1425 Network Administrator jobs in Franklin,TN

Manager of Managed Care Operations - Hybrid / Remote

Surgery Partners

Nashville, TN 37219

RemoteHealth InsurancePaid Time OffRetirement Benefit

Bachelors degree required in business, technology or healthcare related field
Minimum of 3 years of experience in managed care environment
2+ years of negotiation or provider relations experience between providers and major commercial payors in markets in the U.S. and or experience in contract analysis for ASC services.
Experience with ASC reimbursement methodologies.
Experience working with payors and billing office staff to resolve payment discrepancies.
Reasonable understanding of healthcare CPT coding and billing.
Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
Moderate knowledge of Excel and/or ability to expand knowledge quickly.
Solid understanding of payer contract reimbursement methodologies and application of payor policies on reimbursement expected under existing and future agreements.
Strong writing skills and ability to communicate effectively in order to negotiate key terms of payor agreements.
Understanding of healthcare industry trends in payor negotiations including contract language, product development trends, pay for performance programs, bundled payment programs, etc.
Understanding of provider reimbursement methodologies from Medicare, and knowledge of how Medicare reimbursement is updated from time to time.
Must be self-motivated and able to work independently. Inquisitive nature and interest in sharing knowledge among team members.
Must be able to provide timely written and verbal communication of complex negotiations to internal leadership.
Experience managing multiple projects and negotiations with varying teams and deadlines.
Strong communication skills necessary.
Team orientation toward success.
Physical Requirements Occasionally 0 – 33% Frequently 34 – 66% Constant 67 – 100%
Talk / Hear X
See X
Stand X
Sit X
Normal Office Surroundings X

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New, Posted 22 hours ago

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Process Assistant, Global RAD Operations

Amazon.com Services LLC

Nashville, TN 37247

~ 31 min OnsiteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

1+ years of Microsoft Office products and applications experience
High school diploma or equivalent
Work a flexible schedule/shift/work area, including weekends, nights, and/or holidays
Can lift up to 49 pounds, stand/walk during shifts lasting up to 12 hours, and be able to frequently push, pull, squat, bend, and reach
Work 40 hours/week, and overtime as required

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New, Posted 9 hours ago

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advanced systems analyst- Workforce Management (Nashville, TN)

Starbucks

Nashville, TN 37247

~ 31 min OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Bachelor's degree in Applied Computer Science, Computer Applications, Engineering, Information Technology, or a related field
7+ years of post-bachelor's and progressive experience in a related systems analyst role
Overall 7+ years of experience working on all facets of system development lifecycle supporting and interfacing with systems
Minimum of 2 years of experience in a Workforce Management solution (i.e UKG, Ceridian, Kronos, Blue Yonder WFM, etc.) - UKG Preferred
Minimum of 2 years of experience in central operations and/or Human Capital/Workforce management
Must have hands-on system configuration experience in support of solution delivery initiatives within a WFM application
Required knowledge of SQL and one or more of these DB's - Oracle, MySQL, Teradata etc.
Adept at queries, report writing and presenting findings

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Resources and Systems Coordinator

LEO Events, LLC

Nashville, TN 37201

New, Posted 1 hour ago

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Program Scheduler

L3Harris Technologies

Nashville, TN 37244

~ 31 min OnsiteBilingual Preferred

Bachelor's degree and at least 4 years of planning/scheduling experience in a DoD environment, or a Master's degree with at least 2 years of related experience
In lieu of a degree, 13 years of directly related experience will be considered
Demonstrated experience developing and managing Integrated Master Schedules, including:
Schedule setup
Baseline management
Schedule updates and maintenance
Critical path analysis
Schedule Risk Assessments (SRA)
CDRL deliverables
Experience with Earned Value Management Systems (EVMS)
Experience with schedule health metrics and analysis, including DCMA 14-point assessment and metrics such as BEI, CPLI, and SPI
Proficiency in Microsoft Project, Excel, Pivot Tables, and PowerPoint
Strong critical thinking, problem-solving, organizational, and multitasking skills
Strong attention to detail and commitment to high-quality deliverables
Ability to work effectively under tight deadlines and influence stakeholders at all levels of the organization
U.S. Citizenship required
Must be able to obtain and maintain a security clearance