NewSVP of Litigation JobotSVP of LitigationFranklin, TN$275,000–$300,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Our teams work across complex care settings to deliver consistent, compassionate, and clinically responsible services while supporting the operational, legal, and safety needs of the organizations we serve.
Chief Financial Officer JobotChief Financial OfficerCovington, TN$120,000–$140,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The ideal candidate will bring strong accounting and finance leadership experience, healthcare/nonprofit exposure, and the ability to improve processes, reporting, and revenue cycle visibility across a growing organization.
Controller JobotControllerCovington, TN$105,000–$125,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The ideal candidate will bring strong accounting and finance leadership experience, healthcare or nonprofit exposure, and the ability to improve processes, reporting, and revenue cycle visibility across a growing organization.
Claims Analyst HomeServe USAClaims AnalystChattanooga, TNPosition Overview: The Contractor Operations Claims Analyst will be responsible for data analysis, reporting, and auditing to ensure that internal operations teams and HomeServe's third- party contractor network are administering claims in accordance with policy terms and conditions, processes, and pre-negotiated rate schedules. Conduct audits based on findings to analyze the unfavorable trends impacting business claims performance as well as identify and audit any contractors, and/or internal operations team members, not adhering to pre-negotiated rate schedules, processes, and/or policy terms and conditions.
Claims Analyst HomeServe USA CorpClaims AnalystChattanooga, TNPosition Overview: The Contractor Operations Claims Analyst will be responsible for data analysis, reporting, and auditing to ensure that internal operations teams and HomeServes third- party contractor network are administering claims in accordance with policy terms and conditions, processes, and pre-negotiated rate schedules. Conduct audits based on findings to analyze the unfavorable trends impacting business claims performance as well as identify and audit any contractors, and/or internal operations team members, not adhering to pre-negotiated rate schedules, processes, and/or policy terms and conditions.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTENashville, TNRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewDisability Insurance (Di) Claims Analyst Northwestern MutualDisability Insurance (Di) Claims AnalystFranklin, TN$66,960–$100,440 / yearThrough structured training and on-the-job mentoring, you'll learn end-to-end claim management across initial and ongoing phases, build expertise in medical and financial reviews, and deliver timely, high-quality outcomes for clients, field partners, and the enterprise. Through structured training, ongoing mentorship, and meaningful work, you'll build a rewarding career focused on delivering exceptional outcomes for clients, field partners, and Northwestern Mutual.
NewUnemployment Insurance Claims Analyst Thomas and CompanyUnemployment Insurance Claims AnalystNashville, TNFull timeEssential Duties and Responsibilities Receive and process incoming claims within 48 hours of receipt of claimDocument all claim activity in TNC Claims Management SystemMust be able to provide a timely and detailed response to all claimsCoordination with state agencies, EX: return state calls and other requests when neededResponsible for returning all state calls within 4 business hours of receiptResponsible for all claim responses while adhering to proper template for the agency, as notated in the claim's analyst handbook Respond to internal client emails, SHIELD (T&C system) discussions and voicemails regarding open claims within 4 business hoursCheck outgoing fax queue one hour prior to departure. Always accept incoming calls when at desk, never send incoming calls to voicemailMust be efficient in recording proper separation / disposition codesProvide current and correct separation information to applicable State Agencies whenComplete facility change form immediately upon receipt of information from clientMaintain minimum efficiency and productivity benchmarks based on tenure of employmentRespond to internal client emails, SHIELD (T&C system) discussions and voicemails regarding open claims within 4 business hoursRequirements and Qualifications High school diplomaExperience with Microsoft officeExcellent written and oral communication skillsExperience in a fast, multi-tasking environment a plusTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Individual Life Insurance Death Claims Analyst - US HYBRID DXC Technology CoIndividual Life Insurance Death Claims Analyst - US HYBRIDNashville, TNIn addition to the posters already identified, DXC provides access to prospective employees for the Federal Minimum Wage Poster, Federal Polygraph Protection Act Poster as well as any state or locality specific applicant posters. DXC does not make offers of employment via social media networks and DXC never asks for any money or payments from applicants at any point in the recruitment process, nor ask a job seeker to purchase IT or other equipment on our behalf.
NewEpic Revenue Cycle Professional Billing & Claims Analyst - 6317562 Accenture PlcEpic Revenue Cycle Professional Billing & Claims Analyst - 6317562Nashville, TNIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Key Responsibilities: As an Epic Professional Billing PB Claims Analyst, you will be responsible for acting as a software detective, providing a dynamic service by identifying and solving issues within multiple components of critical business systems.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeTNEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Stop Loss Claims Resolution Consultant Sun Life Financial IncStop Loss Claims Resolution ConsultantNashville, TN$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Sr Manager, Life & Annuities Claims DXC Technology CoSr Manager, Life & Annuities ClaimsNashville, TNDXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations - helping them harness AI to drive outcomes at a time of exponential change with speed. With deep expertise in Managed Infrastructure Services, Application Modernization, and Industry-Specific Software Solutions, DXC modernizes, secures, and operates some of the world's most complex technology estates.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterTN$47,500–$69,800 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
Claims Specialist - Full Time FRONTIER HEALTHClaims Specialist - Full TimeGray, TNAll employees of the organization are expected to: Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.
PFML- Absence Management Claims Consultant Pacific LifePFML- Absence Management Claims ConsultantTennesseeThe PFML Claims Consultant will partner closely with Product, Technology, Legal, Compliance, and Operations teams to define business requirements, support system configuration and testing, develop workflows, create claims procedures and training materials, drive process improvements, and ensure regulatory requirements are effectively translated into scalable operational solutions. Partner closely with Product Owners, Business Analysts, Technology teams, and external vendors to define business requirements, user stories, workflows, business rules, and system functionality needed to support PFML administration.
MIS Support Analyst HealthStream, Inc.MIS Support AnalystNashville, TN$55,727–$58,728 / yearThe IT Support Specialist works to resolve technical issues efficiently while delivering excellent customer service and supporting the HealthStream's technology environment. Coordinate onboarding, offboarding, and employee transitions by provisioning user accounts, granting appropriate access, configuring and deploying hardware, and ensuring compliance with security and access management procedures.
Epic Certified Resolute Professional Billing & Claims Senior Consultant Accenture PlcEpic Certified Resolute Professional Billing & Claims Senior ConsultantNashville, TNThe Advanced Technology Centers (ATCs) make tremendous impact in solving our clients' business problems leveraging Innovation, Intelligence, Industry insights, new IT and new technology skills. For our clients, the Network provides the strength of our geographic diversity, greater resilience, and seamless access to the deepest industry knowledge, the latest in Gen AI solutions, and tech expertise from around the world.
Life & Annuity Senior Manager (Claim process). Pyramid Consulting, IncLife & Annuity Senior Manager (Claim process).Nashville, TNRemote$129,000–$130,500 / yearBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Lead process improvement initiatives in Life & Annuity Insurance industry, and manage daily operations, focusing on achieving efficiency and compliance.
Manager, Liability Claim Community Health Systems IncManager, Liability ClaimFranklin, TNThe Manager, Liability Claims is responsible for overseeing professional and general liability claims, including assessing liability, managing case reserves, developing and approving defense strategies, and directing negotiation efforts as appropriate. Manages professional and general liability claims files, including assessment of liability, evaluation of case reserves, and approval of defense strategies.
Life & Annuity Senior Manager (Claim process). Pyramid, IncLife & Annuity Senior Manager (Claim process).Nashville, TN$129,000–$130,500 / yearFull timeKey Requirements and Technology Experience: Key skills: -Life Insurance or Life & Annuity Bachelor's degree in a relevant field or equivalent combination of education and experience Typically, 8 years of relevant work experience in Life & Annuity Insurance industry, with a minimum of 3 years in a similar role Proven experience in business process transactions Claims Proficiencies in business process management and optimization A continuous learner that stays abreast with industry knowledge and technology Advanced degree in a relevant field a plus Relevant certifications (e.g., Six Sigma, PMP) or significant relevant work experience a plus Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar fulltime positions. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
CARR Analyst II BlueCross BlueShield of TennesseeCARR Analyst IIChattanooga, TennesseeCoordinates data collection and administrative functions for the implementation of coding, reimbursement, and billing changes; serves in an advisory support capacity regarding coding, reimbursement, and billing issues on various corporate committees, workgroups, and/or sub-workgroups. In this position, you will research complex coding and reimbursement issues, evaluate regulatory and industry changes, and collaborate with Claims, Provider Network Management, Medical Policy, Clinical Coding Review, IT, and Customer Service to support payment accuracy, compliance, and reimbursement solutions.
Performance Quality Analyst I - CareBridge Elevance HealthPerformance Quality Analyst I - CareBridgeNashville, TennesseeParticipates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process. Assists higher level auditor/lead on field work as assigned, including performing special audits and targeted audits as requested by internal management.
Programmer Analyst Nesco Resource, LLCProgrammer AnalystMemphis, TN$25–$28.57 / hourThis role will work closely with stakeholders, project managers, business teams, IT teams, operations, and clients to ensure software requirements are clearly understood, documented, and delivered. Partner with project managers, project requestors, operations, business representatives, IT representatives, and clients to gather and confirm software requirements.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteTNRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Resolution Analyst, Denials (REMOTE) EnableCompResolution Analyst, Denials (REMOTE)United States - Remote, TennesseeRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
Underpayment Analyst, Denials - Zero Balance (REMOTE) EnableCompUnderpayment Analyst, Denials - Zero Balance (REMOTE)United States - Remote, TennesseeRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.
Underpayment Analyst, Denials - Zero Balance (REMOTE) EnableComp LLCUnderpayment Analyst, Denials - Zero Balance (REMOTE)Franklin, TNRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.
Resolution Analyst, Denials (REMOTE) EnableComp LLCResolution Analyst, Denials (REMOTE)Franklin, TNRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.
Operations Analyst Servpro Industries LLCOperations AnalystGallatin, TNThe Operations Analyst (OA) is responsible for supporting the implementation, optimization, and ongoing performance of third-party tools as well as proprietary tools utilized by SERVPRO to facilitate our National Account programs with key insurance carriers and commercial clients. Assist in Identifying, planning, and implementation of current and future third-party tools to improve quality, reduce costs, increase productivity, and improve cycle time by reducing wasted time, rework, etc.
Medical Economics - Analyst, Medical Economics ArchWell HealthMedical Economics - Analyst, Medical EconomicsNashville, TNRequired Skills/Abilities: Proactive initiative in exploring and discovering opportunities to improve company performance through data analysisEstablish trusting, professional relationships with colleaguesEffective organization skills with the ability to work in a very fast-paced, team-oriented environmentFinancial and business acumen, problem-solving, and analytical skills with keen attention to detail and accuracyKnowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCsExcellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc). Minimum Qualifications: Bachelor's degree in STEM (i.e., Applied Math, Statistics, Actuarial Science, Economics, or a related field required)1-2 years of prior experience as an analyst with a health plan, ACO, RBE, or consulting firm focused on healthcare analytics, decision support, or medical economicsProficiency in MS Excel, including formulas, PivotTables, PowerBI, graphing and other reporting and presentation featuresExperience in data mining, working with healthcare claims and enrollment data in large repositories and/or relational databases with SQL experience strongly preferred.
Finance- Senior Actuarial Analyst ArchWell HealthFinance- Senior Actuarial AnalystNashville, TNRequired Skills/Abilities: Prior experience within Medicare AdvantageUnderstanding of CMS-HCC models (v24/v28), CMS risk adjustment methodology, and RAF score calculationProficiency in modeling, forecasting, and/or variance analysisAdvanced proficiency in Microsoft ExcelPrior usage and strong understanding of SQL (2+ years preferred)Understanding of profit and loss statements and ability to work with larger datasets behind themAnalytical, problem-solving, and critical thinking skillsAbility to work effectively in a fast-paced, dynamic environment and managing multiple priorities simultaneouslyStrong interpersonal skills with the ability to collaborate cross-functionally and build positive working relationships at all levels of the organization. Department Duties/Responsibilities: Risk Adjustment and Revenue Performance: Develop and maintain models to forecast risk-adjusted revenue across Medicare Advantage contractsAnalyze historical risk score trends, RAF accuracy, and coding opportunities to identify gaps and performance driversSupport the annual budget process, quarterly projections, monthly accruals, and variance explanationsEvaluate the impact of HCC model updates and CMS rule changes on organizational revenuePerform Ad-hoc Revenue Analysis to evaluate financial impacts of operational initiatives, clinical programs, membership shifts, and emergent business questions.
Sr. Epic Analyst -Resolute Hospital Billing Memphis HospitalsSr. Epic Analyst -Resolute Hospital BillingTennesseeWorking at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. Ability to work varying hours due to the accessibility of individuals or equipment involved in different projects, the need to minimize system downtime or user interruption, or to recover from hardware or software failures.
Payor Pricing Analyst (Bioplus) Elevance HealthPayor Pricing Analyst (Bioplus)Nashville, TNMinimum Requirements: Requires a BA/BS in Finance, Economics, Healthcare Administration, or a related field and a minimum of 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics; or any combination of education and experience which would provide an equivalent background. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Benefits Analyst Rocket SoftwareBenefits AnalystNashville, TNRemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
Medicaid Analyst Stride, Inc.Medicaid AnalystNashville, TennesseePartnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment.
Operations Analyst ServProOperations AnalystGallatin, TNThe Operations Analyst (OA) is responsible for supporting the implementation, optimization, and ongoing performance of third-party tools as well as proprietary tools utilized by SERVPRO to facilitate our National Account programs with key insurance carriers and commercial clients. Assist in Identifying, planning, and implementation of current and future third-party tools to improve quality, reduce costs, increase productivity, and improve cycle time by reducing wasted time, rework, etc.
Subrogation Analyst Elevance Health IncSubrogation AnalystNashville, TNWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Minimum Requirements: Requires minimum of 2 years of experience in Third Party Liability or Workers Compensation subrogation or related field; or any combination of education and/or experience, which would provide an equivalent background.
NewSr Data Analyst UnitedHealth Group IncSr Data AnalystBrentwood, TN$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. In this role, you will leverage advanced analytics and AI-driven techniques-including LLM-assisted workflows-to optimize data processing, enhance decision-making, and deliver strategic insights across healthcare and claims data domains.
Corporate Quality Analyst A. O. Smith CorpCorporate Quality AnalystAshland City, TNThis role analyzes failure data to identify product and process improvements and collaborates with internal teams and suppliers to reduce warranty costs while improving customer satisfaction. The company is one of the world's leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications.
NewSenior Business Analyst MedeAnalyticsSenior Business AnalystNashville, TN$100,000–$120,000 / yearAs the industry's healthcare intelligence partner of choice for more than 30 years, MedeAnalytics combines its platform, cross-domain enterprise analytics, AI-powered workflows, and Strategic Advisory services to transform intelligence into accountable execution—delivering greater ROI across value-based care, risk and quality, cost and utilization management, and network optimization. MedeAnalytics is the Enterprise Healthcare Performance company that delivers AI-driven, cloud-native solutions to help payers, risk-bearing providers and other value- and risk-bearing entities measurably improve performance by reducing costs, improving quality and MLR, optimizing utilization, increasing reimbursement, and elevating care quality across all lines of business.
Temporary Application Analyst Baker Tilly Advisory Group, LPTemporary Application AnalystNashville, TennesseeBaker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.
Medical Economics - Analyst, Medical Economics ArchWell Health LLCMedical Economics - Analyst, Medical EconomicsNashville, TNKnowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs. Perform qualitative analysis to identify cost drivers (utilization and/or rate) to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results.
Treasury Analyst Asurion LLCTreasury AnalystNashville, TNWhat You'll Bring to the Table: 0-2 Years of experience in treasury, finance, accounting, or a related field; Internship experience or relevant coursework considered. We're looking for a Treasury Analyst to support daily payments, banking activities, cash operations, and core treasury reporting.
Operations Senior Analyst - EviCore - Remote The Cigna GroupOperations Senior Analyst - EviCore - RemoteTNRemote$54,100–$90,100 / yearThe Operations Senior Analyst leads and provides subject matter expertise in collaboration with client services, claims, implementations, clinical, non-clinical, and IT organizations to manage new and existing workflows. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Encounters Technical Analyst CVS Health CorpEncounters Technical AnalystTN$46,988–$122,400 / yearThe Senior Analyst, Informatics (Encounter Technical Analyst) is responsible to analyze and document business data and processes, conduct root cause analysis, and create reports or other solutions as needed to support business needs. Candidate must be proficient in SQL, able to write and modify queries, interpret results, conduct root cause analysis, develop short- and long-term solutions following through to completion.
Accounts Receivable Process Analyst BrightSpring Health ServicesAccounts Receivable Process AnalystNashville, TNThrough the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.
Senior Systems Analyst Methodist Le Bonheur HealthcareSenior Systems AnalystMemphis, TNWorking at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. Ability to work varying hours due to the accessibility of individuals or equipment involved in different projects, the need to minimize system downtime or user interruption, or to recover from hardware or software failures.
Payor Pricing Analyst (BioPlus) Elevance Health IncPayor Pricing Analyst (BioPlus)Nashville, TNMinimum Requirements: Requires a BA/BS in Finance, Economics, Healthcare Administration, or a related field and a minimum of 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics; or any combination of education and experience which would provide an equivalent background. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.
Finance- Senior Actuarial Analyst ArchWell Health LLCFinance- Senior Actuarial AnalystNashville, TNCross-Functional Collaboration: Collaborate cross-functionally with IT, finance, accounting, operations, and other departments to streamline processes, improve data accuracy, and enhance financial reporting capabilities. Business Performance Monitoring: Monitor and analyze key performance indicators (KPIs) and operational metrics to assess business performance and identify areas of improvement.