• Associate Actuary - Medicaid Trend

    Humana (Nashville, TN)
    …models and develop new tools which support strategic decision-making. Technical expertise and coding experience a key skill needed for this role, as daily activities ... will involve creating, modifying, and reviewing logic in various coding platforms. This role involves collaboration with stakeholders to understand business needs… more
    Humana (07/25/25)
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  • Referral & Precert Spec

    Covenant Health Inc. (Sevierville, TN)
    …urology. Position Summary: Directs daily operation of scheduling for inpatient /outpatient procedures and services. Obtains any necessary referrals or ... pre-certifications. Recruiter:Sarah Grey || ###@covhlth.com Responsibilities + Schedules inpatient /outpatient tests, procedures and appointments as directed by provider.… more
    Covenant Health Inc. (08/11/25)
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  • Key Account Manager-Cardiovascular

    Amgen (Nashville, TN)
    …Hospital Pharmacy, Lipid Clinical, Heart Failure Clinical and Quality Directors ( inpatient and outpatient), hospital finance decision makers within assigned accounts ... and external dynamics in both dyslipidemia and heart failure (eg: inpatient to outpatient management and protocols, readmission programs, Electronic Management… more
    Amgen (07/26/25)
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  • Materials Manager

    Select Medical (Powell, TN)
    …is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended ... rotate expired products and document all changes appropriately. + Processing and coding invoices. + Overseeing Accounts Payable and Materials Techs. + Ensuring… more
    Select Medical (08/08/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    …Performs reviews of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to determine appeal and ... clinics to obtain additional documentation to support appeal, collaborate with coding /billing for formulation of appeal with corrected claims and denial resolution… more
    Baptist Memorial (07/11/25)
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  • Nurse Practitioner

    Covenant Health Inc. (Oak Ridge, TN)
    …a timely manner. + Follows Medicare guidelines for accuracy in CPT and ICD coding . + Applies the fundamentals of AIDET when communicating with patients. + Refers ... strongly preferred - this may include experience in a cardiology clinic, inpatient cardiac care, or other relevant cardiology settings. Licensure Requirement: Must… more
    Covenant Health Inc. (05/20/25)
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