Holistic Health Specialist - Work From Home Health Care Service CorpHolistic Health Specialist - Work From HomeNashville, TNRemote$61,500–$136,100 / yearFunctioning in a clinical care advisory role, assessing members for wellness education and disease management, introduces members to our website tools, educates members regarding wellness and specific conditions, and facilitates the coordination of care for identified members. Identifies alternate treatment programs; consults with physicians, providers, members, and other resources to evaluate options and services required to meet an individual's health needs.
NewBroker Administration Client Consultant - Work From Home Health Care Service CorpBroker Administration Client Consultant - Work From HomeNashville, TNRemote$61,500–$136,100 / yearThrough a consultative approach, the Client Consultant translates complex data into actionable insights that empower Topline Agency to make informed business decisions, cost containment strategies, while maintaining a customer centric approach to service, anticipate partner needs, understand potential pitfalls, and efficiently and effectively responds to partner requests. This position analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers, identifies and interprets trends and patterns in datasets to locate influences to help improve satisfaction with HealthSpring.
Clinical Pharmacist (MTM) - Work From Home Health Care Service CorpClinical Pharmacist (MTM) - Work From HomeNashville, TNRemote$102,000–$184,300 / yearThese reviews include but are not limited to the assessment of drug interactions, identifying therapeutic duplications, evaluating renal and hepatic dosing adjustments, addressing evidence-based gaps in care, supporting STAR-related pharmacy initiatives, and identifying barriers to medication affordability and adherence. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
NewSr. Analytics & Reporting Analyst - Work From Home Health Care Service CorpSr. Analytics & Reporting Analyst - Work From HomeNashville, TNRemote$61,500–$136,100 / yearAnalyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers, identifying, interpreting trends and patterns in datasets to locate influences. Producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division's strategic initiatives and broader research needs.
Sr Network Mgmt Consultant - Work From Home Health Care Service CorpSr Network Mgmt Consultant - Work From HomeNashville, TNRemote$61,500–$136,100 / yearThis position is responsible for small, mid-size, and large provider recruitment and contracting activities for physicians, physician groups and facilities (hospitals, independent physicians with negotiations, Group / Ipas, etc). Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
Principal Network Management Consultant - Work from Home Health Care Service CorpPrincipal Network Management Consultant - Work from HomeNashville, TNRemote$92,700–$167,500 / yearPREFERRED JOB REQUIREMENTS: Strong Value-Based Care (VBC) contracting experience, including development, negotiation, implementation, and management of value-based provider agreements, risk-sharing models, and performance-based reimbursement arrangements. Demonstrated strong organizational skills, with the ability to effectively manage multiple priorities, complex projects, competing deadlines, and large-scale initiatives in a fast-paced environment.
NewSr. Analyst System Pricing - Work From Home Health Care Service CorpSr. Analyst System Pricing - Work From HomeNashville, TNRemote$61,500–$136,100 / yearKnowledge of CPT, HCPCS, ICD10, Revenue code and/or DRG coding practices, Relative Value Unit, Anesthesia, Durable Medical, and other methodology in support of current and future pricing scenarios. This position is responsible for system pricing development; support functions needed for contract financial analysis and performance; coordination of internal/external audit requests; performing routine and ad hoc reporting; and maintaining an understanding of provider contracts.
High School Special Education Teacher Stride, Inc.High School Special Education TeacherNashville, TennesseeRemoteThe mission of Volunteer State Virtual Academy (VSVA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. Ensure all special education and related services are provided as determined by the IEP team by: Communicating with parents and applicable related service staff to ensure that students with special needs are receiving the appropriate therapies.
Elementary Special Education Teacher Stride, Inc.Elementary Special Education TeacherNashville, TennesseeRemoteThe mission of Volunteer State Virtual Academy (VSVA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. Ensure all special education and related services are provided as determined by the IEP team by: Communicating with parents and applicable related service staff to ensure that students with special needs are receiving the appropriate therapies.
Middle School Special Education Teacher Stride, Inc.Middle School Special Education TeacherNashville, TennesseeRemoteThe mission of Volunteer State Virtual Academy (VSVA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. Ensure all special education and related services are provided as determined by the IEP team by: Communicating with parents and applicable related service staff to ensure that students with special needs are receiving the appropriate therapies.
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote Sedgwick Claims Management Services, Inc.Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | RemoteTNRemote$60,000–$65,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze GL, BI, Auto, and Premise claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
CUSTOMER SERVICE SUPPORT SPECIALIST REMOTE Leisure Life TravelCUSTOMER SERVICE SUPPORT SPECIALIST REMOTENashville, TNRemote$1,500–$6,500As a Remote Travel & Events Coordinator, you will assist clients with planning vacations, cruises, resorts, group travel, destination celebrations, and special travel experiences. Applicants must be at least 18 years of age, reside within the United States, possess strong communication skills, have reliable internet access, and be comfortable using a computer and online technology.
NewFull Time Call Center Representative (Urgently Hiring) MCI LCFull Time Call Center Representative (Urgently Hiring)Nashville, TNRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Social Worker, Social Services Humana IncSocial Worker, Social ServicesTNRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Social Worker, Social Services works in a telephonic environment, assessing and evaluating members'' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
Lead Cloud Engineer - Contact Center Technology Humana IncLead Cloud Engineer - Contact Center TechnologyNashville, TNRemote$129,300–$177,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Lead Cloud Solutions Engineer provides senior-level solutions engineering leadership for Humana''s cloud-based CCaaS platforms, including Genesys Cloud and Google CX Agent Studio.
NewSenior Technology Leader Humana IncSenior Technology LeaderNashville, TNRemote$106,900–$147,000 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Associate Director, Technology Lifecycle Management Humana IncAssociate Director, Technology Lifecycle ManagementNashville, TNRemote$142,300–$195,700 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Senior Software Engineer Humana IncSenior Software EngineerNashville, TNRemote$106,900–$147,000 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Member Service Representative Shared Service Solutions LLCMember Service RepresentativeTNRemoteTOP JOB RESPONSIBILITIES: Answer high-volume inbound calls and use strong technical proficiency to navigate multiple systems (telephony platform, account servicing tools, CRM, knowledge base, and web-based applications) to provide accurate information, resolve inquiries, and fulfill requests for member and non-member callers. Problem solving and critical thinking; Exercise good judgement/reasoning and resourcefully solve routine problems; Organize and handle multiple tasks and prioritize; Handle confidential/sensitive information; Exhibit excellent customer service skills.
Lead, IT Portfolio Management, Next Best Action Humana IncLead, IT Portfolio Management, Next Best ActionNashville, TNRemote$117,600–$161,700 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Build and scale the portfolio operating model for the domain, including governance routines, portfolio syncs, QBR inputs, financial checkpoints, roadmap reviews, risk and dependency reviews, intake management, decision tracking, and executive-ready reporting.
Provider Contracting Professional (Dental Network) Humana IncProvider Contracting Professional (Dental Network)TNRemote$65,000–$88,600 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Prioritization of leads, fee schedule reimbursement, needed travel for in person dental office visits, research of local community events and how Humana can support these events, identification of local dental society sponsorship opportunities and assisting providers with a variety of issues.
Clinical Specialist, Cardiopulmonary - North America LivaNova PlcClinical Specialist, Cardiopulmonary - North AmericaNashville, TNRemote$145,000–$160,000 / yearCollaborates weekly with key internal stakeholders for installations and evaluations, including the Clinical Specialist team, Field/Technical Service & Account Executives - working seamlessly in order to increase all team's efficiency and time with the customer. These sessions include coordinating hospital clinical and non-clinical demonstrations, in-person and virtual education programs, intra-operative case coverage, supporting product evaluations and ad hoc training when needed.
Senior Informaticist Humana IncSenior InformaticistTNRemote$97,900–$133,500 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Remote Inside Sales Representative Liberty Mutual Holding Company IncRemote Inside Sales RepresentativeNashville, TNRemote$55,000–$75,000 / yearBring your unique sales talent to our Fortune 100 company and receive paid-training, licensing in all 50 states, and a dynamic role that directs only warm leads your way (no cold calls) - because we believe in supporting your success, not holding it back. As an Inside Sales Agent you will be handling inbound calls and warm leads, consulting with customers on their insurance needs and match the correct coverages, products, and benefits to convert sales leads into policyholders.
Lead GCP Engineer: AI Platforms & Development Concentrix CorpLead GCP Engineer: AI Platforms & DevelopmentTNRemote$122,001–$191,715 / yearAI Service & Agent Engineering: Build and maintain production-grade microservices and APIs that orchestrate Agent workflows using tools like Gemini Enterprise (fka Agentspace), CX Agent Studio, Vertex AI Agent Builder, Generative Playbooks, and the Agent Development Kit (ADK). Innovation Lab Asset Development: Serve as the lead engineer for the GCP Innovation Lab, responsible for the hands-on development of strategic accelerators, POCs, and high-fidelity demos; translate innovative IP and project-based learnings into reusable technical assets and "starters" that optimize delivery speed.
Sr. Client Services Specialist - Key Accounts Guardant Health IncSr. Client Services Specialist - Key AccountsTNRemote$69,785–$95,965 / yearFounded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer.
NewOnsite Care Coordination Nurse HumanaOnsite Care Coordination NurseTennesseeRemoteWork at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
RVP Health Plan ASO Sales Vori Health, Inc.RVP Health Plan ASO SalesNashville, TNRemoteThis role reports to the SVP of Payer Sales and will collaborate closely with Vori Health Employer Sales, Client Services, Clinical Operations, Marketing, and the Actuarial/Analytics team to develop payer-specific value propositions, support cross-channel opportunities, and ensure a smooth transition from sale to implementation and ongoing partner success. Using a unique care model to help patients find the best path forward, Vori Health connects patients to a trained care team that includes a nonoperative physical medicine physician, a health coach navigator, and a physical therapist who manage the initial patient assessment and then work to coordinate all aspects of care.