- Banner Health (TN)
- …acuity and critical access facilities, as well as specialized services such as behavioral health , oncology, pediatric. Acts as subject matter expert regarding ... by the health care team for the health record(s) and for quality assurance in...Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …advanced degree preferred (eg. MBA, MPH, MHA, advanced clinical degrees with experience in behavioral health ) + Minimum of 5 years of sales or business ... into customer benefits **PREFERRED QUALIFICATIONS** + Healthcare providers with behavioral health backgrounds (eg licensed therapists, clinical psychologists,… more
- Highmark Health (Nashville, TN)
- …and reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and ... administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of… more
- Highmark Health (Nashville, TN)
- …and reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and ... administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of… more
- Highmark Health (Nashville, TN)
- …Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data relevant to the ... related to fraud/abuse perpetrated by providers, subscribers, facilities, pharmacies, provider employees and/or employees of the company and ensuring Highmark… more
- Valor Health (Mcminnville, TN)
- …generous time off and a weekday schedule. Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted ... set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. As a Mental... health , and more. As a Mental Health Licensed Clinical Social Worker, you will provide… more
- Valor Health (Columbia, TN)
- …Apply Job Type Full-time Description Valor Healthcare Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, ... Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. Position Summary Under the supervision… more
- Valor Health (Harriman, TN)
- …behavior activation and short term needs specific to a range of physical and behavioral health issues, including but not limited to Diabetes, Heart Conditions, ... + Strong computer skills, including EMR experience Our mission is simple: to provide quality healthcare to America's veterans through our healing focus, indebted… more
- Highmark Health (Nashville, TN)
- …(eg, patient centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for ... adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health… more
- The Cigna Group (Franklin, TN)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is...Data Governance Lead is responsible for overseeing the integrity, quality , and governance of data critical to ECHO operations,… more