Healthcare Claim Analyst Jobs in Nashville

Vice President of Quality & Risk Management, Registered Nurse (RN)','00025-63727','United States-Tennessee-Hermitage-Summit Medical Center','Full-time','Directors & Managers','!*!Celebrating 20 years of providing quality healthcare to Davidson, Wilson and surrounding counties, TriStar Summit is a ..

Director Prebill Denial','26512-143445','United States-Tennessee-Nashville-PAS - Nashville','Full-time','Directors & Managers','!*!The Prebill Denial Director will be responsible for daily operations of all functions and oversight of prebill denial team members and serve as the ..

Compliance Analyst The candidate will assist in maintaining an internal compliance program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Is ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

Senior Counsel The candidate will provide legal advice regarding managed care payor agreements (including drafting language, identifying regulatory issues, and assisting with related operational issues on behalf of the firm and ..

Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

What is Aspirion? Aspirion is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Workers Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, and Eligibility ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Nashville Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

... Non-Exempt POSITION SUMMARY: Credit Balance Analyst should possess a thorough working ... customer loyalty. The Credit Balance Analyst is responsible for review, correction, ... understanding of accounting principles and..

Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

Job Information Humana Senior Financial Analyst - Remote in Nashville Tennessee ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Job Information Humana Informaticist - Remote in Nashville Tennessee Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Provider Reimbursement Professional 2-Remote in US in Nashville Tennessee Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..

Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Nashville Tennessee Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Nashville Tennessee Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

Job Information Centerwell Market President, Primary Care Organization, TN in Nashville Tennessee Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..