32 healthcare jobs found in Nashville, TN

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Bilingual Customer Service Representative - Spanish-English working remotely, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning employment experience and company culture What You'll be Doing Do you have a passion for helping others and giving them peace of mind? Whether it's getting answers for customers quickly, consulting on health-related products with compassion or resolving their issues with a smile, you'll be the difference between their customer experience being just average or an exceptional one.    On a typical day, you'll  Answer incoming communications from customers Conduct research to provide answers for customers to resolve their issues What You Bring to the Role 6 months or more of customer service experience Integrity to follow HIPAA guidelines on maintaining patient privacy (just as you would...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)  The Senior Product and Project Consultant, Advisory Services is a consulting expert within Optum Advisory Services (OAS) – Payer Enterprise Delivery Services practice. OAS Payer Enterprise Delivery Services is a rapidly growing business that serves clients across the health care ecosystem. We provide on-demand access to consulting talent with unparalleled experience and combine it with premium customer care and flexible...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) Why naviHealth? At naviHealth, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care.  naviHealth is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at...

A client in the greater Nashville, TN area is looking for a 100% remote . NET developer to join their team. This candidate will be responsible for developing cutting edge web app technology on their Azure based platform using the latest software technologies. This resource should be familiar with the full software design life cycle including basic Scrum/Agile approaches to software development. They should have experience in designing, coding, testing, and consistently managing applications. They should be comfortable coding in a . NET/SQL Server/Azure stack and have an ability to write unit tests as well as test their code in order to maintain high quality software. Prior experience in healthcare benefits is very important.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position performs clinical validation, monitoring, and maintenance of the Predictive Scored Model (PSM) for external commercial clients.  This role works closely with commercial Data Scientists by providing clinical input for model improvements and new model development.  Positions in this function are responsible for the management and manipulation of mostly structured data, with a focus...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Energize your career with one of Healthcare’s fastest growing companies.     You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Support actuarial reports and analytics to support Part C and Part D bid development Conduct and evaluate studies on risk adjustment, utilization, and health care costs Perform mathematical analyses and actuarial modeling to provide project managers with statistical findings and...

Summary The Enterprise Value Management team (within the Finance/Seed Organization) is responsible for analyzing and providing actionable insights which results in accelerating value for our external stakeholders. We are currently looking for a Business Analytics Advisor to join our growing team! Responsibilities: Providing analytic insights and recommendations to influence business strategy in partnership with business partners. Managing, supporting, and partnering with other Enterprise Value Management team members through the capital deployment and enterprise portfolio refresh process Creating the enterprise value management framework and tools to drive consistency and accountability. Creating complex financial models to support senior leadership through portfolio prioritization and other ad hoc requests. Executing and applying advanced analytical techniques to deploy robust valuation improvements focused on capacity, value, and performance. Providing...

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job understands and integrates strategic plans, develops business insights, as well as identifies growth opportunities for the Organization. The incumbent works closely with senior leadership to provide analysis, insights and innovative solutions across the organization. Focuses on some of the most pressing strategic issues that the Organization faces and will be a key member in determining the Organization's future across one or more of the following areas: supporting scalability of the organization through capability development, transitioning to a value based environment, developing an optimized network of access points and/or consumerism. Executes upon product strategy and ensures the product activities are in alignment with product vision and corporate strategy. Manages initiatives involving internal and external constituents (e.g. vendors, IDN, providers, diversified services) as necessary to ensure...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) Senior RN Case Managers are RNs who serve as a key member of the UnitedHealthcare Global Emergency Response Center Team and utilize evidenced based practice to assess global traveler’s medical care needs, treatment plans of healthcare providers and the ability of the local healthcare systems to provide appropriate quality and cost effective care when acute, chronic or catastrophic events occur in countries around the world. RNs evaluate, recommend and monitor patient status and associated treatment plans to ensure complex medical cases are managed to the highest level of quality and patient...

Remote, Work from Home, United States POSITION SUMMARY Affordability Governance and Execution team is seeking an experienced Senior Financial Advisor for the Enterprise Affordability Scoring team. This individual will be responsible for working closely with the business teams, business analysts of respective areas, and the leadership across Affordability operating ecosystem to execute robust valuation of enterprise affordability initiatives. Strong analytic skills, financial diligence, and subject matter expertise with strong communication skills is a must to drive data driven prioritization of affordability efforts on consistent basis. ESSENTIAL FUNCTIONS Support development and execution of operational process to enable robust, consistent, and effective valuation of affordability initiatives. Support business teams in building comprehensive business cases and enable data driven affordability strategies. Working closely with business partners, present analytic...

Req ID: 210375 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Infrastructure Pre Sales Principal Architect - Remote (domestic U.S.) to join our team in Newark, New Jersey (US-NJ), United States (US). NTT DATA partners with customers to provide an enterprise more agile, intelligent and secure with our infrastructure services portfolio. Our comprehensive data center, cloud, network, security and workplace capabilities transform IT operations to better support business needs. We use best in class tools, technologies and methodologies to design, implement and deliver hybrid IT and multi-cloud infrastructure environments. With a programmatic approach to IT operations, our team of experts improve agility, application performance, and cost-efficiency using modern technologies like artificial...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.   We’re making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that’s driving the health care industry forward. As a Telephonic Oncology Case Manager RN, you’ll support our Oncology member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing...

The Senior Clinical Data Manager leads studies including (but not limited to) a combination of healthy volunteer and patient populations, multi-site, complex protocol design, strong client management required or reduced timelines. What to Expect Ability to organize and effectively prioritize workload and deliverables. As the Study Manager, be accountable for all DM deliverables as assigned per the established timeline; providing instruction to their DM study team(s) and review of their study team’s output to ensure the highest quality, while adjusting resource allocations accordingly.   Ensure that all allocated projects are carried out in strict accordance with the relevant protocols, global harmonized SOPs, and the specified standards of GCPs. Work with the Project Manager(s) or FSP Lead (or designee) to build timelines to meet contracted milestones by communicating with leads in different disciplines and the full project team as necessary,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Functions as implementation primary point of contact for all inbound and outbound integrations between client systems and Optum Medicaid Management Services (OMMS) Works directly with client and Optum business and technology leadership to plan and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Managing project schedules Updating, adding, project schedule task Loading project calendars to the schedule Adding resources Setting up predecessor and successor task in the schedule Linking task Tracking Milestones Passing all Federal...

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a  Bilingual Insurance Customer Support Associate working remotely, you'll be a part of creating and delivering amazing client experiences while you also #ExperienceTTEC, an award-winning employment experience and company culture. Our TTEC work from home team has 41 preferred residency states. We are currently not hiring from the following geographies: AK, CA, HI or outside of the United States.  Residents of Colorado, Illinois, Massachusetts, New Jersey, New York, Washington, and Washington, D.C. will be considered only based on special business need. What You'll be Doing As an Insurance Customer Support Associate you'll work directly with external brokers to establish rapport/connection and build confidence in our Healthcare Insurance. This is a business-savvy individual with strong customer service experience. You will primarily be responsible for educating, supporting, and updating our Brokers...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Optum Life Sciences is a growing business that combines data, analytics, and expertise to power the next generation of Real World Evidence on behalf of life science customers. Leveraging our market leading data asset, we help turn data into action.  As part of the Optum Life Sciences Product team, the Senior Product Manager will be responsible for developing and managing the product strategy...

We have significant feature development (new UI/UX flows and views) in the next few months and we need additional hands to help keep the project on track. Platform: Services built with Typescript, Node, Doxker, Azure, and GCP Frontend is built on React, GatsbyJS, NextJS, Redux, Typescript, Jest, and Enzyme APIs are built on Node, Express Typescript, Docker, K8s, and Auth0 Backend technologies include Google FHIR stores (healthcare API), Google BigQuery, SQL, MongoDB, and Contentful CMS.

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a permanent work from home Registered Nurse , you'll be a part of creating and delivering amazing customer experiences while you also #ExperienceTTEC, an award-winning employment experience and company culture. What You'll be Doing Do you have a passion for helping others and giving them a peace of mind? In this role, you'll have ownership over resolving escalated or complex calls from customers. Whether it's getting answers for customers quickly, consulting on products with compassion or resolving their issues with a smile, you'll be the difference between their customers' experience being just average or an exceptional one. Our TTEC work from home team has 41 preferred residency states. We are currently not hiring from the following geographies: AK, CA, HI or outside of the United States. Residents of Colorado, Illinois, Massachusetts, New Jersey, New York, Washington, and Washington, D.C. will be...