- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Managed Care Specialist Job Summary Handles credentialing and enrollment processes for healthcare providers and facilities. This role is critical to the ... of Western Kentucky Healthcare System (WKHS) and the Jennie Stuart Health Managed Care Department, supporting accurate provider setup and alignment with… more
- HCA Healthcare (Nashville, TN)
- …status. + Works to ensure that patient treatment is reimbursed by contacting managed care organizations and completing initial utilization review. Documents in ... for life - and empowers their passion for patient care . Apply today for our Assessment Specialist ...skills necessary to advocate for patients in regard to managed care organizations + Conducts utilization review… more
- HCA Healthcare (Nashville, TN)
- …to the Provider Enrollment Account Management team or Strategic Pricing and Analytics (SPA) Managed Care Team for resolution. **In this role you will** **be ... one-year related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment. + Relevant education may substitute experience… more
- Zurich NA (Nashville, TN)
- …Sr. Supplier Medical Process Specialist to join our team in one of our Managed Care business units across the United States. If you're considering your next ... Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am...make recommendations to ensure vendor or supplier frameworks are managed effectively. + Assess and evaluate business processes to… more
- BrightSpring Health Services (Nashville, TN)
- …Under the general administrative direction of the reporting manager, the E-Referral Specialist will receive and respond to community, physician, patient and family ... as well as document in patient information database. The E-Referral Specialist will schedule registration and admission visits, prepare all required paperwork… more
- Oracle (Nashville, TN)
- …and Cloud deployments and operations. The Services Portfolio includes Managed Services, On-Premise, Hybrid Cloud, Applications, Platforms and Databases ... (SaaS/PaaS/IaaS), and Security services that TAMs may manage in full or in part. + Develop and Manage the...the roles within the pods (eg, Business Analyst, Integration Specialist , QA, etc.) and contribute to strategic planning, direction,… more
- Ford Motor Company (Nashville, TN)
- …bring to life our Enterprise Data Council (EDC) strategy, ensuring data is managed and leveraged as a strategic asset across the organization. Concurrently, you will ... and all business units regarding how data should be managed and utilized as a strategic asset. 5. Ensure...9. Develop compelling narratives and presentations to communicate the " full story" of the platform to key business stakeholders,… more
- Centene Corporation (Nashville, TN)
- …5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing ... experience, education, and other job-related factors permitted by law, including full -time or part-time status. Total compensation may also include additional forms… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations, managed care , legal support, and service line leaders. Your primary ... with customers and peers. + Assist the Payor Relations Managed Care teams and Managed ...+ Registered Health Information Technician/Administrator preferred + Certified Coding Specialist (CCS) preferred - Health Care Compliance… more
- HCA Healthcare (Nashville, TN)
- …and operational metrics to ensure that financial and operational risks are properly managed . + Works with the division operations team and CCU team on practice ... EDUCATION: + Bachelor's Degree preferred. + Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered… more
- Oracle (Nashville, TN)
- …Professional; AWS Certifications: AWS Solutions Architect, AWS Security Specialist , Microsoft Certifications: Azure Security Engineer, Associate, Azure Solutions ... technical and non-technical audiences **Skills** + **Project Management:** Experience managed multiple projects concurrently. Developing a plan, deliverables, and… more