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46 Jobs in Tennessee

  • Provider Network Manager

    Hartsville, Tennessee
    ... The Provider Network Manager develops the provider network through contract negotiations (language ... providers, providers in areas with increased competition or where greater provider education around managed ...
  • Provider Network Manager

    Nashville, Tennessee
    ... The Provider Network Manager develops the provider network through contract negotiations (language ... providers, providers in areas with increased competition or where greater provider education around managed ...
  • Audit & Reimbursement II- Cost Report Audit

    NASHVILLE, Tennessee
    ... other associates. Analyze and interpret data per a provider’s trial balance, financial statements ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    MEMPHIS, Tennessee
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Data Protection Engineer

    Memphis, Tennessee
    ... ; leads or plans implementations for access management and network security technologies. Develops ... events and incidents; provides system and network architecture support for information and network ...
  • Data Protection Engineer

    Knoxville, Tennessee
    ... problems; leads or plans implementations for access management and network security technologies ... security events and incidents; provides system and network architecture support for information and network ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    NASHVILLE, Tennessee
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Data Protection Engineer

    Nashville, Tennessee
    ... ; leads or plans implementations for access management and network security technologies. Develops ... events and incidents; provides system and network architecture support for information and network ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    KNOXVILLE, Tennessee
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Principal Multi-Cloud Network Engineer

    Nashville, Tennessee
    ... Principal Multi-Cloud Network Engineer Elevance Health is seeking a highly skilled Principal Multi-Cloud Network Engineer with expertise in Federal Risk and Authorization Management ...
  • Health Benefits Executive Director

    Nashville, Tennessee
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Go to Market Director

    NASHVILLE, Tennessee
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    NASHVILLE, Tennessee
    ... the manager. Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related ...
  • Nurse Reviewer I

    NASHVILLE, Tennessee
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • Nurse Reviewer I

    MEMPHIS, Tennessee
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • Nurse Reviewer I

    BRENTWOOD, Tennessee
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • Nurse Reviewer I

    KNOXVILLE, Tennessee
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • FedRAMP SOC Analyst

    Memphis, Tennessee
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • FedRAMP SOC Analyst

    Nashville, Tennessee
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • FedRAMP SOC Analyst

    Knoxville, Tennessee
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • Information Security Executive Advisor

    Knoxville, Tennessee
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Information Security Executive Advisor

    Nashville, Tennessee
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Provider Contract/Cost of Care Consultant Senior

    Nashville, Tennessee
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ...
  • Information Security Executive Advisor

    Memphis, Tennessee
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Audit & Reimbursement Senior - Medicare Cost Report Audit

    NASHVILLE, Tennessee
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ...
  • Behavioral Health HEDIS Quality Program Director

    NASHVILLE, Tennessee
    ... quality initiatives. Guides strategic efforts with clinical and network to improve experience of ... and implementing targeted clinical, network, and vendor programs to drive measurable improvements in ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Nashville, Tennessee
    ... problems and leads implementations for system and network security technologies. Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Memphis, Tennessee
    ... problems and leads implementations for system and network security technologies. Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Knoxville, Tennessee
    ... resolution on complex problems and leads implementations for system and network security technologies ... . Coordinates and prepares the reporting of data security events and incidents; provides system and network ...
  • Associate General Counsel

    NASHVILLE, Tennessee
    ... and federal regulatory agencies. Familiarity with provider contracting and network adequacy ...
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