystem - data mapping, ingestion/downstream integration,… 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) ... on data , data visualization and data science supporting Humana's Service Operations . The...Apps and Power Automate + Knowledge of Medicaid and/or Medicare services + Advanced data analytics skills… more
- Humana (Nashville, TN)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors that span across people, ... process and technology foundations. This foundational body of work will focus...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors that… more
- Vanderbilt University Medical Center (Nashville, TN)
- …of documentation of all activities of the SRC. Ensure the integrity of SRC data , review data , develop, maintain and review reports. Assist with fulfilling ... Assist in development of a quarterly report of submissions and SRC operations . * Demonstrates facilitative leadership to foster productive teamwork through coaching… more
- Public Consulting Group (Nashville, TN)
- …operations including applicable standards and best practices. + Experience conducting data analysis to understand agency operations , and writing (internal ... 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)
- …clinicians, operational leaders, etc.), with evidence of deep understanding of healthcare data and health-systems operations + Excellent written and verbal ... complex business and clinical issues leveraging healthcare and operational data to support healthcare utilization investigations, while working collaboratively with… 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
- Humana (Nashville, TN)
- …the Professional will work to identify areas of opportunity to optimize business operations that improve productivity and efficiency. This body of work will span ... across initiatives that touch people, process and technology . This foundational work will also require innovative process re-engineering to support Strategic… 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...field + Professional experience utilizing ad-hoc query tools and data repositories that support data extraction and… more