- Sedgwick (Nashville, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time Opportunity) **PRIMARY PURPOSE** ... **:** Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest… more
- The Cigna Group (Nashville, TN)
- …Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes ... **Summary** The Business Analytics Lead Analyst will be responsible for...clinical metrics. **Responsibilities** + Extract and analyze large healthcare claims using Toad, SQL, SAS, Teradata, etc. + Use… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas, including, but… more
- HomeSafe Alliance (Nashville, TN)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... better than the last. **_About the Role:_** As the Lead IT Business process analyst , you will...Create Custom tables and views for non-native functionality (ie, Claims ) and develop custom logic in Costpoint + Integrate… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst -REMOTE/Configuration exp preferred **Job Description Summary** Serves ... as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis.… more
- The Cigna Group (Nashville, TN)
- **Summary** The Business Analytics Lead Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, ... database and data management with SQL and/or Teradata + Experience with claims analytics and/or clinical data + Experience with business intelligence visualization… more
- Windstream Communications (Nashville, TN)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...Casualty claims handling as an adjuster or claims Team Lead or Supervisor experience. +… more
- HCA Healthcare (Nashville, TN)
- …fellows with that number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic questions, design and ... Summary and Qualifications** + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
- Evolent Health (Nashville, TN)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable ... Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) + Experience with EDI X12 structure and syntax rules; chiefly with 834 files + Superior root cause analysis… more
- Tractor Supply Company (Brentwood, TN)
- Analyst , OC Operations **Overall Job Summary** The Omni Channel Analyst is responsible for managing all aspects of either fulfillment or the returns processes ... from Store, Ship from DC, Return to Vendor (RTV), Claims process, In store returns and 3rd Party Liquidators/Vendors....which is why we empower our Team Members to lead balanced lives through our benefits total rewards offerings.… more
- Evolent Health (Nashville, TN)
- …culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical aspects and design of ... Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product...teams, product, and engineer through forums (bringing all POs, Lead engineers, and stakeholder into a consistent forum to… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… more
- Elevance Health (Nashville, TN)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... and update appropriate stakeholders of changes or new requirements + Take the lead on any new business issues and opportunities generated by Government and/or… more
- Elevance Health (Nashville, TN)
- **Actuarial Analyst III** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... onsite will be discussed as part of the hiring process. The **Actuarial Analyst III** completes very diverse and complicated projects and performs very complex… more
- Elevance Health (Nashville, TN)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… more
- LifePoint Health (Brentwood, TN)
- POSITION SUMMARY: The Senior Financial Analyst , Population Health provides support to advance and execute Lifepoint Health's Population Health Strategy. This ... each essential function satis-factorily with or without a reasonable accommodation. Lead initiation, planning and execution and ongoing support of finance and… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... to execute on strategies to solve complex and open-ended business problems. + Lead prototyping of potential solutions. + Perform implementation reviews. + Lead … more
- HCA Healthcare (Nashville, TN)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** The **Electronic Claims Analyst 's** function is to processing electronic claims , ... research electronic claims processes, and assist other departments with electronic claims related issues as well as assist in creating new processes to improve… more
- Prime Therapeutics (Nashville, TN)
- …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... management, profit drivers and the organization's financial value statement + Lead the development of financial analytic pricing methodologies, models, reports and… more