Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Nashville, TNRemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
Dir, Ntwk Ops Engagement TriWest Healthcare AllianceDir, Ntwk Ops EngagementNashville, TNRemoteFull timeBachelor's degree in Business, Health Care Administration or equivalent experience • U.S. Citizen • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation • 8+ years of leadership or account management experience in a managed care environment that includes end-to-end provider network delivery experience such as overseeing successful contracting, credentialing, data loading, and ongoing maintenance of any claims issues while working with both executive and operational stakeholders • 8+ years' provider healthcare experience spanning multiple provider types and across regions • Experience and fluency in health plan credentialing, provider data systems, healthcare analytics, and/or performance management. • Lead partnership, advocacy, and service delivery for a portfolio of Health Systems across multiple states, along with large Provider Group strategic partnerships and National providers • Support MVS Field Staff and Military Treatment Facility/VA Medical Center network/provider needs in their regions.
Utilization Management Clinical Reviewer TriWest Healthcare AllianceUtilization Management Clinical ReviewerNashville, TNRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Provider Certification Specialist TriWest Healthcare AllianceProvider Certification SpecialistNashville, TNRemoteFull timeThe Provider Certification Specialist is also responsible for ensuring applicable TRICARE providers are accurately and timely loaded into the provider data system to support operational readiness and downstream business processes, while performing ongoing maintenance of provider certifications and provider data, including updates, changes, and terminations, to support continued regulatory compliance, data integrity, and efficient downstream provider operations. Problem Solving / Analysis: Demonstrates strong problem-solving and analytical skills with the ability to systematically evaluate processes, identify discrepancies or incomplete information, apply sound judgment, and resolve issues to support accurate provider certification, data integrity, and compliance with TRICARE requirements.
Data Analyst TriWest Healthcare AllianceData AnalystNashville, TNRemoteFull timeAnalyzes data by combining multiple data sources and researching various system and healthcare issues in order to perform on time research and analysis to formulate solutions for issues of low to moderate scope and complexity. • Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis.
Cybersecurity Engineer (FedRAMP) (US Remote) Motorola Solutions IncCybersecurity Engineer (FedRAMP) (US Remote)TNRemote$90,000–$100,000 / yearThis position is subject to working in high security areas governed by the US Department of Justice's "Criminal Justice Information Services (CJIS) Security Policy" and therefore requires successfully passing a more stringent fingerprint background check administered by Motorola Solutions Inc. customers. Perform system and network vulnerability scanning and analysis using automated and manual techniques with tools such as Nessus, ACAS, DB Protect, WebInspect, NMAP, and DISA STIGs/STIG Viewer.
Property Adjuster II Erie InsuranceProperty Adjuster IINashville, TNRemoteFull timeAdditional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementNashville, TNRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Provider Credentialing Rep TriWest Healthcare AllianceProvider Credentialing RepNashville, TNRemoteFull timeThis role facilitates meetings to discuss and resolve certification and credentialing issues and concerns, manages the Credentialing shared inbox to provide accurate and prompt responses to internal and external inquiries, and collaborates closely with Credentialing department leaders to evaluate and refine processes. • Assists in developing, compiling, and distributing routine and ad hoc reports on certification and credentialing metrics, KPIs, backlog trends, workflow timeliness, and quality indicators; contributes to presenting findings to leadership and recommending improvement strategies.
Sr Info Security Engineer TriWest Healthcare AllianceSr Info Security EngineerNashville, TNRemoteFull timePlans delivery of solutions; answers technical and procedural questions from less experienced team members; teaches improvement processes; mentors team members and provides security technical leadership to other Information Security and Information Technology team members. • Experience in a role that has lead security operations, security tools and solutions, secure applications and networking in the implementation of NIST and Security Best Practices to meet or exceed compliance with the FISMA Moderate/High requirements.
Data Engineer Sr. TriWest Healthcare AllianceData Engineer Sr.Nashville, TNRemoteFull timeTechnical Skills: Strong knowledge of data warehouse design; data modeling; proficiency with SQL; strong experience with data extraction, transformation, and loading (ETL); working knowledge of report and dashboard development; strong knowledge of SQL Server / Snowflake databases; working knowledge of Oracle databases. • Bachelor's Degree in Business Administration, Computer Science, Mathematics, Engineering, or related field with programming and database systems coursework or equivalent database development experience.
16-18 Ft Box Truck/Cargo/Sprinter Van Owner Operator MMM EXPRESS16-18 Ft Box Truck/Cargo/Sprinter Van Owner OperatorNashville, TennesseeRemote$2,000–$2,500You should own 16 - 18 Ft BOX TRUCK / CARGO VAN / SPRINTER from 2013 year make model and newer; COI with AUTO LIABILITY $1.000.000 and CARGO $100.000. About MMM Express: MMM Express began in Atlanta, GA in 2006 with only one truck in its fleet working out of a garage.
Front Desk Receptionist (Remote) Urbanex Pest ControlFront Desk Receptionist (Remote)Nashville, TennesseeRemoteAs the first point of contact for our visitors and potential employees, the receptionist plays a vital role in upholding our companys values of professionalism, integrity, and positive attitude. Greeting clients, future employees, and staff with a professional and courteous demeanor and managing check-ins with efficiency.
Client Services Specialist (Remote) TravelingmedicClient Services Specialist (Remote)Nashville, TennesseeRemoteThis position supports clients through the planning and coordination process, working alongside established partners and suppliers to deliver exceptional service. TravelingMedic is a growing remote services company dedicated to helping clients plan and book exceptional travel experiences.
Remote Travel Coordinator Izzy World TravelsRemote Travel CoordinatorNashville, TennesseeRemoteThe travel industry continues to grow and to supply the demand, we are currently seeking a highly motivated individual who is proactive, friendly, and coachable with a passion for travel. Fast learner with the ability to operate various computer applications and software programs (preferred).
Customer Service & Administrative Office Assistant HRS Talent SolutionsCustomer Service & Administrative Office AssistantMurfreesboro, TennesseeRemote$30–$38 / hourResponsibilities can include:• Reviewing customer, participant, or project related information for accuracy and completeness• Supporting customer service and client feedback projects by organizing responses, comments, and submitted details• Reading written instructions carefully and completing assigned tasks according to provided guidelines• Entering information into online forms, templates, spreadsheets, or tracking sheets• Reviewing names, dates, contact details, submitted answers, and other information for accuracy• Helping organize feedback from surveys, service evaluations, product reviews, and client related projects• Providing structured feedback to support client projects and research assignments• Participating in guided client evaluations and completing form based assessments• Recording reactions, preferences, observations, and responses clearly and accurately• Researching company websites, checking business information online, and verifying whether details are current• Supporting routine office related processes through accurate and consistent task completion• Communicating clearly in writing when completing forms, notes, feedback, or project related responses. It can also serve as a strong starting point for candidates who want to build experience in customer service support, administrative work, online task coordination, data entry, and general office support.
Travel & Lifestyle Assistant (Remote) Traveling with MchailaTravel & Lifestyle Assistant (Remote)Nashville, TennesseeRemoteWe are seeking a proactive and detail-oriented Travel & Lifestyle Assistant to support clients by coordinating travel plans, managing scheduling requests, and assisting with lifestyle-related services. In this role, you will work with clients to understand their preferences, assist with travel planning, coordinate bookings, and help manage various requests related to schedules and experiences.
Remote Mental Health Therapist GHCRemote Mental Health TherapistMurfreesboro, TennesseeRemoteLPC, Counselor, Telehealth, Virtual Mental Health Therapist, LIMHP, Remote LCSW, Psychologist, Behavioral Health, Telehealth Counseling, Remote, Psychotherapist, LMHC, LMSW, Remote, Virtual, Counselor, Telehealth Therapist, Virtual LMFT, LCSW, Remote, LMHP, Mental Health Counseling, Remote, Social Worker, LISW, LICSW, Psychotherapy, LPC, Telehealth, Social Worker, Remote, Virtual, Psychotherapist). Active state license (LMHC, LCSW, LMFT, LPC, LMHP, or Psychologist).
Inside Sales Support Associate Keystone Technologies IncInside Sales Support AssociateNashville, TNRemoteCollaborate with the Sales Support Specialist, Territory Managers, and the Director of Sales Operations to monitor inventory levels, validate material allocation, and proactively support future project demands and order fulfillment. Cross-reference lighting manufacturers' part numbers to Keystone products, ensuring accurate specification matching, competitive replacements, and effective support for customers, distributors, and sales teams.
Vascular Therapy Development Specialist - Nashville, TN MedtronicVascular Therapy Development Specialist - Nashville, TNNashville, TennesseeRemoteIf you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).