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  • Brentwood, TN, USA
    Req #42
    Tuesday, October 20, 2020
    Job Summary: The Sr. Accounting Analyst will report to the Controller and be a key part of a team responsible for the successful completion of the month end close process from beginning to completion.  This role will collaborate cross-functionally with many departments across the company including HR, IT, Claims and Operations regarding financial performance and strategic initiatives.    Duties/Responsibilities: Assist in monthly P&L reporting and analysis to ensur ... More
  • Brentwood, TN, USA
    Req #41
    Monday, October 19, 2020
    Job Summary: The Client Services Coordinator is responsible for the day-to-day servicing of internal and external service requests and projects related to health plan clients. As the day-to-day service line contact for the client, the Client Services Coordinator will work closely with all departments and staff to aim for the highest level of client satisfaction. This position will be directly responsible for managing the service requests, projects, reporting, and performance standards of ... More
  • Brentwood, TN, USA
    Req #40
    Monday, October 19, 2020
    Job Summary: As an energetic, polished, and passionate professional the Client Services Manager is responsible for a health plan clients’ success and satisfaction with myNEXUS. As the day-to-day leadership contact for the client, the Client Services Manager will work closely with all departments and staff to ensure the highest level of client satisfaction as well as providing exceptional leadership that balances the “voice of the customer” with the operational capabilities and values of ... More
  • Virtual
    Req #7
    Tuesday, October 13, 2020
    Job Summary:  Perform pre-certification, certification and/or authorization activities for Home Health Services for members with wound care needs included as contracted services that meet eligibility and benefits coverage. Oversee members who have complex wound needs to determine if the member has the current wound care for the type of wound.  Contact the home care agency and ordering physician to discuss changing the member plan of care for wound care.  Promote healing and decrease home c ... More
  • Brentwood, TN, USA
    Req #39
    Friday, October 9, 2020
    Job Summary: The Service Delivery Coordinator-Customer Service Focus is the front line of the company. This person is responsible for answering all incoming calls from our clients and customers, processing referrals via phone, triaging and troubleshoot both internal and external portal support concerns and making outbound calls to follow up on documentation needed to process referrals. This person is responsible for accurately documenting all calls and periodically interacting with clini ... More
  • Brentwood, TN, USA
    Req #24
    Thursday, October 8, 2020
    Job Summary: The Post Decision Support Specialist is responsible for daily processing and communication of all decisions following physician review.  This process requires skill in review of medical documentation, data entry, effective verbal and written communication, and documentation of actions taken. The Bilingual PDS Specialist will need to have the ability to speak, read, write, and translate Spanish.   Duties/Responsibilities: Performs management of Turn Around Time r ... More
  • Brentwood, TN, USA
    Req #38
    Friday, October 2, 2020
    Job Summary: This individual will build and support enterprise IT systems infrastructure and services for myNEXUS™ and its growing infrastructure needs as well as manage the desktop support staff. This position will play a key role in facilitating myNEXUS’ rapid growth by ensuring that new systems and technologies are selected and implemented in an optimal manner, and that existing systems are well-maintained as well as ensure that technical support services are delivered to internal cor ... More
  • Brentwood, TN, USA
    Req #37
    Monday, September 28, 2020
    Job Summary: The Senior SQL Database Developer will be required to identify business requirements, develop data models, perform data analysis, write advanced SQL queries, design and code complex stored procedures, and performance tune existing database processes.     Duties/Responsibilities: Performance tuning \ profiling. Perform code reviews. Create stored procedures and SSIS packages to support project requests. Implement and ma ... More
  • Brentwood, TN, USA
    Req #35
    Monday, September 28, 2020
    Job Summary: Quality Assurance Analyst will help by validating that the sites and systems meet design specifications and requirements.  This person is responsible for creating an end-to-end test plan; executing the plan and managing all activities in the plan to ensure that all the objectives are met and that the solution works as expected. The solution should be tested in terms of functionality, performance, reliability, stability and compatibility with other legacy- and / or external s ... More
  • Brentwood, TN, USA
    Req #34
    Thursday, September 17, 2020
    Job Summary: This role includes SSRS and Tableau reporting development responsibilities and is primarily responsible for data management and operational reporting development within the eODS and Data Warehouse environment of myNEXUS. This candidate must have experience in Tableau development, and have strong SQL experience to query, maintain, and create reports across SSRS, SSAS, and other SQL related tools. The ideal candidate is creative, self-sufficient and resourceful. They must have ... More