20 risk management jobs found in Nashville, TN

Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt Position Summary: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to be a role model and demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety of others. The Insurance Specialist is responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Essential Job Functions: Analyze, audit and resolve claims outstanding, denied, or incorrectly paid Review and respond to payer correspondence. Submit appeals as needed for denied claims. Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments. Resolves patient billing inquiries. Document in detail all actions taken in accounts receivable system. Meet productivity expectations as outlined by...

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Licensed Property & Casualty Insurance Agent 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. 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 Do you have a passion for helping others and giving them peace of mind? 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...

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Licensed Healthcare Insurance Agent 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. We value your investment in yourself to study and pass the insurance exam in your current state. In this role, we'll help expand on that experience and grow by paying for you to be reciprocally licensed in other states and invest in your continuing education credits, as well as any renewal costs. 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 You'll be using the knowledge that you bring...

Bringing smiles is what we do at TTEC… for you and the customer. As a Director of Contracts, working either remotely or in a hybrid position from our Denver office, 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 Are you looking for an opportunity to partner with a team of experienced legal professionals and support the largest business segment of a public company? As Director of Contracts for TTEC Engage, TTEC's largest business segment with $1.97B in revenue, you'll partner with others to solve complex business issues from strategy to execution. You will serve as the primary legal point of contact for one or more TTEC Engage portfolios, and work directly with members of the TTEC Engage executive team and the TTEC legal and risk department to promote the business segment's growth goals through support of its sales, operations and compliance...

Bringing smiles is what we do at TTEC hellip; for you and the customer. As a Customer Service Representative - Insurance Agent working hybrid in Duluth, GA, you'll be a part of creating and delivering amazing customer experiences while you also #experienceTTEC, an award-winning employment experience and company culture. In this role, you'll grow your career by connecting your customer service aptitude to become a Personal Lines Insurance Agent with TTEC. That's right. TTEC is paying you to train, study, and take your state insurance exam.  We even pay for all your licensing fees and continuing education credits.  It's time to take your career to the next level with TTEC. Already have your active Property and Casualty License? We'd love to have you onboard. We value your investment in yourself to study and pass the insurance exam in your current state. We'll help expand on that experience and grow by paying for you to be reciprocally licensed in other states and invest in your...

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...

Bringing smiles is what we do at TTEC hellip; for you and the customer. You can be a part of creating and delivering amazing customer experiences hellip; and at the same time hellip; #experienceTTEC, an award-winning, employment experience as a Customer Service Representative - Insurance Agent Trainee working remotely. In this role, you'll grow your career by connecting your customer service and sales aptitude to become a Licensed Personal Lines Insurance Agent with TTEC. That's right.  TTEC is paying you to train, study, and take your state insurance exam.  We even pay for all your licensing fees and continuing education credits.  It's time to take your career to the next level with TTEC. 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...

Nashville, TN, USANPN OperationsFull TimeDiagnostic Referral Supervisor Remote NationwideOverviewAre you interested in empowering and sustaining healthy, positive, and measurable differences in the health of individuals while leading a team? Does the thought of leading and motivating a team of exceptionally talented case managers inspire you? Do you thrive in shaping and organizing teams to provide high-quality care that affects individual lives? We believe it takes teamwork and organization to provide medical and care experts to help those with chronic acute conditions to live their best life, teamwork led by a highly skilled home-based Diagnostic Referral Management Supervisor.Your broad responsibilities will include overseeing medical service delivery and the management of diagnostic services to dedicated accounts while ensuring the delivery meets high-quality, efficient, and cost-effective standards in accordance with the World Trade Center Health Program guidelines. Ideal...

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)  This person shall oversee and be responsible for all contracted care coordination (CC) activities for the CHOICES program as defined in this Contract, or in TennCare policy or protocol. This is a field based position requiring the CC to travel, assess, create plans of care, and authorize LTSS services within prescribed timeframes. This team is responsible for the direct and day to day management of our LTSS members in Davidson County area. If you are located in Nashville, TN, you will have the flexibility to work remotely* as you take on some tough challenges. You’ll be rewarded 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.  The Compliance Manager implements and manages the OptumInsight Compliance Program at outsourced clients, including facility and physician/ambulatory revenue cycle services as well as and care coordination/utilization review. Conducts risk assessments and develops Compliance Workplans. Coordinates with client Compliance, Privacy, OptumInsight Operations and Quality Assurance to implement and manage...

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.  The Outpatient Coding Compliance Auditor conducts audits of outpatient facility and/or professional services coding to validate the integrity of ICD-10-CM diagnoses, CPT, HCPCS, modifiers and/or professional Evaluation and Management(E/M) codes assigned for all specialties and chart types. The Auditor validates assigned codes for accuracy based on medical record documentation and established...

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. 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.  The purpose of the PMO is to provide the skills, processes, tools and methodology to enhance Optum’s and our customers’ ability to implement organizational strategy through successful, consistent and predictable delivery of value from project investments. Be the center of excellence for project management practices at Optum and be the sought after partner for project initiatives throughout...

At TTEC, we're all about the Human Experience. Elevated. As a Contracts Manager working remotely in the US, 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 - TTEC is looking for a Contracts Manager to join our high performing Sales Operations team. The contracting function for new business has been forged into a highly functioning, exceptionally valuable role within TTEC and we're looking for a dedicated, positive, creative hard worker who is excited about the opportunity fulfill the full range of responsibilities it requires for our sales executives, client partners and operations teams, in drafting, negotiating and executing on client friendly, minimal risk business terms and conditions for our business, and our clients. You'll report to Vice President, Solution Architecture & Value Engineering. You'll contribute to the success of the...

Bringing smiles is what we do at TTEC… for you and the customer. As a Sr. Financial Analyst working remotely in the US, 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 Looking to provide accurate financial analyses and reporting to leaders and financial forecasting? The finance department at TTEC provides a unique opportunity for career growth in this market. TTEC is one of only a few global, public companies headquartered in Colorado. TTEC's expanded focus is being built through a strategic combination of organic growth and mergers/acquisitions. You'll report to the IT Finance Director.  You'll help build our ability to assimilate these new divisions, integrate into standard processes, and build a scalable, sustainable model to support the business. During a Typical Day, You'll Provide oversight, guidance, and strategic insight for...

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.  The Compliance Manager implements and manages the OptumInsight Compliance Program at outsourced clients, including facility and physician/ambulatory revenue cycle services as well as and care coordination/utilization review. Conducts risk assessments and develops Compliance Workplans. Coordinates with client Compliance, Privacy, OptumInsight Operations and Quality Assurance to implement and manage...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.   As a team member of our naviHealth product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home.  We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing 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: Provide daily utilization oversight and external...

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) The Director of Clinical Programs is responsible for functions in areas across the health plan such as audit oversight, regulatory deliverables, provider relationship enhancement, vendor oversight, and quality clinical care delivery. This position includes activities that support program alignment with contractual requirements, monitoring, and preparation for quality review of multiple medical and clinical operations. Assumes accountability and ownership for many health plan deliverables, for example, Contract Risk Agreement (CRA) required reporting, On Request Reports (ORR), Request for...

About Us: Gallagher Bassett is the world’s premier provider of risk and claims management services. We believe that – with proper management – a world of risk becomes a world of possibilities. It becomes a world where businesses and organizations are freed to do what they do best. To build. To serve. To move forward. Knowing the responsibilities of today and their people are being cared for.   So wherever opportunity and need come next in this world, Gallagher Bassett is there. From Walla Walla, Washington to Wallaroo, South Australia. More than 5,000 of the most dedicated professionals backed by the industry’s most powerful technology. Each with a single and powerful purpose: To GUIDE those suffering a loss to the best outcomes for their health and financial wellbeing. To GUARD our clients’ assets as the trusted stewards of their risk and claims management programs. To GO BEYOND expectations in the continuous pursuit of a better way. Responsibilities: Primarily focused on...

Job Description The Point of Sale team is responsible for building solutions that drive the customer experience and team member experience, during the item lookup and check out process. This team plays an integral, high visible role in working across the company’s Store Operations, Customer Relationship and IT organizations. The Business Analyst candidate will take initiative in proactively defining capabilities of our Point of Sale solution.  This role will dive deep into store operations and system capabilities as they contribute to team member and customer experiences.  The business analyst is dedicated to creating an intuitive and efficient experience in close coordination with both the Product Manager, business and user experience partners. Successful candidates will thrive in an agile environment, speak up to share ideas while documenting clear visions, user stories and overall goals. Strong analytical and communication skills are must-have traits. ESSENTIAL...