NewCollections Specialist Vaco LLCCollections SpecialistNashville, TN$23–$26.44Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewAccounts Receivable Specialist Vaco LLCAccounts Receivable SpecialistBrentwood, TN$23–$26Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewAccounts Payable Specialist Vaco LLCAccounts Payable SpecialistFranklin, TN$26–$29Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Legal Billing Specialist Kforce Inc.Legal Billing SpecialistNashville, TN$34–$36Key responsibilities will include managing the processing, auditing, and reviewing of outside counsel invoices; researching and troubleshooting issues with law firms; supporting vendor setup processes; training internal and external end users; maintaining work-in-progress records; and monitoring and enforcing time entry deadlines. The ideal candidate will be willing and able to quickly and continuously learn, have a high comfort level with Microsoft Excel and Outlook, recognize the urgency and confidentiality concerns of the team and department, and have excellent customer service skills.
NewProperty Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsNashville, TNRemote$69,920–$125,850 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewRegistered Nurse Practice Specialist ED AscensionRegistered Nurse Practice Specialist EDMurfreesboro, TNOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
NewUtility Service & Fumigation Specialist Ecolab Inc.Utility Service & Fumigation SpecialistNashville, TN$46,300–$69,300 / yearPosition requires working in a variety of conditions which may include confined spaces, damp and/or dusty locations, freezing and hot conditions, extreme heights of up to 150 feet, and use of ladders, scissor lifts, or arial boom lifts. To meet customer requirements and comply with local or state regulations, applicants for certain customer-facing roles may need to: - Undergo additional background screens and/or drug/alcohol testing for customer credentialing.
NewRN Case Manager TriStar Skyline Medical CenterRN Case ManagerFranklin, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewCase Manager Nurse TriStar StoneCrest Medical CenterCase Manager NurseSmyrna, TNThe Registered Nurse (RN) CM is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management, and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community-based resources.
NewCase Manager RN TriStar Skyline Medical CenterCase Manager RNFranklin, TNThe RN Case Manager is responsible for promoting patient-centered care by coordinating the plan of care for the patient stay, managing the length of stay, ensuring appropriate resource management and developing a safe appropriate discharge plan in collaboration with the multidisciplinary team. Considers patient’s readmission status or risk of readmission and develops strategies to mitigate including education on appropriately accessing healthcare resources, preventative education, and community based resources. .
NewCase Manager RN TriStar Centennial Medical CenterCase Manager RNLebanon, TNAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
NewCase Manager RN TriStar Hendersonville Medical CenterCase Manager RNHendersonville, TNThe Birth Center at TriStar Hendersonville, featuring Sumner County’s only Level II NICU services which hosts spacious LDRP suites and a lactation boutique for inpatient and outpatient services. (RN) Registered Nurse, or (LMSW/RCSW-I) Lic Master Social Worker/Reg Clin SW-Intern, or (LCSW) Clinical Social Worker.
Registered Nurse - Case Manager/Utilization Review - Part Time Days Williamson HealthRegistered Nurse - Case Manager/Utilization Review - Part Time DaysMurfreesboro, TNThe flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women's services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Timely reviews patients within 24 hours or next business day after admission and at a minimum of every 2 days thereafter for continued stay, applying appropriate criteria (Interqual®) and facilitating reimbursement for services with third payer parties, obtaining and entering authorization number/approval status and notes in Meditech.
NewTravel Nurse RN - Case Manager in Nashville, TN SkyBridge HealthcareTravel Nurse RN - Case Manager in Nashville, TNNashville, TN$39.05–$46.15 / hourWhether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare wants the best for our employees, and we are dedicated to helping professionals land their ideal travel assignment.
NewCase Manager - Rapid Rehousing Oasis CenterCase Manager - Rapid RehousingNashville, TN$39,000–$42,000 / yearAssist young adults formally and informally as they master life skills and build self-sufficiency, included but not limited to: job readiness, financial management and budgeting, communication skills, transportation, sexual health, and being a good tenant. JOB OBJECTIVE: Actively provide effective service delivery and supports that help young adults, ages 18-24, quickly transition from experiencing homelessness to stable, permanent housing and attain self-sufficiency.
NewTravel Nurse RN - Case Manager - $1,738 per week in Nashville, TN Lancesoft IncTravel Nurse RN - Case Manager - $1,738 per week in Nashville, TNNashville, TN$1,738.08–$1,738.08Day 1 Medical, Health, Dental, Vision. $500 Referral Bonus. We are currently seeking qualified candidates for RN.
Employment Tax Support Specialist Thomas and CompanyEmployment Tax Support SpecialistNashville, TNFull timeThe Employment Tax Support Specialist provides operational and administrative support for employment tax-related services by coordinating data, managing workflows, and assisting with client deliverables, invoicing, and agency follow-up. As the largest privately held service provider in our industry, Thomas & Company stands at the forefront of delivering innovative and comprehensive solutions that help businesses optimize their operations and manage critical aspects of human resources.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistTN$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Employee Relations Specialist Stride, Inc.Employee Relations SpecialistNashville, TennesseeThis position is virtual and open to residents of the 50 states, D.C. Compensation & Benefits:Stride, Inc. considers a person's education, experience, and qualifications, as well as the position's work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee's salary level. This role partners with HRBP's, leadership, employees and legal to ensure ER matters are handled fair and consistent.
NewManager, Clinical Research Specialist Training THV AR (Remote US) Edwards Lifesciences CorpManager, Clinical Research Specialist Training THV AR (Remote US)Nashville, TNRemote$126,000–$178,000 / yearResponsible for maintaining an audit ready environment for all aspects of regulatory and non-regulatory audits as it relates to training (e.g., conducting training, identifying SMEs, ensuring the collection of required documentation.) Edwards' groundbreaking work in transcatheter aortic heart valve replacement (TAVR) pioneered an innovative, life-changing solution for patients by offering heart valve replacement without the need for open heart surgery.
Customer Experience Specialist (Part-Time) Thomas and CompanyCustomer Experience Specialist (Part-Time)Nashville, TNPart timeAs the largest privately held service provider in our industry, Thomas & Company stands at the forefront of delivering innovative and comprehensive solutions that help businesses optimize their operations and manage critical aspects of human resources. They must have the ability to take initiative and work independently with little supervision as well as work well withvarying levels of internal management staff while maintaining positive working relationships with clients, peers, and other teammembers.
UI State Call Support Specialist Thomas and CompanyUI State Call Support SpecialistNashville, TNPart timeThe UI State Call Support Specialist is responsible for accurately processing and maintaining unemployment claim-related documentation, entering and verifying data within internal systems, and communicating with state adjudicators and clients as needed. As the largest privately held service provider in our industry, Thomas & Company stands at the forefront of delivering innovative and comprehensive solutions that help businesses optimize their operations and manage critical aspects of human resources.
IT Systems & Network Support Specialist INSPYR SolutionsIT Systems & Network Support SpecialistNashville, TN$70,000–$77,000 / yearInformation collected and processed through your application with INSPYR Solutions (including any job applications you choose to submit) is subject to INSPYR Solutions’ Privacy Policy and INSPYR Solutions’ AI and Automated Employment Decision Tool Policy: https://www.inspyrsolutions.com/policies/. This role blends endpoint support with real-world network exposure—perfect for someone ready to level up their IT career.
NewSpecialist Manager, Government Client Contracts Management (Fed Health) Deloitte Touche Tohmatsu LtdSpecialist Manager, Government Client Contracts Management (Fed Health)Nashville, TN$93,000–$171,300 / year8+ years of experience administering federal contracts, including cost-plus-fixed-fee, cost-plus-incentive-fee, cost-plus-award-fee, firm-fixed-price level-of-effort, time-and-materials, and firm-fixed-price contract types. This role will work directly with Contracts professionals, Project Engagement Leadership, Enabling Solutions points of contact, and other internal stakeholders to coordinate the information and decisions required to support compliant contract management and operational execution.
Visual Merchandising Specialist | Ashwood 12 South Lululemon Athletica IncVisual Merchandising Specialist | Ashwood 12 SouthNashville, TN$21–$24.16 / hourExecute VM flips, including window activations, mannequin styling, signage and label updates, and seasonal or weekly merchandise changes as well as company-driven product initiatives and campaigns, as directed. Employment decisions are based on merit and business needs, and not on race, color, creed, age, sex, gender, sexual orientation, national origin, religion, marital status, medical condition, physical or mental disability, military service, pregnancy, childbirth and related medical conditions or any other classification protected by federal, state or provincial and local laws and ordinances.
Rubber Specialist - Southeast Applied Industrial Technologies IncRubber Specialist - SoutheastNashville, TNFounded in 1923, Applied Industrial Technologies (NYSE: AIT) is a leading value-added distributor and technical solutions provider of industrial motion, fluid power, flow control, automation technologies, and related maintenance supplies. As a Rubber Products Specialist at Applied Industrial Technologies, you will use your strong customer service and conveyor belt technical skills to train, implement, and execute rubber products marketing programs.
IT AM Support Specialist SCM and EWM (f/m/d) Yazaki North America IncIT AM Support Specialist SCM and EWM (f/m/d)TNTrain other persons in the area (primarely IT knowledge transfer; business trainings are possible on request if useful) and ensure creating / usage of proper training material. Founded in 1929, Yazaki is a Japanese full systems supplier of wire harness, electrical, data products and solutions enabling vehicle electrification, connectivity, and autonomy integration.
NewSpecialist Manager, Procurement and Category Management (SWIB C&F Buyer 3) Deloitte Touche Tohmatsu LtdSpecialist Manager, Procurement and Category Management (SWIB C&F Buyer 3)Hermitage, TN$93,000–$171,300 / yearThis role will work directly with Contracts professionals, Project Engagement Leadership, Enabling Solutions points of contact, and other internal stakeholders to coordinate the information and decisions required to support compliant contract management and operational execution. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Specialist Manager, Risk and Compliance Services (Personal Consultation) Deloitte Touche Tohmatsu LtdSpecialist Manager, Risk and Compliance Services (Personal Consultation)Nashville, TN$93,000–$171,300 / yearInterpreting and applying American Institute of Certified Public Accountants (AICPA), Securities and Exchange Commission (SEC), and Public Company Accounting Oversight Board (PCAOB) independence rules, as well as Deloitte US Firms independence policies, while identifying process improvement opportunities with team members. The Personal Consultation team within Independence & Conflicts Network (ICN) performs a critical consultation and risk-management function for the Deloitte US Firms, protecting Deloitte from conflicts of interest and keeping the Deloitte US Firms independent, objective, and impartial, in fact and appearance.
DIGITAL MEDIA SPECIALIST University Health Services IncDIGITAL MEDIA SPECIALISTBrentwood, TNwww.uhs.com Qualifications Requirements and special skills: Associate Degree required, Bachelor's Degree preferred 3-5 years related experience Google PPC campaign management Ability to create and send marketing emails PPC Bid strategy and targeting strategy Understanding or willingness to learn email list maintenance Understanding of digital marketing principles, particularly in healthcare or patient acquisition contexts. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
Reconciliation Specialist Charlie Health IncReconciliation SpecialistNashville, TNFrom limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Problem-solving: Problem-solving skills are essential for posting reconciliation specialists, as they often work with insurance payers and/or patients to resolve accounts.
Posting Reconciliation Specialist Charlie Health IncPosting Reconciliation SpecialistNashville, TN$45,000–$52,500 / yearPlease note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Ad Ops Specialist (Evergreen) Bauer Entertainment MarketingAd Ops Specialist (Evergreen)Nashville, TNBEM was named “Best in Business” by the Nashville Business Journal, “Best Emerging Music, Sports, & Entertainment Company” by the Nashville Entrepreneur Center, plus a "Best Advertising Agency" and "Top Digital Marketing Agency" in Nashville by Expertise.com and UpCity. Daily responsibilities include, but are not limited to, trafficking and launching campaigns across platforms, managing ad tags and tracking, monitoring delivery, troubleshooting technical issues, and ensuring campaigns run accurately and on time.
Specialist, Software Quality Engineering L3Harris Technologies IncSpecialist, Software Quality EngineeringNashville, TNEssential Functions: Review functional and design specifications to ensure full understanding of individual deliverables; Identify test requirements from Conditions of Acceptance, map test case requirements, and design test coverage plan; Develop, document and maintain functional test cases and other test artifacts such as test plans, test summaries, and process documents as needed; Develop, execute and evaluate manual test cases and report test results; Lead and participate in test case reviews with cross-functional team members; Identify any potential quality issues per defined process and escalate potential quality issues immediately to Product Owners; Keep team and stakeholders informed of project QA progress and emergent risks; Ensure that validated deliverables meet functional and design specifications and requirements via Functional, Regression, Performance, Stress, and Endurance Testing; Isolate, replicate, and report defects and verify defect fixes via Exploratory, and Usability Testing in addition to above testing methods; Seek opportunities for improvement in quality, including but not limited to efficiency gains and expanding test coverage; Engage as an active participant in Scrum ceremonies; Required to perform other appropriate duties as requested, directed, or assigned. Familiarity with closed network environments; US Government security clearance; Excellent observational, analytical, and problem-solving skills; Excellent listening and interpersonal skills; Ability to stay disciplined and focused; Strong written and verbal communication skills; Able to be productive and effective working either alone or as part of a team; Strong customer service orientation; Experience working in a team-oriented, collaborative environment; #LI-EB1.
Outreach Specialist Quest Talent SolutionsOutreach SpecialistNashville, TNWe’re partnering with a fast-growing tech company (startup-style environment) that’s hiring an Outreach Specialist to support a high-volume verification process. This role sits at the core of the operations team and plays a key part in delivering accurate, time-sensitive products.
EDI Claims Filing Specialist Nesco Resource, LLCEDI Claims Filing SpecialistBrentwood, TN$18–$18 / hourThe EDI Claims Filing Specialist is responsible for ensuring that claims are accurately submitted to payors, either electronically or via paper, with all required documentation. Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
NewPayroll & Onboarding Specialist- The Truth Live Nation WorldwidePayroll & Onboarding Specialist- The TruthNashville, TennesseeThese businesses allow Live Nation Media & Sponsorship to create strategic music marketing programs that connect more than 1,200 sponsors with the 145 million fans that attend Live Nation Entertainment events each year. Live Nation Entertainment is the world’s leading live entertainment company, comprised of global market leaders: Ticketmaster, Live Nation Concerts, and Live Nation Media & Sponsorship.
AI Transformation Specialist Schneider Electric SEAI Transformation SpecialistFranklin, TNDefine success metrics (e.g., forecast accuracy, cycle time reduction, productivity gains) Monitor and track realized business value from deployed AI solutions Continuously optimize models and output based on business feedback Drive an "AI-first" mindset across GSC teams through coaching, training sessions, and use-case demonstrations Act as a translator between technical teams and business users to ensure alignment and successful outcomes Support AI adoption initiatives (e.g., workshops, promptathons, training programs) to improve user engagement and effectiveness. Key Responsibilities Partner with GSC stakeholders (Planning, Manufacturing, Logistics, Procurement) to identify high-value AI opportunities Translate business challenges into AI-enabled use cases with clear value hypotheses (cost, service, productivity) Lead intake, evaluation, and prioritization of AI use cases aligned to Titan goals Design scalable AI/ML solutions leveraging existing platforms (SAP, analytics tools, AI copilots, automation tools) Support end-to-end delivery of AI solutions including development, testing, deployment, and lifecycle management.
Triage Screening Specialist Wounded Warrior Project, Inc.Triage Screening SpecialistTN$68,678–$85,848 / yearAll resumes submitted by search firms to any employee at Wounded Warrior Project via email, the Internet or directly to hiring managers at Wounded Warrior Project in any form without a valid written search agreement in place will be deemed the sole property of Wounded Warrior Project, and no fee will be paid in the event the candidate is hired by Wounded Warrior Project as a result of the referral or through other means.". The Wounded Warrior Project (WWP) Triage Screening Specialist is an integral part of ensuring Alumni and Family Support Members are connected to resources that promote healthy living, while removing barriers to care, and acting as the conduit to the collaborative efforts of internal teammates and external WWP partners.
Data Specialist Stride, Inc.Data SpecialistNashville, TennesseeRemoteIn addition, the coordinator supports data collection for required assessments, applies appropriate statistical methods, reviews school and state data to identify trends and comparisons, and develops reports for internal and external stakeholders as needed. This role maintains accurate and confidential student achievement records and supports data analysis training for teachers and administrators to improve instruction and student learning outcomes, with a focus on academically at-risk students.
NewClaims Investigative Specialist Allstate Insurance CompanyClaims Investigative SpecialistTNRemote$50,000–$74,350 / yearAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through 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.
DRONES AND ADVANCED AIR MOBILITY (AAM) TECHNICAL SPECIALIST - 05192026-77350 State of TennesseeDRONES AND ADVANCED AIR MOBILITY (AAM) TECHNICAL SPECIALIST - 05192026-77350Nashville, TNAdditional Job Duties for the Technical Specialist III include: Lead the development and implementation of statewide drone and AAM strategies, serve as a technical resource in coordination with the FAA, American Association of State Highway and Transportation Officials (AASHTO), National Association of State Aviation Officials (NASAO), and industry partners. The Technical Specialist plays a key role in integrating emerging drone and AAM technologies into planning and operational workflows, supporting quality assurance, compliance with Federal Aviation Administration (FAA) regulations, and contributing to the advancement of safe and innovative aviation solutions across the state.
Program Analyst / Documentation Specialist Essential Healthcare Solutions LLCProgram Analyst / Documentation SpecialistNashville, TNRemoteEssential Healthcare Solutions LLC is supporting Pinnacle Solutions & Consulting Group (PSCG), an SBA-Certified Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in New Braunfels, Texas, in its search for motivated, solution-driven team players eager to embrace the responsibilities of working in a dynamic and professionally rewarding environment. Pinnacle Solutions & Consulting Group, LLC (PSCG) provides federal disaster response and emergency management consulting services.
NewPrincipal Clinical Specialist, Pelvic Health - Nashville, TN MedtronicPrincipal Clinical Specialist, Pelvic Health - Nashville, TNNashville, TennesseeRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
Payroll & Onboarding Specialist- The Truth Live Nation Entertainment IncPayroll & Onboarding Specialist- The TruthNashville, TNThese businesses allow Live Nation Media & Sponsorship to create strategic music marketing programs that connect more than 1,200 sponsors with the 145 million fans that attend Live Nation Entertainment events each year. Live Nation Entertainment is the world's leading live entertainment company, comprised of global market leaders: Ticketmaster, Live Nation Concerts, and Live Nation Media & Sponsorship.
Medicare Risk Adjustment Coding Specialist- Remote American Health PlansMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteFull timeReview medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. • Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment to include the review of regulatory announcements via educational sessions provided by regulatory entities and educational opportunities within the industry.
APPEALS SPECIALIST University Health Services IncAPPEALS SPECIALISTBRENTWOOD, TNManages the staff responsible for all post-discharge provider authorization disputes, and provider "take-backs" due to clinical authorization and closed chart denial appeals Works with HIM to retrieve charts and facility clinicians to obtain any missing information in a timely manner to ensure the best possible case for appeal is submitted. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Senior Application Specialist – Oracle Fusion ERP Brookdale Senior LivingSenior Application Specialist – Oracle Fusion ERPBrentwood, TNFull timeAn Oracle Fusion Applications Specialist supports, configures, and optimizes Oracle Fusion Cloud modules (ERP, HCM, SCM) to ensure system stability and business process efficiency. Integration & Data Management: Facilitating data migration and integration with other systems using tools like FBDI (File-Based Data Import), REST/SOAP APIs, and OIC (Oracle Integration Cloud).