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Trustmark
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Nashville, Tennessee
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bring the best to our colleagues, clients and communities.
Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner in accordance and compliant with
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director ... knowledge in their daily work.
The Medical Director’s work includes computer-based review of moderately
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Zurich NA
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Nashville, Tennessee
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Sr. Claims Specialist - Complex Construction Claims
117562
Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims team. This role is
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Vanderbilt University
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Nashville, Tennessee
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.
Supports the director and senior director in submitting claims insurance carriers and in investigating ...
The Senior Risk Specialist is responsible for supporting the Director, Risk and Insurance
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Marriott
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Nashville, Tennessee
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respond to unemployment claims; reviews provider reports for accuracy and corrects errors ... resolution or escalated to the Director of Human Resources/Multi-Property Director of Human Resources
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Humana
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Nashville, Tennessee
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Become a part of our caring community and help us put health first
The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director
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Elevance Health
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Nashville, Tennessee
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Carelon's Product Platform team is looking to hire a Director of Product Development specific to ... . This Director will look across the entire product portfolio where we communicate and interact with
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Cardinal Health
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Nashville, Tennessee
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Associate Director, Access and Patient Support (APS) is responsible for the tactical execution of operations ... Director oversees revenue and budget accountability, organizational development, and possesses a deep
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Sedgwick
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Nashville, Tennessee
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Director - Casualty | CST & EST Time Zones
PRIMARY PURPOSE : To determine account management ...
Strong understanding of workers compensation, liability and disability claims management
In-depth
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Prime Therapeutics
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Nashville, Tennessee
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the Accounting, Finance, Information Technology and Claims operation functions.
**Responsibilities ... Treasury Leadership, Director
Potential pay for this position ranges from $94,700.00 - $151,300.00 based
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Humana
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Nashville, Tennessee
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Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial
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Evolent Health
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Nashville, Tennessee
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Director may also be available.
What You Will Be Doing:
Reviewing internal workflows and ... or submitting prior authorization requests and/or relevant health care experience in claims or appeal
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Zurich NA
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Nashville, Tennessee
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Facing areaOR
High School Diploma or Equivalent and 10 or more years of experience in the Claims or ... Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting
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UnitedHealth Group
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Nashville, Tennessee
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we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members ... seamless experience, and manage health care costs.
The Medical Director provides physician support
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Sedgwick
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Nashville, Tennessee
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Director Customer Data Management
POSITION OVERVIEW:
The Customer Data Management Director is responsible for developing
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Sedgwick
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Nashville, Tennessee
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.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Director Marketing Campaign Strategy and Execution
PRIMARY PURPOSE OF THE ROLE: The Director, Marketing Campaign
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Zurich NA
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Nashville, Tennessee
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years of experience in the Claims or Underwriting Support areaOR
Zurich Certified Insurance ... the Claims or Underwriting Support area
Experience with Microsoft Office
Preferred
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HealthEdge Software Inc
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Nashville, Tennessee
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Overview
Director, Product Management
Position Overview:
We are seeking a highly skilled and experienced Director of Product Management to lead our empowered product team at
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Trustmark
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Nashville, Tennessee
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enrollment, underwriting, billing, servicing, claims) using DMAIC, PDCA, etc. methods. Develop the approach ... from the Executive Director, Digital Project Manager, as needed. Define baseline and target metrics
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Prime Therapeutics
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Nashville, Tennessee
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inquiries/complaints related to claims, contracting and XXXX. Works directly with business partners across ... Structure**
Reports to Sr Professional, Manager, Director or Senior Director in the Compliance
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Sedgwick
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Nashville, Tennessee
...
.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Director - Client ... compensation, liability and disability claims management
In-depth knowledge of client servicing
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Elevance Health
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Nashville, Tennessee
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**JR130960 Business Change Director (Quality Control Test Architect, PBM systems ... (Commercial/Medicaid/Medicare) including claims processing, enrollment, and benefit administration
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Ascension Health
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Nashville, Tennessee
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market.
We’re looking for an experienced Director of Utilization Management to join our team! In ... National Senior Director of UM to align on organizational goals. Ready to lead and innovate? Apply now
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Wellpath
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Nashville, Tennessee
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accounts, including scheduling, reporting, record-keeping, and claims/invoice review.The position requires ... .
Responsible for multiple daily communications with Clinical Director, HSA, Health Records Assistant, hospitals
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Zurich NA
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Nashville, Tennessee
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Claims Department with technical assessment of complex claims (including but not limited to) Construction ...
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-LB1 #LI-DIRECTOR
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American Homes 4 Rent
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Nashville, Tennessee
...
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The Director, AMH Purchasing develops, leads, and executes purchasing and vendor strategies. This role ... and change notices. Reviews purchase order claims and contracts for conformance. Develops and executes
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Sedgwick
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Nashville, Tennessee
...
.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Director Marketing ... productivity, guide their consumers through the claims process, protect their brand and minimize business
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HNTB
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Nashville, Tennessee
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project controls director, project manager/director, clients, sub-consultants, project stakeholders and ... systems, risk management and claims analysis functions.
Creates, edits, and publishes guidelines
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Fujifilm
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Nashville, Tennessee
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oversight. The position will report to the Director of Corporate Compliance.
**Duties and ... (FCPA), False Claims Statute, Anti Money Laundering and other applicable US laws and regulations
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Prime Therapeutics
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Nashville, Tennessee
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financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing ... Director or Senior Director in the Network Management or Pricing Planning & Analysis department
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