Managed Care jobs in Tennessee

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Managed Care Contracting Manager
¨ Managed care contract organization. The Managed Care Contracting Manager serves as the conduit for Managed Care (payer) related issues between University...
Nurse Practitioner Columbia, TN Part Time
Concentra - 1,648 reviews - Columbia, TN
Develop and implement patient management plans, communicating with Patient Aligned Care Team to ensure appropriate standards of care....
Pricing Analyst
Health Insurance or Managed care experience preferred. Strong understanding of managed care metrics (PMPM, Utilization/1000 and ALOS)....
Payor Relations Manager
CleanSlate - 19 reviews - Tennessee
Assist as needed with researching demographic information on managed care entities for current contracts, contract revisions and potential payor targets in...

Network Director

UnitedHealth Group - 11,476 reviews - Tennessee   +1 location
Make health care work better for everyone. 5+ years experience working with a managed care organization, health insurer, or consultant in a network management /...

Compliance Sr Specialist - Monitoring Part C Organization De...

Cigna - 2,993 reviews - Nashville, TN
Minimum of three to five years of related experience with Medicare Part C regulations and the Medicare Managed Care Manual;...

Community Health Worker

UnitedHealth Group - 11,476 reviews - Kingsport, TN 37662
Experience working in Managed Care. Support transitions of care. Proactively engage the member to manage their care....

Manager - LTSS Provider Relations and Contracting Administra...

BlueCross BlueShield of Tennessee - 5,531 reviews - Nashville, TN   +1 location
8 years of managed care healthcare industry experience which has included leadership responsibility for provider networks, and recent significant management...

Provider Enrollment Specialist WFH

Nashville Physician Service Ce - Brentwood, TN
Minimum one year related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment....

Director of Managed Care Contracting

Network Pharmacy - Murfreesboro, TN
Managed Care contracting:. Director of Managed Care Contracting*. 3-5 years of managed care contracting experience....
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Provider Engagement Executive - Nashville, Tennessee

Humana - 4,064 reviews - Nashville, TN   +1 location
Experience and understanding of Managed Care. Business and financial acumen in the health care field. Humana Inc., headquartered in Louisville, Ky., is a...

Attorney

State of Tennessee - Division of TennCare - Nashville, TN
$4,542 - $8,176 a month
The Attorney will be responsible for managing and directing the Legal Assistants in the identification of case information needed including documents generated...
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Payor Relations Manager

CleanSlate - 19 reviews - Tennessee
Assist as needed with researching demographic information on managed care entities for current contracts, contract revisions and potential payor targets in...

Quality Improvement - Director

WellCare - 900 reviews - Brentwood, TN 37027
$108,000 - $137,000 a year (Indeed est.)
Required 5 years of experience in managed care. Certified by the National Association for Health Care Quality, or certified in Health Care Quality and...
Repricing Specialist
2-5 years related experience in the business field, clinical vendor management, financial and/or managed care preferred. Essential Functions of Job:....
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Clinical Pharmacist II (Managed Care)
Postgraduate training/residence OR 5 years’ experience in managed care delivery required. Experience within the pharmacy area of a managed care organization...
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