- S&P Global (Nashville, TN)
- …to our clients who work within the Private Capital Markets. The Associate for Managed Data Services works within a team environment to help process PCM ... Level (for internal use):** 07 **The Team:** S&P Global Managed Data Services aims to...financial data . The associate /analyst will extract relevant capital… more
- HCA Healthcare (Nashville, TN)
- …a preferred partner to thousands of top-performing hospitals, we are the largest managed services provider in the healthcare industry. With over 28,000 ... **Description** **Introduction** Do you have the career opportunities as an Associate Recruiter you want with your current employer? We have an exciting opportunity… more
- Vanderbilt University (Nashville, TN)
- …letter and resume with your application to be considered for this position. The Associate Director of Employer Relations is part of the Career Center at Vanderbilt ... and full-time professional opportunities for Vanderbilt University students. The Associate Director of Employer Relations manages the Employer Relations team… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report ... information for end-users using system tools and database or data warehouse queries and scripts. The Senior Data... systems + Minimum 3 years of experience within Managed Care or Healthcare setting + Advanced Microsoft Excel… more
- HCA Healthcare (Nashville, TN)
- …plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- BrightSpring Health Services (Nashville, TN)
- …information and report to primary teams and physicians. Responsibilities + Perform required data entry accurately at the times specified by the department. + Patient ... information and forms are managed and forwarded to the appropriate department per procedure....any delays in care of our patients. Qualifications + Associate 's degree preferred; High School Diploma required. + 1-2… more
- Humana (Nashville, TN)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Nashville, TN)
- …Director relies on medical background and reviews preauthorization requests for services . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team… more
- Humana (Nashville, TN)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Due to the cross-functional ... toward our goals. A broad range of skills including strategic thinking, data interpretation, and program management will be required. The Senior Program Delivery… more
- Community Health Systems (Franklin, TN)
- …development and implementation of clinical information systems for the CHS portfolio of services . The VP, CMIO will report directly to the Chief Digital and ... + Evaluates the impact of information technology on clinical processes and uses data to identify areas to promote use of technology in creating efficiencies for… more
- Community Health Systems (Antioch, TN)
- …reimbursement by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. This role includes analyzing ... to ensure accurate reimbursement processes. + Compiles, analyzes, and presents data on payment trends, making recommendations for improvements in revenue cycle… more
- Regions Bank (Nashville, TN)
- …the organization with business and IT partners, as well as external service partners to deliver the Identity Governance and Administration (IGA) capabilities across ... inappropriate degrees of access, disclosure, damage and/or loss + Analyzes and maintains data to ensure projects deliver on time + Ensures the maintenance, patching,… more
- Regions Bank (Nashville, TN)
- …the organization with business and IT partners, as well as external service partners to deliver the Identity Governance and Administration (IGA) capabilities across ... inappropriate degrees of access, disclosure, damage and/or loss + Analyzes and maintains data to ensure projects deliver on time + Ensures the maintenance, patching,… more
- Evolent (Nashville, TN)
- …and administrative auditing. This position reports to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist, ... Credentialing Operations team collaborates with the Provider Data Management (PDM) team through our Jira ticking system. **What You Will Be Doing:** + Maintenance of… more
- Broadridge Financial Solutions (Nashville, TN)
- …in attracting top-tier tech talent to help shape the future of financial services . Responsibilities: In this role, you will execute the full recruitment lifecycle, ... performance goals. + Exceptional organizational, follow-up, and multi-tasking abilities. + Client service focused with a keen sense of duty to client needs. +… more
- CenterWell (Murfreesboro, TN)
- …The **Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements, analyzes, and ... organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients,...criteria and make the decision to admit patients to service . Assigns appropriate clinicians to a case, as needed.… more
- Humana (Nashville, TN)
- …performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation, and coding, HEDIS and STARs ... + 5 or more years of health care or managed care + Experience with value-based care, population health,...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Humana (Nashville, TN)
- …performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs ... + 5 or more years of Health care or managed care with Provider Contracting, Network Management or Provider...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Lumen (Nashville, TN)
- …be responsible for systems in support of Lumen's Government and commercial managed security services platforms addressing .gov and critical infrastructure ... connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together, we are building… more