- HealthEdge Software Inc (Nashville, TN)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- Elevance Health (Nashville, TN)
- …a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The ** Manager l Claims ** is responsible for providing oversight for claims ... in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside… more
- Zurich NA (Nashville, TN)
- …filled at either the_ Senior Litigated Claims Specialist IV or Litigated Claims Specialist II. _The hiring manager will determine the appropriate level based ... Senior Claims Specialist or Claims Specialist 117405...Schaumburg, IL office(s), we are open to considering fully remote applicants located throughout the US. The Workers Compensation… more
- Prime Therapeutics (Nashville, TN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager Reporting & Analytics - REMOTE **Job Description** The ** Manager ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Wolters Kluwer (Nashville, TN)
- …end-to-end customer experience to drive world-class business outcomes. **Basic Function** This remote -friendly Account Management Team Manager , you will build a ... team to drive profitable sales growth. Time will be spent identifying customer needs, developing pipeline, and pursuing the expansion of products and services. In this role the position will learn and stay informed on the comprehensive product line; learning,… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management ... or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account Support Specialists… more
- Sharecare, Inc. (Nashville, TN)
- …Summary:** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- American Heart Association (Nashville, TN)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- HealthEdge Software Inc (Nashville, TN)
- **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Manager , Medical Coding in Payment Integrity leads a team that reviews clinical information from ... medical codes (eg, ICD-10-CM, ICD-10-PCS, DRG, APR-DRG) were billed. The Manager , Medical Coding works within specific guidelines and procedures; applies advanced… more
- HealthEdge Software Inc (Nashville, TN)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Sedgwick (Nashville, TN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
- Norstella (Nashville, TN)
- Manager , Market Research Company: MMIT Location: Remote , United States Date Posted: Sep 24, 2024 Employment Type: Full Time Job ID: R-602 **Description** **About ... decision-making along the entire drug development journey. **Job Description** As a Manager , Market Research, you will coordinate report content generation based on… more
- Wolters Kluwer (Nashville, TN)
- …(https://www.wolterskluwer.com/en-gb/solutions/legisway) **What We Offer: ** This Senior Field Sales Manager role offers growth potential opportunities, as this is a ... an engaging team environment, the ability to work a remote schedule, and amazing benefits. **What You'll be Doing:**...be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility will be the sales of… more
- HealthEdge Software Inc (Nashville, TN)
- **Overview** **JOB TITLE: Product Manager : Provider Data Management** **JOB LOCATION: Company Headquarters in Burlington, Massachusetts 01803. REMOTE EMPLOYMENT ... **REQUIRED HOURS: Full-time.** **REQUIRED DUTIES:** + Develop the product roadmap for claims value stream and lead high-level epic planning for current and future… more
- Elevance Health (Nashville, TN)
- **Account Service Manager Sr - Pharmacy Account Management** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will ... to worksite and other locations as necessary. The **Account Service Manager Sr** is responsible for providing highly advanced account management representation… more
- Elevance Health (Nashville, TN)
- ** Manager II Grievance/Appeals - Claims Support** This position will work in a hybrid model ( remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Cardinal Health (Nashville, TN)
- …insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + 1-2 years experience with ... schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated,… more
- Cardinal Health (Nashville, TN)
- …pharmacy insurance benefit practices, preferred * 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience * 1-2 years experience with Prior ... schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated,… more
- Amentum (Nashville, TN)
- …in the marketplace for both CONUS and OCONUS. **This is a remote -telework role. US Citizenship is required.** **Principal Accountabilities** + Consult with employees ... + Develop and distribute reports such as benefits utilization, trend analysis, claims , fees, and provider performance evaluations + Assists in administration of… more