1555 Digital Forensic Analyst jobs in Nashville,TN

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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Commit to Serve Your City Year! (Full Pay/Benefits – Academic Mentor)

City Year

Nashville, TN 37247

OnsiteChildcare AssistanceEducation AssistanceHealth Insurance

Be a U.S. citizen or legal permanent resident
Authorization to work in the U.S. is not sufficient.
Those with DACA status unfortunately are not eligible at this time
Be 17-25 by July 1, 2025
Have a GED or high school diploma
Some college experience
College degree
Have served no more than three terms in an AmeriCorps state or national program*
Agree to and complete a background check
Be able to begin City Year by July/August 2025 (specific start date varies by location)

SmartExplore AI is experimental.

New, Posted 18 hours ago

House Parents

Confidential

Nashville, TN 37247

New, Posted 12 hours ago

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Process Assistant, Global RAD Operations

Amazon.com Services LLC

Nashville, TN 37247

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

SmartExplore AI is experimental.

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