Miscellaneous Jobs

Claims Representative - Franklin, TN-331121 Description Job Description: The primary role of the Claims Auditor is to review, identify and validate claim overpayments. Types of overpayment reviews will include, but are not limited to: duplicate payments, contract compliance, authorizations, eligibility, ...

Senior Contracts Administrator Tracking Code 35068 Job Description Prepares moderately complex proposals, contract negotiations, and administration of contracting activities. Interacts with customers in accordance with company's policies and procedures, applicable laws, customer requirements, and sound business judg ...

Utilization Management Nurse (RN) - TennCare-333099 Description We are in search of a seasoned Registered Nurse with strong communication skills to join our TennCare team. In this phone-based role, you will work with area hospitals to review patient cases while ensuring the best care for our valued members ...

UM Inpatient Concurrent Review Nurse (RN) Knoxville-333179 Description The UM Inpatient Concurrent Review Nurse is responsible for the daily review and authorizations of Inpatient members for the ICCT team in East TN. Responsibilities include daily utilization of cases per hospital assignment, appropriate ...

Supervisor, Care Management Associates-333266 Description The Supervisor of the Care Management Associates' main responsibilities will be to support the TN Long Term Care CHOICES business ensuring the Care Management Associate (CMA) team meets the standards set by AmeriChoice. The Supervisor will also ens ...

LPN - Brentwood, TN-330231 Description Position Description: Looking for LPN with insurance experience, managed care experience; call triage or disease management experience preferred. AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segm ...

Job Title Territory Representative-Food Retail Services, Knoxville, TN Functional Area Sales & Service Division Kay Location Tennessee-Knoxville Country United States Employment Status Full Time Job Description Ecolab, Food Retail Services is the premier supplier of cleaning and sanitation ...

State Wide Clinical Director, Long Term Care Program - TN-329478 Description Position Overview: Administratively responsible, together with the TN Long Term Care (LTC) Executive Director, for the organizational development of the Medicaid LTC case management function, located at a highly complex site give ...

Job Title: Utilization Review Pharmacist City: Memphis State/Province: Tennessee Position Type: Full Time Description: Utilization Review Pharmacist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims ...

Associate Business Operations Coordinator - Franklin, TN-329601 Description Position Summary Responsible for the receipt and audit preparation of medical records. Act as the liaison between providers and the Medicare Advantage department by reaching out to confirmed program participants by coordinating t ...


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	Date	Activity	Job Title Relevance	Company	Job Location	Salary

	7/28/2010		Claims Representative - Franklin, TNView Similar Jobs	UnitedHealth Group	Franklin, TN	Not Provided
			Claims Representative - Franklin, TN-331121 Description Job Description: The primary role of the Claims Auditor is to review, identify and validate claim overpayments. Types of overpayment reviews will include, but are not limited to: duplicate payments, contract compliance, authorizations, eligibility, ...
			Categories: Miscellaneous
	7/29/2010		Senior Contracts AdministratorView Similar Jobs	Serco	Memphis, TN	Not Provided
			Senior Contracts Administrator Tracking Code 35068 Job Description Prepares moderately complex proposals, contract negotiations, and administration of contracting activities. Interacts with customers in accordance with company's policies and procedures, applicable laws, customer requirements, and sound business judg ...
			Categories: Miscellaneous
	7/29/2010		Utilization Management Nurse (RN) - TennCareView Similar Jobs	UnitedHealth Group	Brentwood, TN	Not Provided
			Utilization Management Nurse (RN) - TennCare-333099 Description We are in search of a seasoned Registered Nurse with strong communication skills to join our TennCare team. In this phone-based role, you will work with area hospitals to review patient cases while ensuring the best care for our valued members ...
			Categories: Miscellaneous
	7/28/2010		UM Inpatient Concurrent Review Nurse (RN) — KnoxvilleView Similar Jobs	UnitedHealth Group	Knoxville, TN	Not Provided
			UM Inpatient Concurrent Review Nurse (RN) Knoxville-333179 Description The UM Inpatient Concurrent Review Nurse is responsible for the daily review and authorizations of Inpatient members for the ICCT team in East TN. Responsibilities include daily utilization of cases per hospital assignment, appropriate ...
			Categories: Miscellaneous
	7/29/2010		Supervisor, Care Management AssociatesView Similar Jobs	UnitedHealth Group	Brentwood, TN	Not Provided
			Supervisor, Care Management Associates-333266 Description The Supervisor of the Care Management Associates' main responsibilities will be to support the TN Long Term Care CHOICES business ensuring the Care Management Associate (CMA) team meets the standards set by AmeriChoice. The Supervisor will also ens ...
			Categories: Miscellaneous
	7/28/2010		LPN - Brentwood, TNView Similar Jobs	UnitedHealth Group	Brentwood, TN	Not Provided
			LPN - Brentwood, TN-330231 Description Position Description: Looking for LPN with insurance experience, managed care experience; call triage or disease management experience preferred. AmeriChoice is part of the family of companies that make UnitedHealth Group one of the leaders across most major segm ...
			Categories: Miscellaneous
	7/26/2010		Territory Representative-Food Retail Services, Knoxville, TNView Similar Jobs	ECOLAB	Knoxville, TN	Not Provided
			Job Title Territory Representative-Food Retail Services, Knoxville, TN Functional Area Sales & Service Division Kay Location Tennessee-Knoxville Country United States Employment Status Full Time Job Description Ecolab, Food Retail Services is the premier supplier of cleaning and sanitation ...
			Categories: Miscellaneous
	7/28/2010		State Wide Clinical Director, Long Term Care Program - TNView Similar Jobs	UnitedHealth Group	Brentwood, TN	Not Provided
			State Wide Clinical Director, Long Term Care Program - TN-329478 Description Position Overview: Administratively responsible, together with the TN Long Term Care (LTC) Executive Director, for the organizational development of the Medicaid LTC case management function, located at a highly complex site give ...
			Categories: Miscellaneous
	7/29/2010		Utilization Review PharmacistView Similar Jobs	Sedgwick Claims Management Services, Inc	Memphis, TN	Not Provided
			Job Title: Utilization Review Pharmacist City: Memphis State/Province: Tennessee Position Type: Full Time Description: Utilization Review Pharmacist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims ...
			Categories: Miscellaneous
	7/28/2010		Associate Business Operations Coordinator - Franklin, TNView Similar Jobs	UnitedHealth Group	Franklin, TN	Not Provided
			Associate Business Operations Coordinator - Franklin, TN-329601 Description Position Summary Responsible for the receipt and audit preparation of medical records. Act as the liaison between providers and the Medicare Advantage department by reaching out to confirmed program participants by coordinating t ...
			Categories: Miscellaneous
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