- Humana (Nashville, TN)
- **Become a part of our caring community and help us...as we prepare for the launch of Fully Integrated D -SNP (FIDE) plan in 2026. This individual will focus ... put health first** The MBA Intern - Illinois Medicaid ( Part -time, Fall 2025) will contribute as a team member while completing a full-time MBA program. The paid… more
- CenterWell (La Vergne, TN)
- **Become a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- CenterWell (Hermitage, TN)
- **Become a part of our caring community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- ChenMed (Memphis, TN)
- …to give them feedback on their referring trends and practice patterns as it relates to part B & D . + Attends center meetings such as Transforming Care Meetings ... CPL and provide targeted education about medical cost opportunities (A/B/ D ). + Collaborates with Center Dyads to analyze, identify...related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats (837P/I/ D , 999, 277, 835, 270/271, 834) + Demonstrated ability to identify process gaps… more
- Humana (Nashville, TN)
- …or other pharmacy related field + Experience in Formulary strategy/development and CMS Part D guidance + Experience in analysis and problem-solving + Excellent ... **Become a part of our caring community and help us...methods to develop and influence formulary strategies for Humana's Medicare line of business. + Utilizes broad understanding of… more
- Covenant Health Inc. (Knoxville, TN)
- …contacts MD, contact note, mileage, etc. + Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines. + Provides patient/family ... Must be able to work independently yet function as part of a team. Licensure Requirement: Must have and...Employee must have a valid Tennessee driver's license Class D and state mandated minimum insurance coverage. Driving record… more
- Prime Therapeutics (Nashville, TN)
- …PBM industry, Medicaid, Medicare , and health plans + Pharmacist / Pharm D + Experience with contract language and risk mitigation concepts Every employee must ... are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ### or email… more