Senior Health Economics & Medicare Claims Analyst
Wellvana
Wellvana in Nashville, TN is seeking a Manager of Program Research to drive analytical efforts based on Medicare claims data. This role involves designing surveillance logic, analyzing patterns affecting ACO benchmarks, and delivering actionable insights to both technical and non-technical stakeholders. Ideal candidates have extensive experience in healthcare analytics and knowledge of health economics methodologies. #J-18808-Ljbffr
$90k - $100k
Ryder System, Inc. is seeking a Claims Analyst to manage complex bodily injury and property damage claims. This role involves investigating... ...competitive salary ranging from $90,000 to $100,000 per year, along with comprehensive health benefits. #J-18808-Ljbffr Ryder System, Inc.Senior- ...Humana Inc. is seeking a Medical Director for clinical leadership across home health and post-acute care. This role is crucial for influencing care for Medicare Advantage members, ensuring high-quality healthcare delivery. Responsibilities include overseeing the post...Senior
$23.16 per hour
...Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround... ...years of relevant, progressive experience in health insurance claims 3 years of prior... ...years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise...SeniorFor contractorsWork at officeLocal area$70.6k - $141.2k
...Job Description Sr. Financial Analyst, IaaS Workload Health Job location: US Nationwide, Remote Oracle Cloud Infrastructure (OCI) is one... ...the OCI Leadership team, advising on optimizing business economics while rapidly scaling. In this role, you will be part...SeniorTemporary workRemote workFlexible hours- ...Nashville CARES is seeking a Senior Research Program Manager to lead a large-scale patient-centered research initiative in Nashville,... ...engagement with healthcare providers and community partners to improve health outcomes. The ideal candidate will have a doctoral degree and...Senior
$71k - $104.4k
...Claims Representative Under the direction of the Claims Team Leader, the Claims Representative investigates and resolves claims promptly... ...and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of...SeniorFull timeContract workTemporary workWork experience placementLocal area- Bridgestone Americas is seeking a seasoned Health, Safety, and Industrial Hygiene (HS & IH) professional in Nashville, Tennessee. This role involves oversight of health and safety matters to minimize liabilities within the division. The ideal candidate will have comprehensive...Senior
$115.4k - $251.6k
...Job Description About Oracle Health Applications & Infrastructure Oracle Health Applications & Infrastructure (OHAI) is building... ...infrastructure, and healthcare transformation. About the Role As an Senior Principal Product Manager, you will own product outcomes for key...SeniorTemporary workFlexible hours$96.88k - $127.15k
Oscar is seeking a Senior Sales Executive to join its Sales team. This remote position based in Tennessee requires driving membership growth... ...9 annually along with comprehensive benefits, including unlimited vacation, health insurance, and a 401(k) plan. #J-18808-Ljbffr NamelySeniorRemote job- Bridgestone America, Inc. in Nashville, Tennessee seeks a Health & Safety Fire Protection Engineer. The role involves developing fire protection specifications, conducting safety audits, and collaborating with third parties on fire safety systems. The ideal candidate should...Senior
$125.06k - $208.44k
NTT DATA is seeking a Business Consulting Senior Manager in Nashville, Tennessee. This role involves managing project health while mentoring a team and ensuring quality deliverables for clients. Qualified candidates should have at least 10 years of experience in relevant...SeniorRemote job- 6AM City, LLC is seeking a Senior Engineer to develop core services that drive our mission to connect individuals with life-saving mental health treatment. You will work with cutting-edge technologies such as React, Python, and PostgreSQL to build impactful services and...Senior
- ...Mid-Senior Level Associate Top AmLaw 100 firm a mid-senior level associate to join its premier Health Care Practice Group, supporting the national Telemedicine & Digital Health Industry Team. The position may be based in Tampa (preferred) or in any of the following...SeniorWork at office
- ...Description:The Tennessee Department of Health (TDH) is currently recruiting a HealthCare... ...Regularly communicating with department senior leadership and staff Continuously collaborating... ...management, informatics, nursing, economics, business administration, or related fields...SeniorFull timeContract workWork at office2 days per week
- ...A national independent insurance adjusting firm is seeking experienced Multi-Line Claims Adjusters to handle commercial and residential property claims remotely. Candidates should have a minimum of 5 years' experience in property and liability adjusting, possess strong...SeniorRemote work
- ...A major health services provider seeks a Healthcare Senior Analytics Consultant in Nashville, TN. The ideal candidate will lead enhancements to Medicare Part D Star ratings through advanced reporting and analytics. Responsibilities include designing dynamic dashboards...Senior
$124k - $280k
...Specialty/Competency: Data, Analytics & AI Industry/Sector: Health Services Time Type: Full time Travel Requirements: Up to... ...strategies that enhance healthcare operations. As a Senior Manager, you will influence key stakeholders, making sure that innovative...SeniorFull timeH1b- ...Job Description As a Health and Benefits Senior Director, you will lead client engagements involving the design and management of the full array of health and benefits programs. You will drive the strategy and grow relationships with current clients by leveraging...SeniorTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
$53.3k - $100.7k
...Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability Generous PTO (including... ...others, and join Team Unum today! General Summary: The Senior Underwriter will demonstrate strong risk evaluation, selection...SeniorTemporary workWorldwideFlexible hours$95k - $105k
Senior Claims Specialist - TN Workers' Compensation page is loaded## Senior Claims Specialist - TN Workers' Compensationremote type: Remotelocations: Tennessee, USAtime type: Full timeposted on: Posted Todayjob requisition id: R8770**Be Here. Be Great.** Working for a leader...SeniorFull timePart timeSeasonal workWork at officeNight shift$15k
A leading risk management firm in Nashville is looking for an Experienced Surety Bond Desk Adjuster. This role involves managing claims up to $15,000 and requires strong analytical and legal knowledge. Responsibilities include investigating claims, determining coverage...SeniorHourly pay- ...Kimedics, LLC in Nashville, TN is looking for a Senior Product Owner to lead the delivery of product solutions in healthcare staffing. This role involves defining user stories, managing backlogs, and collaborating closely with stakeholders. The candidate should have significant...Senior
- Bridgestone America, Inc. is looking for a skilled professional to lead diverse projects in Nashville, Tennessee. This role involves coaching lower-level professionals and driving continuous improvement initiatives. Strong communication and negotiation skills with stakeholders...Senior
- ...Psychiatric Medical Care, LLC is seeking a professional in Tennessee to provide essential psychiatric care to the senior population. The role involves collaborating with a team and utilizing evidence-based therapeutic approaches to develop personalized treatment plans...SeniorMonday to Friday
$79.2k - $209.5k
.... Preferred Qualifications: Experience with agentic architectures or GenAI platforms. Background in healthcare or digital health systems. Understanding of EHR systems and RCM workflows. Familiarity with healthcare coding standards (ICD/CPT). Disclaimer...SeniorTemporary workFlexible hours- * Leads projects or processes of diverse scope, while working independently with limited supervision* Coaches and reviews the work of lower level professionals* Supports continuous improvement/automation activities* Uses advanced analytical/technical problem solving to ...Senior
- Tennessee Hospital Association is seeking a Data Engineer to design, develop, and maintain ETL pipelines and database systems. This role is crucial for ensuring the delivery of healthcare data products and supports THA's member-facing programs. The ideal candidate should...Senior
$67.9k - $182.55k
We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At... ...supports WD5 financial close reporting on earned premium and incurred claims. Approves medical underwriting exceptions and financial...SeniorHourly payFull timeTemporary workLocal area$25.48 - $63.65 per hour
...Job Description We’re on a journey to advance how health happens with technologies that support clinicians, inspire innovation, empower patients, and save lives. Our mission? To create a human-centric healthcare experience powered by unified global data. It’s a...SeniorHourly payTemporary workFlexible hours$79.2k - $209.5k
...Job Description Role Summary Oracle Health Platform Engineering builds core platform capabilities that enable Oracle Health teams... ...coding, testing, documentation, and operations. We are seeking a Senior Software Developer (IC3) to design, develop, and operate backend...SeniorTemporary workFlexible hours
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