- CVS Health (Nashville, TN)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Nashville, TN)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Molina Healthcare (Bowling Green, KY)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance… more
- Humana (Nashville, TN)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As an Accounting Manager with Parallon, you can be a part of an organization that is ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...our organization. We are looking for an enthusiastic Accounting Manager to help us reach our goals. Unlock your… more
- Humana (Nashville, TN)
- …telephony, data systems, and enterprise architecture. The Senior Product Manager will serve as a key interface between business and technology, driving ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Senior Manager Strategic Workflow Optimization? At Parallon, you come first. HCA Healthcare has committed ... have the opportunity to make a difference. We are looking for a dedicated Senior Manager Strategic Workflow Optimization like you to be a part of our team. **Job… more
- Humana (Nashville, TN)
- …technical program management, including at least 3 years as a Technical Product Manager in data , AI/ML, or personalization platforms. + Demonstrated success in ... advanced agentic AI decision-making across our organization. As a Lead Technical Product Manager (PM-T), you will be responsible for shaping the vision, defining the… more
- Cardinal Health (Nashville, TN)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Humana (Nashville, TN)
- …us put health first Humana's Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience ... translating business needs into platform capabilities that enable personalized, data -driven customer experiences. You'll work closely with cross-functional teams to… more
- Humana (Nashville, TN)
- …healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management) to ... our customers. Join our rapidly expanding team of dedicated product managers, data scientists, engineers, policy experts, and business leaders as we work together… more
- Elevance Health (Nashville, TN)
- **Technical Project Manager ** **CareBridge** Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... not eligible for current or future visa sponsorship._ The **Technical Project Manager ** works with business partners to identify and implement multiple technical… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Business Office Manager today with HCA! This position will be responsible for overseeing the functions ... location._** Come join our team as a( Business Office Manager . We care for our community! Just last year,...verification and cash posting to determine the integrity of data input + You will conduct staff meetings and… more
- Cardinal Health (Nashville, TN)
- ** Manager , Revenue Cycle Manager , Collections** **About Navista** We believe in the power of community oncology to support patients through their cancer ... with a strong emphasis on oncology practice needs. **_Job Purpose:_** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection… more
- Philips (Nashville, TN)
- **Territory Manager - RespirTech (Baltimore, ME, Annapolis, ME, Wilmington, ME)** RespirTech's Territory Manager represents the InCourage airway clearance ... evidence to physicians. + Being an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy,...in order for coverage to be obtained. + Analyzing data to effectively target priority healthcare teams and create… more
- CVS Health (Nashville, TN)
- …data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate ... and data integrity. + Stay informed about changes in Medicaid policy, regulatory requirements, and FWA detection techniques to ensure ongoing compliance.… more
- Elevance Health (Nashville, TN)
- …supervisory review of work completed by other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit...will make an impact** : + Analyzes and interprets data and makes recommendations for change based on judgment… more
- Molina Healthcare (Bowling Green, KY)
- …instructions, and guidance to Investigative team, particularly in the absence of the SIU Manager . + Provide training to team members as needed. + Communicate ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...responsible to lead a small team of investigators and provide oversight on daily investigative activities as a back-up… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …clients and their families to obtain comprehensive social histories and pertinent data for treatment and discharge planning. You will interpret various social ... and represent the program at educational meetings when requested by the Program Manager . As the discharge planning specialist, you will be responsible for accurately… more