- Elevance Health (Nashville, TN)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health ... location. Work Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for coordinating cases for… more
- Teleflex (Nashville, TN)
- Sales Representative , Trauma and Emergency Medicine - Nashville, TN **Date:** Sep 5, 2024 **Location:** Nashville, TN, US **Company:** Teleflex **Expected Travel** : ... patients' lives. **Position Summary** The focus of the Tennessee based Sales Representative , Trauma and Emergency Medicine, is making connections with clinicians and… more
- NRG Energy, Inc. (Mount Juliet, TN)
- …to our customers' faces every day. **Job Summary:** The Customer Service Representative will support the operational business needs by communicating with and ... inquiries as well as partnering with field employees and management and completing all applicable administrative duties. **Essential Duties/Responsibilities*:** +… more
- Medtronic (Nashville, TN)
- …able to convey this information in an effective manner to help support optimal utilization of the full product portfolio by the widest range of healthcare providers ... and problem solve + Manage regional accounts to drive utilization of all reflux and manometry products within the...all levels in business + Strong organization and time management skills + Ability to troubleshoot basic technical issues… more
- Ryder System (Nashville, TN)
- …CI Manager or Sr. CI Manager and is closely aligned with Operations Management . + Lean background is mandatory + Warehouse Engineer experience is required + ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more
- Leviton (Lebanon, TN)
- …everyday spaces, from electrical to lighting, to data networks, and energy management . With over 115 years of history, Leviton develops thoughtful solutions that ... Additional Job Functions (NC): Supervises consignment inventory and ensures utilization in a timely manner Oversees scrap materials and...The work environment and physical demands described here are representative of those that must be met by an… more
- RES (Nashville, TN)
- …routine maintenance schedules and communicates schedules for maintenance, repairs and utilization to Equipment Manager and field personnel. + Reviews third (3rd) ... to monitor repairs and ensure timely turnaround to keep utilization of assets high. + Oversees performance of and...& Abilities:** + Advanced knowledge in solar equipment + Management of multiple direct reports + Experience with diagnostic… more
- Highmark Health (Nashville, TN)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Tru Green (Nashville, TN)
- …interpretive financial analyses. Provides periodic reports and special studies for management . Responsible for the annual budget process, forecasts, or statistical ... skills + Business and financial acumen + Organizational, project and process management and leadership skills + Written and verbal communication skills + Business… more
- Sysco (Nashville, TN)
- …fleet, ensuring safety and security of the shop and fleet, and providing management and direction to shop staff. The position is also responsible for administrative ... duties including parts procurement, inventory management , asset tracking and cost control through maintenance systems....as needed. + Administers the proper selection, purchase, and utilization of Company assets in support of the fleet… more
- Estes Express Lines (Smyrna, TN)
- …monitoring performance, providing coaching, counseling and development Accountable for the management of an efficient, clean and safe LTL operation to include ... by the Terminal Manager + Responsible for meeting all KPI's assigned + Daily utilization of all Company enhancement tools and processes + Review and revise schedules… more
- Guardian Life (Nashville, TN)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- Humana (Nashville, TN)
- …and Monitoring team. Provide guidance to members who have potential medication over utilization or medication interaction concerns. Your role will be to work within ... PM Eastern Monda-Friday The Rx Clinical Programs ORM Pharmacy Technician Representative 2 assists in reviewing members pharmacy history for overutilization. Job… more
- HealthEdge Software Inc (Nashville, TN)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... ; ideally with a variety of experience in primary care, chronic disease management and/or public health. **Must have active license + Prior experience in **clinical… more
- CBRE (Nashville, TN)
- …13-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Project Management Location(s) Phoenix - Arizona - United States of America, Remote - US ... healthcare vernacular. **What you'll do** Leads all facets of project management (budget, schedule, procurement, quality & risk) for individual healthcare projects… more
- HealthEdge Software Inc (Nashville, TN)
- …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Carrington (Franklin, TN)
- …operational report metrics. + Gain expert knowledge of the operational systems and utilization within the business process. + Act as the primary contact for ... technology, reporting and process related analysis. + Assist with scope management , change management and solution definition. + Create functional specifications… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and to prep for subsequent meetings + Provide complex calendar management , exercising discretion and judgment to analyze and appropriately prioritize complicated ... reports + Performs key administrative functions which may include serving as representative of the organizational area. + Ensures data/records are created and… more
- Sutherland Global Services (Nashville, TN)
- …+ Billing Inquiries & Complaints + Authorizations + Status Inquiries + Utilization Management Inquiries **Eligibility and Benefits** + Status Inquiries + ... working in a high-volume call center environment as a customer service representative + Effective verbal and written communication skills + Strong typing and… more
- Sutherland Global Services (Nashville, TN)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more