- Centene Corporation (Nashville, TN)
- …Associate's degree in related field preferred. 1+ years of provider data or network administration experience, preferably in managed care. Proficient in ... will perform day to day functions to maintain appropriate provider databases and create reports to monitor network compliance...entity Medicare and Medicaid Attachments on monthly basis + Provide appropriate reports and statistical data to… more
- Humana (Nashville, TN)
- …for members. The Home Solutions UM Team is hiring for a UM Administration Coordinator that will provide non-clinical support for the policies and procedures ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM...and Excel with the ability to type and enter data accurately + Ability to quickly learn new systems… more
- Sedgwick (Knoxville, TN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system ... FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense check requests. + Queues claims… more
- Cushman & Wakefield (Nashville, TN)
- **Job Title** Sr. Transaction Coordinator - Remote **Job Description Summary** Provides operational coordination to C&W transactions management professionals who are ... of real estate locations around the world. **Job Description** Responsibilities: * Provide exceptional client service at all levels, internally and externally *… more
- Highmark Health (Nashville, TN)
- …design offerings. The incumbent responds to physician and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug ... with physician and pharmacy network providers to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and timely manner. +… more
- Option Care Health (Nashville, TN)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …build and enhance the facility's reputation for being the unparalleled provider of Respiratory Therapy and demonstrate the facility's approach to interdisciplinary ... manner possible. Participation with nursing to meet OBRA requirements. Quality of data entry and clinical documentation. Managing use of computerized systems to… more
- Humana (Nashville, TN)
- …support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of the healthcare team and within the scope of ... The **Telephonic Nurse Case Manager** will collect and document data to facilitate measurement of case management involvement. The...involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for… more
- Sprinklr (TN)
- …feedback, and omnichannel contact center management - enabling enterprises to unify data , break down silos, and act on real-time insights. Today, 1,900+ enterprises ... as a trusted advisor for Sprinklr services solutions, including implementation, managed services, training and support offerings. As an expert in Sprinklr's… more
- Cardinal Health (Nashville, TN)
- …the organization's assets. Vendor Management is responsible for overseeing strategic managed services contracts for their functional partners. Ensures contract terms ... governance forums, ensures accurate reporting, and serves as a trusted coordinator between GBFS leaders, business stakeholders, and vendor delivery teams.… more
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