- Travelers Insurance Company (Nashville, TN)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... and Conditional Payments. This leader also supervises compliance and reporting duties as a Registered Reporting Entity...Support: + Partners with the Field, Claim Resources and Senior Leadership to identify and improve Claim processes and… more
- Vanderbilt University Medical Center (Nashville, TN)
- … Medicare & State reimbursement including completing mandatory State and /or Federal reporting ( Medicare Cost report, Tennessee Joint Annual Report (JAR), ... 990 Schedule H or specific components of the annual Medicare cost report. Can serve in the...**Experience** Highly recommended: Eight years of experience in Federal cost reporting , net / gross revenue support,… more
- Humana (Nashville, TN)
- …insights for our business partners who can utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence ... Engineer position will be supporting BI work for our Medicare organizations. The ** Senior Business Intelligence Engineer**...with advanced experience in T-SQL + Advanced skills in reporting tools such as SSRS or SAP Crystal Reports… more
- Humana (Nashville, TN)
- …process is a plus, as well as prior experience driving the maturation of Cost Optimization within a large organization. The Senior IT Portfolio Management ... + Provide stakeholders with the tools to develop and measure capacity and cost related metrics, KPIs and savings. + Closely partner with technology teams to… more
- Mathematica (Nashville, TN)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and ... learning architecture to make predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's… more
- Prime Therapeutics (Nashville, TN)
- …vision, color vision, peripheral vision, depth perception and ability to adjust focus ** Reporting Structure** + Reports to AVP or Senior Principal in the ... analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime is delivering the… more
- The Cigna Group (Nashville, TN)
- …aid directly to patients and clinician offices when there is an identified cost barrier to brand name medications. The successful candidate will be responsible for ... and workflow to drive effectiveness and efficiency of the team, appropriate reporting of results, and interface with appropriate vendors and partners that facilitate… more
- Highmark Health (Nashville, TN)
- …capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level business needs into detailed requirements ... Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate… more
- Conviva (Nashville, TN)
- …accounts, billing statements and reports. + Monitors and researches claim denials and reporting all payor payment and/ or denial trends in a timely fashion. + ... part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each...best care, when needed most, and for the lowest cost . We go beyond physical health - addressing the… more