- Wellpath (Hendersonville, TN)
- …education, and point of care support. **How you make a difference** The Senior Medicaid Support Specialist provides guidance and technical support to field ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/176814/medicaid-support- senior - specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the right job?**… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and liver-kidney. . The VUMC Pediatric Transplant Department is in need of a ** Senior Financial Clearance Specialist ** to join the team! **Shift:** Monday - ... with minimal guidance. This position will provide guidance as a financial clearance specialist at any time during the patients transplant care. Candidates with a… more
- Fujifilm (Nashville, TN)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- CVS Health (Nashville, TN)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Centene Corporation (Nashville, TN)
- …time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. NOTE: For this role ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- HCA Healthcare (Brentwood, TN)
- …Legal Collections Specialist who will assist Shared Service Center (SSC) Senior Counsel or Collections Director and Executive Management to develop work plans ... organization that invests in you as a Legal Collections Specialist ? At Parallon, you come first. HCA Healthcare has...incredible team members over the course of three years. ** Benefits ** Parallon, offers a total rewards package that supports… more
- Highmark Health (Nashville, TN)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- Cardinal Health (Nashville, TN)
- …department. Key responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and ... and prioritizes getting the right things done. + Processing chargeback claims from pharmaceutical wholesalers to manufacturers + Verifying membership, and performing… more
- United Therapeutics (Nashville, TN)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Nashville, TN)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more