• Medicare Specialist

    HCA Healthcare (Hendersonville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... more
    HCA Healthcare (02/18/25)
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  • Collections Specialist I - Managed…

    Community Health Systems (Franklin, TN)
    …Performs collection follow-up on insurance outstanding balances; identification of claim problems and resolution; standards within compliance of government and ... more
    Community Health Systems (02/06/25)
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  • Clinical Denials Coding Review Specialist

    HCA Healthcare (Nashville, TN)
    …over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Work from Home you can be a part of an organization that ... more
    HCA Healthcare (02/20/25)
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  • Inpatient Coding Resolution Specialist

    HCA Healthcare (Nashville, TN)
    …invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Editor Specialist with Work from Home you can be a part of an organization that ... more
    HCA Healthcare (01/23/25)
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  • Correspondence Policy Specialist

    Evolent (Nashville, TN)
    …to providing better health outcomes. **Collaboration Opportunities:** A Correspondence Policy Specialist on the Shared Services Correspondence team will be working ... more
    Evolent (02/05/25)
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  • Client Audit Specialist -Remote

    Prime Therapeutics (Nashville, TN)
    …passion and drives every decision we make. **Job Posting Title** Client Audit Specialist -Remote **Job Description** As a member of the Client Audit Management (CAM) ... more
    Prime Therapeutics (02/20/25)
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  • Client Audit Specialist , Sr. - Remote

    Prime Therapeutics (Nashville, TN)
    …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... more
    Prime Therapeutics (01/01/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Nashville, TN)
    …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... more
    Highmark Health (02/25/25)
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  • Registration Specialist FT Nights

    Vanderbilt University Medical Center (Shelbyville, TN)
    …also awarded four out of five stars for overall hospital quality by the Centers for Medicare & Medicaid Services (CMS). This marked the second year in a row that VBH ... more
    Vanderbilt University Medical Center (02/12/25)
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  • MDS Float

    Signature Healthcare (Nashville, TN)
    …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... more
    Signature Healthcare (01/29/25)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Nashville, TN)
    …regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity, ... more
    HCA Healthcare (01/13/25)
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  • Nurse Practitioner PRN

    CenterWell (Madison, TN)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... more
    CenterWell (01/08/25)
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  • Nurse Practitioner

    CenterWell (Bellevue, TN)
    …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... more
    CenterWell (02/15/25)
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  • Provider Enrollment Spec (Remote)

    Community Health Systems (Franklin, TN)
    **Job Summary** The Provider Enrollment Specialist ensures healthcare providers are properly credentialed and enrolled with payers, government programs, and ... more
    Community Health Systems (02/20/25)
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  • Director of Clinical Operations

    HCA Healthcare (Nashville, TN)
    …Provides oversight of agency achievement of readiness and compliance with Medicare conditions of participation, state regulations, and accrediting body (eg The ... more
    HCA Healthcare (02/22/25)
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  • VP, Regional CMO - Central

    CenterWell (Nashville, TN)
    …Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our ... more
    CenterWell (02/07/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Nashville, TN)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... more
    Evolent (01/30/25)
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  • Rx Clinical Programs Pharmacy Technician…

    CenterWell (Nashville, TN)
    …assignments. The Clinical Programs Pharmacy Technician Representative 2 Community Resource Specialist works within the Maximize Your Benefits department to assist ... more
    CenterWell (02/13/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... more
    Highmark Health (02/07/25)
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  • Director of Regulatory - RN Required

    Signature Healthcare (Nashville, TN)
    …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... more
    Signature Healthcare (01/25/25)
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