First Horizon BankClient Specialist First Horizon BankClient SpecialistGermantown, TNHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. About UsFirst Horizon Corporation is a leading regional financial services company, dedicated to helping our clients, communities and associates unlock their full potential with capital and counsel.
First Horizon BankNewDefault Servicing Specialist Senior - SPOC First Horizon BankDefault Servicing Specialist Senior - SPOCKnoxville, TNHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. The Single Point of Contact (SPOC) Default Servicing Specialist role is responsible for providing delinquent or imminent default real estate borrowers with a direct point of contact that will assist them through the loss mitigation servicing process when considering home retention or non-retention options.
AscensionDiagnostic Medical Sonographer AscensionDiagnostic Medical SonographerMcMinnville, TNRegistered Medical Sonographer credentialed from the American Registry of Diagnostic Medical Sonography (ARDMS) OR Registered Radiologic Technologist specializing in Sonography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date. One or more of the following required:Registered Radiologic Technologist specializing in Vascular Sonography credentialed from the American Registry of Radiologic Technologists (ARRT) obtained prior to hire date or job transfer date.
First Horizon BankRisk Specialist I - Data Integrity First Horizon BankRisk Specialist I - Data IntegrityMemphis, TNHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. The primary responsibility of this position is to complete data integrity reviews of all covered loans in compliance with the Home Mortgage Disclosure Act (HMDA) and the Community Reinvestment Act (CRA) in order to effectuate successful CRA and HMDA data integrity examinations.
First Horizon BankFraud Protection Services - Claim Resolution Specialist First Horizon BankFraud Protection Services - Claim Resolution SpecialistMemphis, TNAligned with our core values-client focus, caring for people, commitment to excellence, expanding access, and fostering team success-our specialists play a key role in upholding the integrity of our operations and strengthening relationships with both internal and external clients. About UsFirst Horizon is a leading regional financial services company, dedicated to helping our clients, communities and associates unlock their full potential with capital and counsel.
IDR Inc.NewBilingual Content Specialist/Proofreader IDR Inc.Bilingual Content Specialist/ProofreaderMemphis, TNThis role involves editing, proofreading, and reviewing copy for direct response materials across print and digital channels, with a focus on bilingual content in English and Spanish. Edit, proofread, and review bilingual and English-language copy for donor communications, ensuring accuracy, clarity, and cultural relevance.
First Horizon BankNewFraud Protection Specialist First Horizon BankFraud Protection SpecialistMemphis, TNHeadquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. The ATM/Mobile deposit team is responsible for monitoring the ATM/Mobile hold reports and Early Warning reports, evaluating account activity, placing/extending account holds where necessary and documenting findings.
A.O. SmithNewPayroll Specialist A.O. SmithPayroll SpecialistLebanon, TNThe 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. Competitive compensation package and comprehensive benefits plans which include medical and dental insurance, company-sponsored life insurance, retirement security savings plan, short- and long-term disability programs and tuition assistance.
First Horizon BankNewTrust Client Specialist (Full - Time Temporary) First Horizon BankTrust Client Specialist (Full - Time Temporary)Hickory Hill, TNDistribution of funds by check, wire, or by direct deposit into checking and investment accounts at other institution upon direction of the client and/or administrative officer's request Initiate entries to pay bills for Trust clients Communicating with Trust Administrator regarding liquidity needs for living expenses, gifting purposes, and tax purpose Setting up quarterly, annual, and monthly distributions for clients and assuring that these transactions are accurate and completed in a timely manner. Headquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services.
Wesley GroupNewSenior Payroll Specialist - ADP WFN Wesley GroupSenior Payroll Specialist - ADP WFNFranklin, TNWe're looking for a Senior Payroll Specialist to take ownership of our payroll operations and play a key role in supporting our Human Resources team. Reporting to the Vice President of Human Resources, you'll be a trusted partner across the organization-bringing expertise, reliability, and a solutions-oriented mindset to everything you do.
Amazon StoresNewOnsite Medical Representative Amazon StoresOnsite Medical RepresentativeWatertown, TNCurrent valid Basic Life Support (BLS) certification by an approved emergency cardiac care (ECC) provider; AND must have one of the following: - Current valid Emergency Medical Technician (EMT) OR Paramedic Certification from the Department of Health OR the National Registry of Emergency Medical Technicians (NREMT); OR. The Amazon Workplace Health & Safety (WHS) team sets the strategic direction to provide resources, best practices, and safe environments to proactively manage the health and wellbeing of our workforce.
Oak Street HealthNewMedical Assistant/Phlebotomist Oak Street HealthMedical Assistant/PhlebotomistKnoxville, TN$18.50–$31.72Oak Street Health is on a mission to “Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. The purpose of a Medical Assistant/Phlebotomist at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions.
A.O. SmithNewAccounts Payable Specialist A.O. SmithAccounts Payable SpecialistAshland City, TNOther information includes part numbers, bill of lading numbers, quantity received, quantity vouched, and net quantity, price per each part received, and total price per shipment (quantity multiplied by price per each). 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.
Oak Street HealthNewMedical Scribe - $1,000 sign-on bonus Oak Street HealthMedical Scribe - $1,000 sign-on bonusMemphis, TN$17–$25.65Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Company ConfidentialCompliance Specialist Company ConfidentialCompliance SpecialistFranklin, TNFull timeResponsibilitiesMaintain regulatory records, documentation, and required filingsAssist with employee onboarding/offboarding processesAssist with ongoing compliance surveillance, certifications, and employee attestations Execute routine compliance testing and monitoring to confirm adherence to internal policies Review and approve marketing and client-facing materials to ensure compliance with applicable regulations Assist with annual reviews, regulatory updates, and special projects. Determining 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.
Company ConfidentialNewClient Accounting Specialist Company ConfidentialClient Accounting SpecialistFranklin, TNFull timeKey ResponsibilitiesOversee financial activity across a portfolio of clients, ensuring all transactions are recorded and maintained accuratelyReview and approve vendor invoices, expense reports, and disbursements to ensure compliance with client expectationsCoordinate recurring and off-cycle payment processes, including compensation distribution and related reconciliationsMonitor client cash flow, track account balances, and facilitate timely transfers between accounts as neededPartner directly with client representatives to address financial questions, provide updates, and resolve issuesPrepare and review account reconciliations, identifying discrepancies and ensuring timely resolutionMaintain organized and up-to-date financial records across multiple systems and platformsCollaborate with internal leadership to support budgeting, forecasting, and financial reporting initiativesManage competing priorities across multiple clients while maintaining accuracy and responsivenessContribute to process improvements that enhance efficiency and scalability within the accounting functionAssist with ad hoc financial analysis and special projects based on client needs. QualificationsBachelor’s degree in Accounting, Finance, or related field (or equivalent professional experience)2+ years of experience in accounting, bookkeeping, or client-facing financial operationsStrong understanding of general accounting principles and financial workflowsExperience supporting multiple clients or business entities simultaneously is preferredBackground in a fast-paced, service-oriented environment is highly preferred.
Cooperidge Consulting FirmCoding Quality Review Specialist Cooperidge Consulting FirmCoding Quality Review SpecialistNashville, TNRemote$82,000–$90,000Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs). The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records.
Mirror Lake Recovery CenterNewMedical Record Specialist Mirror Lake Recovery CenterMedical Record SpecialistBurns, TennesseeOverview: Medical Record Specialist to assist with Maintaining medical record integrity through filing, assembling, analysis and retrieving confidential patient records. · Pull charts as requested for audits, peer review, readmissions, HBIPS processing and route to appropriate area or department.
Tennessee Orthopaedic AllianceMedical Assistant and Precertification Specialist Tennessee Orthopaedic AllianceMedical Assistant and Precertification SpecialistColumbia, TNPart timeCommunicate with insurance payer representatives, patients, and employees to ensure timely and accurate scheduling for surgeries and procedures (including Commercial plans, Medicare/Medicare HMO, Medicaid/Medicaid HMO, BCBSTN, etc.). Update patient charts during visits, accurately documenting histories, physical exams, treatment plans, and provider notes using medical terminology and abbreviations.
HCA HealthcareMedical Office Specialist HCA HealthcareMedical Office SpecialistHendersonville, TNWith a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.
HCA HealthcareMedical Office Specialist PRN HCA HealthcareMedical Office Specialist PRNChattanooga, TNWith a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.
HCA HealthcareMedical Records Specialist HCA HealthcareMedical Records SpecialistNashville, TNAs a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Completes any certification program and continuing education that may be required by state law to accurately perform the duties of the birth certificate clerk completion and works under the guidelines and process as defined by the state.
MRO CorporationROI Medical Records Specialist MRO CorporationROI Medical Records SpecialistMaryville, TennesseeResponsibilities: Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Overview: The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*.
MindlanceQuality Review and Audit Analyst MindlanceQuality Review and Audit AnalystFranklin, TNRemoteadjustment data and identification of compliance risks in support of IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission. expertise to the role, evaluates complex medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for Continuous Quality Improvement (CQI).
Tailored ManagementBilling Specialist Tailored ManagementBilling SpecialistNashville, TNRemote$22–$22 / hourThis role is responsible for preparing and submitting claims, resolving billing issues, and ensuring accurate and timely reimbursement while maintaining compliance with payer and regulatory requirements. We are seeking a detail-oriented Billing Specialist to support Revenue Cycle Management (RCM) operations for Urology, Radiation Oncology, and Imaging services.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNashville, TN$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.
All Med SearchDRG Validation Specialist All Med SearchDRG Validation SpecialistNashville, TNWe are seeking a knowledgeable and detail-driven DRG Validation Specialist to ensure accuracy and compliance in diagnosis-related group (DRG) assignment and inpatient medical record coding. This role plays a key part in supporting revenue integrity, reducing audit risk, and ensuring accurate representation of patient acuity and clinical documentation.
GTT, LLCStaff Project Controls Specialist GTT, LLCStaff Project Controls SpecialistBrentwood, TNThe Staff Project Controls Specialist will be responsible for leading the project controls processes with the internal project management team to execute project deliverables within budget and schedule. 3 years of direct project controls experience required (5 7 years of experience is ideal for this staff-level role; candidates with approximately 10 years of experience will also be considered).
Charles Lea CenterNewValidation Specialist Charles Lea CenterValidation SpecialistClarksville, TNThe Charles Lea Center is a CQL accredited organization that is based in Spartanburg South Carolina and provides services in South Carolina, and North Carolina and recently was awarded a contract with the Tennessee Department Disability and Aging (DDA) to provide services in their State. Will also be responsible for providing strategic technical assistance to provider agencies to obtain required evidence based on the MAPs programs service definitions provided by the Department of Disability and Aging (DDA) program requirements.
Baptist Memorial Health Care CorpMedical Coder 6 Baptist Memorial Health Care CorpMedical Coder 6Memphis, TNSkill and proficiency in coding inpatient records utilizing ICD CM and CPT through a minimum of 2 years'' experience in an acute care facility, 4 years preferred. Codes diagnoses and procedures of inpatient records and abstracting information at defined facilities for reimbursement, research, and to generate statistical data.
PetVet Care CentersSouthwind Animal Hospital | Part-time Medical Director PetVet Care CentersSouthwind Animal Hospital | Part-time Medical DirectorMemphis, TN$130,000–$145,000 / yearPay Range$130,000—$145,000 USDAt PetVet Care Centers, we're committed to a Culture of Care — for pets, for the people who love them, and for the team members who make it all possible. With more than 420 hospitals across the U.S. and a team of over 11,000 dedicated professionals, including 1700+ veterinarians, we offer a unique blend of local leadership and national support that helps our hospitals thrive.
Summit Medical GroupCertified Medical Assistant (Pediatric Practice) - Goodlettsville Pediatrics Summit Medical GroupCertified Medical Assistant (Pediatric Practice) - Goodlettsville PediatricsGoodlettsville, TNOur busy outpatient Pediatric Practice in Goodlettsville, TN provides excellent healthcare for infants, adolescents, and teens based upon the American Academy of Pediatrics, Bright Futures Periodicity Schedule. Performs point-of-care testing that may include urine analysis, molecular strep & flu testing, fecal occult blood, pregnancy tests, finger sticks, with in-house CBC testing.
CompleteRxRegional Clinical Pharmacy Specialist CompleteRxRegional Clinical Pharmacy SpecialistNashville, TNCoordinate with Managers and Directors on key initiatives and clinical and pharmaco-economic programs; measure improvements in quality, cost or patient care; provide regular status updates to CompleteRx management; and prepare supporting documents as needed. The Regional Clinical Pharmacy Specialist will help review the status of current programs at client locations, contribute to performance improvement activities, and support the implementation of CompleteRx clinical and pharmaco-economic initiatives in collaboration with the Regional Clinical Manager and Directors of Pharmacy.
TriWest Healthcare AllianceProvider Credentialing Specialist TriWest Healthcare AllianceProvider Credentialing SpecialistNashville, TNRemoteFull timeTechnical Skills: Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.
RENT ONEClient Retention Specialist RENT ONEClient Retention SpecialistHumboldt, TNCustomer Success Associate, Account Manager, Client Relationship Associate, Customer Retention Associate, Customer Loyalty Specialist, Account Retention Specialist, Customer Service Retention Specialist, Relationship Retention Coordinator, Collection Specialist, Cashier / Clerk, Retail. We're a trusted solution for customers looking for new or pre-owned products from today's top brands, and after 40 years of serving thousands of happy clients, we're looking for a client retention specialist to help us get to the next level.
AAA Southern New EnglandRegional Senior Casualty Claim Specialist - Litigation AAA Southern New EnglandRegional Senior Casualty Claim Specialist - LitigationTNBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Pyramid, IncStaff Project Control Specialist Pyramid, IncStaff Project Control SpecialistOak Ridge, TN$48–$52 / hourContractorDevelop, implement, and maintain effective scheduling reports, cost reports, cash flows and forecasts for multiple projects. 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.
D4C Dental BrandsAccounts Payable Specialist D4C Dental BrandsAccounts Payable SpecialistFranklin, TennesseeJob Summary: Accounts Payable (AP) Specialist is responsible for the full-cycle, high-volume, multi-location Accounts Payable processes, including invoice review, expense coding, approval hierarchy, vendor disbursements (EFTs and checks), review of travel and entertainment expense reimbursements, vendor import systems, vendor maintenance and relations, and special projects as needed. Responsible for the full cycle Accounts Payable process, including invoice review, expense coding, vendor disbursements, client & insurance refunds, review of travel and entertainment expense reimbursements, process excel import systems, general vendor maintenance and special projects as needed.
Ansible Government SolutionsMedical Records Technician Ansible Government SolutionsMedical Records TechnicianMemphis, TNCurrent certification from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) and/or Association of Clinical Documentation Integrity Specialists (ACDIS). Implement an improvement plan focused on updating problem lists or Scientific Nomenclature of Medicine – Clinical Terminologies (SNOMED-CT) consistent with ICD-10 CM code sets.
Charlie Health IncReconciliation 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. We deliver personalized, virtual care rooted in connection\u2014between clients and clinicians, care teams, loved ones, and the communities that support them.
Johnson Service GroupProject Controls/Cost Specialist (TVA Fossil Plant) Johnson Service GroupProject Controls/Cost Specialist (TVA Fossil Plant)Memphis, TNJohnson Service Group (JSG) is a Tier 1 vendor for the Tennessee Valley Authority (TVA), and we are recruiting for an experienced, Project Controls/Cost Specialist , for a 12-month contract assignment supporting the Allen Fossil Plant in Memphis, TN 38109. FACILITATE PROGRAMS TO ENSURE THE ESTABLISHMENT AND ANALYSIS OF SPECIFIC OPERATIONAL AND PROCESS IMPROVEMENT PLANS USED FOR GOAL SETTING, ESTIMATING PROJECT PLANS, PERFORMANCE INDICATORS/TARGETS, BENCHMARKING, BASELINING, AND TRENDING.
Aegis Sciences CorpRevenue Cycle Specialist II Aegis Sciences CorpRevenue Cycle Specialist IInashville, TNThe Revenue Cycle Specialist II is responsible for analyzing and optimizing the financial processes within a healthcare organization, including patient registration, billing, coding, claims submission, and collections, by identifying areas for improvement, monitoring key performance indicators (KPIs), and implementing strategies to maximize revenue while adhering to compliance regulations; essentially acting as a data-driven expert to streamline the revenue cycle and ensure accurate and timely payments from insurance companies and patients. With a High School diploma, a minimum of five (5) years of experience performing revenue cycle processes in a hospital, laboratory, ambulatory surgery center, or large medical practice with a minimum of two (2) years in denials management required; With a Bachelor's degree, a minimum of two (2) years of finance/accounting experience required.
Diamond CommunicationsSenior Site Acquisition Specialist Diamond CommunicationsSenior Site Acquisition SpecialistNashville, TNSupervise or direct external vendor partners, such as environmental engineers, architectural & engineering firms, title search firms, and other professionals to ensure that transactions close within defined timeframes. Represent the company at meetings with landlords, jurisdictions, homeowners’ associations (HOA), design review boards, and neighborhood groups to address concerns and ensure compliance with requirements.
Varian Medical Systems IncMedical Physicist (Bristol, TN) Varian Medical Systems IncMedical Physicist (Bristol, TN)Bristol, TNIt is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations.". It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations.".
Anne Arundel DermatologySurgical Medical Assistant (Dermatology) Knoxville, TN Anne Arundel DermatologySurgical Medical Assistant (Dermatology) Knoxville, TNKnoxville, Tennessee
Covenant HealthCredentialing Specialist, Business Office Covenant HealthCredentialing Specialist, Business OfficeKnoxvilleRecruiter: Kathleen Rice || kkarnes@covhlth.com || 865-374-5386 Responsibilities Process either new CMG payer enrollment, Pro-fee enrollment, facility credentialing, hospital credentialing or re-credentialing applications of physicians and advanced practice professionals, including the review of applications and other data for accuracy and completeness; preparation and distribution of correspondence such as requests for information; verification letters; verification of licensure/certifications; background checks. The specialist may do any of the following: process payer enrollment, facility credentialing, pro-fee enrollment, expirables, hospital credentialing / re-credentialing applications for CMG Providers, Medical Staff members and advanced practice professionals, and maintains credentialing database.
PricewaterhouseCoopers LLPRisk & Independence Contract Specialist Senior Manager - Advisory Consulting Services PricewaterhouseCoopers LLPRisk & Independence Contract Specialist Senior Manager - Advisory Consulting ServicesNashville, TN$91,000–$321,500 / yearLeading the substantive negotiation of complex commercial contracts; Reviewing and redlining detailed risk, legal, and commercial contract terms; Understanding of professional advisory/consulting service offerings, performance details, and related business strategies, including large-scale technology transformations, vendor selection and assessments, small to medium scale system implementations and AI roadmaps, and business integrator/change management projects; Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations; Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties; Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience. Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance.
Covenant HealthLAB TECHNICAL SPECIALIST Covenant HealthLAB TECHNICAL SPECIALISTCrossville, TennesseeThe hospital features emergency and critical care, surgical suites, and specialized programs such as imaging, cardiac rehab, sleep disorder care, and hyperbaric medicine, all in a family-oriented environment focused on exceptional patient care. Fully accredited by the Joint Commission, Cumberland Medical Center is an acute care hospital offering all private patient rooms as well as comprehensive care including cardiology, orthopedics, maternity, cancer treatment, and wound care.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Nashville, TNRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.