BlueCross BlueShield of Tennessee jobs in Nashville, TN

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Network Manager II - Nashville

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Proactively serve and educate contracted physicians, hospitals, ambulatory surgery centers, ancillary, organizational, and health care practitioners on...
3 days ago - save job - email - more...

Medical Case Manager

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Prefer two (2) years experience in Utilization Management, Case Management or Managed Care. Implementation - The case manager will execute specific intervention...
10 hours ago - save job - email - more...

Patient Centered Medical Home (PCMH) Coordinator - Middle TN

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
The PCMH Coordinator enhances the partnership between the PCMH and BCBST by linking the member to care management programs offered through BCBST....
2 days ago - save job - email - more...

Operations Compliance Analyst - CHOICES

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Monitor various TennCare CHOICES databases to ensure contractual timeliness requirements are met. Equivalent years of experience are defined as a year of...
1 day ago - save job - email - more...

STARS Risk Adjustment Consultant (Provider Quality) - Nashvi...

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Bachelor’s degree or equivalent work experience required. 3 years’ experience with compliance audits in the healthcare industry....
10 days ago - save job - email - more...

Provider Quality Engagement Manager - Nashville

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
BS/BA degree, major(s) in Finance, Accounting, Mathematics, or Management Information Systems preferred or equivalent work experience required....
23 days ago - save job - email - more...

CHOICES Care Coordinator (Nashville Region - all counties)

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
3. Nursing facility placement for those enrollees not able to remain at home. Job. Medical/Pharmacy....
13 days ago - save job - email - more...

System Center Administrator II - OnLife Health

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Work with System Center team and core IT team to identify IT / Helpdesk processes that can be automated with System Center Service Manager, Orchestrator and...
1 day ago - save job - email - more...

STARS Data/System Intergration Consultant (Provider Quality)...

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
The Data/System Integration Consultant will contribute to provider quality related efforts supporting technical tools and maximize data needs to support HEDIS...
10 days ago - save job - email - more...

STARS Quality Incentive Consultant (Provider Quality) - Nash...

BlueCross BlueShield of Tennessee 26 reviews - Nashville, TN
Ability to write reports, business correspondence and effective educational materials. Ability to understand technical clinical terminology to consistently...
10 days ago - save job - email - more...
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