• Payment Compliance & Contract…

    Community Health Systems (Franklin, TN)
    **Job Summary** The Payment Compliance & Contract Management (PCCM) Specialist (Remote) serves as a subject matter expert and team lead, responsible for ... and directs key technologies administered by the department to support payment compliance and contract management activities. + Analyzes workload demands through… more
    Community Health Systems (07/29/25)
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  • Consultant, Customer Contract…

    Cardinal Health (Nashville, TN)
    **_What Customer Contract Administration contributes to Cardinal Health_** Sales Administration/Operations is responsible for supporting the sales organization and ... the sales organization. This includes sales tools/productivity improvement, customer contract administration, business metrics/analytics, and rewards architecture. Customer … more
    Cardinal Health (07/29/25)
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  • Lead Contract Manager

    Lumen (Nashville, TN)
    …digitally connect the world and shape the future. **The Role** The Lead Contract Manager for Custom Networks PMO is responsible for overseeing the contractual terms ... contractual terms, expectations, and scope, and capturing change management through the contract lens. As needed, the Contract Manager will provide data… more
    Lumen (07/31/25)
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  • Sr. Manager, Medicaid Contract…

    Sumitomo Pharma (Nashville, TN)
    …Commercial Insights, Contracting, SOX Compliance , and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on ... Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With… more
    Sumitomo Pharma (07/09/25)
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  • Payment Compliance Analyst - Remote

    Community Health Systems (Franklin, TN)
    …government contracts, and other payers. This role includes analyzing contract compliance , identifying revenue opportunities, and communicating discrepancies ... review. + Collaborates with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations. + Maintains knowledge… more
    Community Health Systems (07/29/25)
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  • Senior Risk & Compliance Analyst

    Highmark Health (Nashville, TN)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure … more
    Highmark Health (07/04/25)
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  • Manager Behavioral Health Services

    Elevance Health (Nashville, TN)
    …law._ This role's primary focus is ABA utilization management The **Manager Behavioral Health Services ** is responsible for Behavioral Health Utilization ... across the care continuum and ensuring member access to services appropriate to their health needs; monitors...experience may be required based upon state law and contract requirements. Please be advised that Elevance Health… more
    Elevance Health (07/29/25)
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  • Business Analyst - Sponsored Programs Financial…

    Highmark Health (Nashville, TN)
    …Services (SPFS) supporting Allegheny-Singer Research Institute and Allegheny Health Network. Responsibilities include award set-up, transaction processing, ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The...of business and financial terms and conditions of grant, contract , and/or clinical trial agreement.Maintain compliance with… more
    Highmark Health (07/30/25)
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  • Senior Compliance Professional

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. ... compliance issues and recommends changes that assure compliance with contract obligations. Begins to influence...millions of people we serve to achieve their best health - delivering the care and service … more
    Humana (08/02/25)
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  • Senior Corporate Counsel, Compliance…

    NASCO (Nashville, TN)
    **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and is responsible for providing legal and regulatory guidance to ... and drafts complex commercial transactions, including technology agreements, and provides compliance guidance and support throughout the organization to ensure our… more
    NASCO (06/27/25)
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