- Covenant Health Inc. (Knoxville, TN)
- …Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services. Recruiter: Suzie McGuinn || ###@covhlth.com ... knowledge of State and Federal regulations, HCFA guidelines, HIPAA, Medicare/ Medicaid guidelines and other Third Party Payor requirements assuring departmental… more
- HCA Healthcare (Brentwood, TN)
- …and Qualifications** As Reimbursement Manager, you will complete Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and ... procedures. Your responsibilities will include: + Prepare Medicare and Medicaid cost reports to obtain all amounts due from...adjustments to cost reports and decide, along with the Director and Managing Director , which adjustments should… more
- Gentiva (Sevierville, TN)
- …treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse Practitioner, you will:** ... + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis, treatment and… more
- Gentiva (Memphis, TN)
- …treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse Practitioner, you will:** ... + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis, treatment and… more
- CVS Health (Nashville, TN)
- …an exciting opportunity to join it's CVS Health's leadership team as a Director , Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- Signature Healthcare (Memphis, TN)
- …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 Place to Work ... of Signature centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also named one of Modern Healthcare's "Best Places to… more
- Humana (Nashville, TN)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more
- Baptist Memorial (Memphis, TN)
- …and maintenance. This position is under the general direction of the Director of Managed Care-Finance. Responsibilities + Using Epic contract modeling software, ... complete and accurate reimbursement models based on payer agreements including Medicare, Medicaid , Blue Cross, and other payors + Perform extensive review, analysis… more
- Signature Healthcare (Clarksville, TN)
- …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 Place to Work ... of Signature centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also named one of Modern Healthcare's "Best Places to… more
- Prime Therapeutics (Nashville, TN)
- …throughput metrics for assigned client team or focus area + Partner with the Director Operations and HR to drive talent management and talent planning efforts for ... client team or focus area + Partner with Director Operations and Shared Services to develop and execute...experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with and attest… more