- Sharecare (Nashville, TN)
- …and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with 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
- KONE, Inc (Nashville, TN)
- …national accounts with both operational and sales activities? As our **Key Account Manager ,** you will be responsible for the retention, growth and value of the ... objectives are met /exceeded. **Please note:** This is a remote -based position with a primary location in Lisle, IL..._Passionate about safety, quality, and innovation _ + _We care about the communities where we live and work.… more
- The Cigna Group (Nashville, TN)
- **_Location: Remote , Nashville, TN (_** **_candidate must live in/or near market area)_** **_Must have a current active Health and Life Insurance license_** ... well-being and sense of security. But we don't just care about your well-being, we care about...Location: Nashville, TN *candidate must live in market area* remote work at home opportunity and have a current… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** Program Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a license in good standing in their ... and Eastern time zones. While the position is fully remote , working from home, there will be 25% or...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Program Manager Sr.- REMOTE **Job Description** The Program Manager is responsible ... as assigned **Minimum Qualifications** + Bachelor's degree in Finance, Business, Health Care Administration, or related area of study, or equivalent combination of… more
- Molina Healthcare (Bowling Green, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...the severity of illness and the site of service. Remote position in California Work hours: Monday - Friday… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Project Manager - Remote **Job Description** The Project Manager manages multiple ... in terms of scope, quality, budget, issue/risk management and schedule. The Project Manager will provide business and technical expertise to the approach of driving… more
- Prime Therapeutics (Nashville, TN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager of Performance Guarantee - Remote **Job Description** The 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
- Sedgwick (Nashville, TN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Manager | Remote **PRIMARY PURPOSE** : To manage the technical and ... Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our… more
- Cherry Bekaert (Nashville, TN)
- …we'd like to hear from you. Let's grow your career as an Audit Manager , Professional Practices, supporting our full assurance practice. **What your day looks like:** ... high-quality benefits program which includes annual bonus, medical, dental, and vision care ; disability and life insurance; generous Paid Time Off; retirement plans;… more
- Molina Healthcare (Bowling Green, KY)
- …Health and Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… 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
- UMB Bank (Nashville, TN)
- , a division of UMB Bank na As a Contracts Manager , you will review, draft, and negotiate terms with third-party suppliers for a wide variety of services, including ... software to generate and document all third-party supplier contracts. The Contracts Manager is responsible for working with finance and associated business unit to… more
- Sharecare (Nashville, TN)
- …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 ... . **Job Summary:** The Manager of Operations, Release of Information has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- Molina Healthcare (Bowling Green, KY)
- …interdepartmental/ multidisciplinary integration and collaboration to enhance the continuity of care + Functions as hands-on manager responsible for supervision ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...responsible for providing Molina Healthcare members with the right care at the right place at the right time… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Identify potential risks and execute mitigation strategies. *… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Design Manager is responsible for the development of graphic art and visual materials for proposal and non-proposal ... will have graphic design experience in a regulated/government entity like managed care organizations. **Job Duties** * Ensures the accuracy, quality, and timeliness… more
- CDM Smith (Bowling Green, KY)
- …our Services Recruiting Team, supporting our North America Unit. This is a remote opportunity. This individual is responsible for developing and executing a sourcing ... applicants for interviewing; ensures timely feedback to applicants and hiring manager throughout the process; extends offers of employment under direction of… more