- CVS Health (Nashville, TN)
- …deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our team of ... Certified Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention… more
- Humana (Nashville, TN)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit (SIU) to ensure accurate and timely ... caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or… more
- First Horizon Bank (Franklin, TN)
- …On site at location listed in job posting **Summary** The Banking Center Manager manages all banking center employees and supervises day-to-day operations of the ... team to create new and innovative ways to ensure unit 's goals are achieved + Manages all facets of...regulatory courses by assigned due date(s) + Participates in special projects and assignments and performs other duties as… more
- Thorntons LLC (Antioch, TN)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Elevance Health (Nashville, TN)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Elevance Health (Nashville, TN)
- …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Trains new associates. + Develops, designs and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Franklin, TN)
- …as Social Security, Workers Compensation or others relevant to the jurisdiction. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigation ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …but not limited to observations of care provided by team members. Assists Nurse Manager with planning and organizing specialized unit projects eg Mobile flu ... Scale VA25 The LPN, Primary Care GS-7 is under the supervision of the Nurse Manager in Primary Care at the Charlotte Ave Outpatient Clinic in Nashville, TN. , yet… more
- Penske (Nashville, TN)
- …internal and external customers. This position will support the branch financial manager by providing guidance and information that contributes to branch performance ... * Monitor weekly and monthly lease, contract maintenance, and special billing, and take the initiative to resolve any...* Track and coordinate asset outside services such as unit jacket file, wash sheets, fueling and other outside… more
- CDM Smith (Nashville, TN)
- **38268BR** **Requisition ID:** 38268BR **Business Unit :** TSU **Job Description:** With high-level goals provided, creates excavation, dewatering, shallow/deep ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Nashville, TN)
- **40060BR** **Requisition ID:** 40060BR **Business Unit :** TSU **Job Description:** We are seeking a skilled and motivated Civil Engineer with a strong focus on ... white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- CDM Smith (Nashville, TN)
- **37864BR** **Requisition ID:** 37864BR **Business Unit :** TSU **Job Description:** We are currently accepting resumes for future project work. Qualified candidates ... used; and that construction conforms to plans, specifications, and special provisions. - Uses higher grade of equipment and...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more