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You know this to be true. The changes impacting health care are adding new complexity and new challenges by the day. Today, new models of care and new networks of providers are emerging to better serve patients and communities. UnitedHealth Group is an innovation leader in creating new levels of system performance and effective levels of diligence and accuracy in billing, reimbursements and audits
Posted 1 day ago
Responsible for managing the network provider relations and contracting staff Set team direction, resolve problems and provide guidance to members of the team Adapt departmental plans and priorities to address business and operational challenges Interface with claims analyst, claims department, and providers in resolving claims issues Responsible for managing all TennCare Medicaid contract deliver
Posted Today
Specific information related to the position is outlined below. To apply, click on the button above. You will be required to create an account (or sign in with an existing account). Your account will provide you access to your application information. Should you have a disability and need assistance with the application process, please request a reasonable accommodation by emailing or by calling 8
Posted Today
Expanding accessto affordable, high quality health care starts here. This is where some of themost innovative ideas in health care are created every day. This is where boldpeople with big ideas are writing the next chapter in health care. This is theplace to do your life's best work . The Network Contract Support Specialist evaluates contracts,analytic reports and other data to ensure contract obl
Posted 4 days ago
At Optum, we are driven to transform health care not just for our own good, but for the greater good. And, with your data reporting and analysis expertise, you can join us on our mission to help make the health care system work better for everyone. As a Senior Data Analyst , you will thrive as you design and implement data warehouse solutions. You will be a primary contributor in developing, testi
Posted 9 days ago
UnitedHealth Group
- Brentwood, TN / Memphis, TN / Nashville, TN / 3 more...
Manage unit cost budgets, target setting, performance reporting and associated financial models Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls Ensure that networ
Posted 12 days ago
Key responsibilities in the role of Manager Insurance Communications under the direction of the Director of Managed Care Responsible for organizing and providing leadership, clinical and administrative expertise related to claim denials and appeals Responsible for developing strong effective strategies to address claim denials Works cooperatively with patient's families, departments throughout the
Posted Today
Bank of America
- Germantown, TN / Little Rock, AR
This role will team with our Financial Advisors in our Wealth Management business, bringing our solutions and services to life for our clients. They will focus the majority of their time deepening relationships by connecting clients to our checking, savings and credit card solutions, engaging them with our digital banking capabilities and leveraging our referral model to Wealth Management Lending
Posted 2 days ago
Prepare and conduct financial, operational, and compliance audits throughout the Company. Perform testing in various areas related to Sarbanes Oxley. Interview, observe, and test internal controls. Document processes using narratives and/or flowcharts. Complete audit workpapers by documenting audit testing and findings. Complete assignments timely. Draft audit findings and audit reports then prese
Posted 7 days ago
Job Description Discovery, Inc ., the new global leader in real life entertainment with powerful brands such as Discovery Channel, TLC, Animal Planet, , , and , is searching for an Internal Auditor in Knoxville, TN to join our Internal Audit team. Not familiar with Knoxville? Many people know as the heart of , but it's also been named , , , and more. The Auditor's primary role is to perform audits
Posted 13 days ago
Sephora
- Knoxville, TN
Job Description Discovery, Inc ., the new global leader in real life entertainment with powerful brands such as Discovery Channel, TLC, Animal Planet, , , and , is searching for an Internal Auditor in Knoxville, TN to join our Internal Audit team. Not familiar with Knoxville? Many people know as the heart of , but it's also been named , , , and more. The Auditor's primary role is to perform audits
Posted 14 days ago
Duties Summary WHAT DOES AN OFFER IN COMPROMISE EXAMINER DO? As an Offer in Compromise Examiner you will implement procedures to review all proposed rejections of offers in compromise prior to the rejection being communicated to the taxpayer. The purpose is to evaluate the case to determine that the correct decision was made. In addition to proposed rejections, the Independent Administrative R
Posted 18 days ago
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