28 health professional jobs found in Nashville

Sr. Business Systems Analyst Fully Remote-United States Job Type Full-time, Temporary Description Overview Tanaq Management Services (TMS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in the health, agriculture, technology, and other government services. TMS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders About the Role We are seeking a Sr. Business Systems Analyst to support a project for one of our federal clients. The Sr. Business Systems Analyst leads enterprise-level analysis efforts to strengthen workforce productivity and collaboration ecosystem, including SharePoint and related platforms. Serving as a strategic liaison among senior stakeholders, this role uncovers organizational needs, translates complex and often indirect...

Company : Highmark Inc. Job Description : JOB SUMMARY This is a fully remote position, allowing you to work from anywhere. We are actively seeking a highly skilled and experienced Senior Business Systems Analyst with a specialized focus on the GuidingCare platform to join our dynamic team. This pivotal role encompasses the entire IT lifecycle, demanding expertise from initial solutioning and meticulous requirements gathering through to robust configuration, comprehensive testing, and precise environment synchronization. A core responsibility will be the design, configuration, and ongoing maintenance of FICO and SQL rules within GuidingCare, vital for supporting diverse business processes, clinical guidelines, and operational requirements. The successful candidate will collaborate closely with business stakeholders to translate complex needs into actionable functional and technical specifications, proposing innovative solutions to optimize GuidingCare...

Job Description Skills/Experience 8 plus years relevant work experience Ability to collect, organize, and display data in spreadsheet format Attention to detail critical Experience in working with multi-cultural and remote contacts required Strong interpersonal and communication skills Demonstrates strong organizational skills and has ability to track the progress of multiple inquiries and tasks effectively Experience supporting financial and operational aspects of a Professional Services organization preferred Other Pertinent Information Position can be fully remote in the US as long as ability to travel as required Reporting to an Operations Manager Responsibilities Success in this role means delivering results on project financial management activities including transaction controls, project hours management and forecasting, EACs, milestone management, invoicing and billing. Major functions of...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Risk & Controls Analyst - Contract Negotiations - Remote Job Description We are presenting a unique opportunity for an experienced IT Risk and Controls Analyst with a background in Contract Negotiations. As a Sr. IT Risk & Controls Analyst you would be responsible for leading the development and execution of processes and people to ensure IT compliance with regulatory, industry and client security requirements. This role is responsible for working with cross-functional teams and management to set direction and secure resources for the operational processes needed to support the Security Governance Risk and Compliance program. Responsibilities Lead the development, implementation and enforcement...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

The Manager, Data Analytics is an important role within the Medical Excellence & Operations team within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs organization. This role is responsible for collecting, analyzing, and translating data into actionable insights that inform medical strategy, field engagement, performance measurement and medical strategy. The Manager, Data Analytics will work closely with both Field Medical and Headquarters teams to understand business needs and system requirements, support development of analytical solutions and other projects to drive key business processes and decisions for the Medical Affairs function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive Director, Medical Excellence and Operations. Job Description Key Responsibilities: Data Collection, Management and Governance...

Cost of Care Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. The Cost of Care Analyst (Advanced Analytics Consultant) employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness, and efficiencies, and client-specific health gaps and needs. Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, measure program outcomes and demonstrate value, help win and...

Job Description As part of the Oracle Customer Success Services team, you will be a member of the international network of experts, who will contribute to global technology driven initiatives and innovation programs for continuous service improvements. Customer Success Services (CSS) is a unit within Oracle that enables long term advanced support relationships with many of Oracle's largest customers. Advanced Services Engineers (ASE) provide support in the continuous operational improvement of Oracle environments. ASEs do this by leveraging Oracle's support-based intellectual property and customers' experiences throughout their involvement with Oracle's technologies. Our goal is for every customer to gain ever-more value from their Oracle Solutions by helping them make well informed decisions regarding the implementation, management, and use of Oracle technologies. Responsibilities Key Responsibilities: Learn from experts and contribute to bring value to our...

Become a part of our caring community and help us put health first The Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position resides within the Finance team and partners directly with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion markets. Key Responsibilities: Collect, analyze, and report on market data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider performance, RFPs, and market trends. Manage ad hoc requests from Market CFOs, Presidents, and leadership, ranging from member utilization to premium...

Financial Operations Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Financial Operations Analyst will be responsible for completing financial activities for the purpose of accurate and timely reporting both internally and externally. Assists in the development of technical solutions to complex business issues by creating spreadsheets to be...

Job Description Role: Legal Operations Analyst Location: Telecommuting/remote from within the US The Legal Operations Analyst is the primary e-billing liaison for litigation matters and reporting. Assisting with Legal's Preferred Firm Program, Fiscal Budget Planning, technology projects and implementations, and reporting on key metrics and executive presentations. About the Company : Oracle is one of the world's leading information technology companies as a provider of database and application software, cloud solutions, engineered systems, and services. Oracle's technology can be found in nearly every industry, and in the data centers of 98 of the Fortune 100 companies. Oracle is the first software company to develop and deploy 100 percent internet-enabled enterprise software across its entire product line: database, business applications, and application development and decision support tools. About the Team: We are enthusiastic about our craft and what...

About Us SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards Position Summary: We are seeking a Revenue Cycle Management (RCM) Business Analyst to join a growing, nationwide healthcare organization with a technology-forward model and strong telehealth presence. In this high-impact role, you will partner directly with Revenue Cycle leadership to uncover and communicate key performance insights. The ideal candidate brings both executive presence and hands-on data...

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Product Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards....

Job Description Skills/Experience 2+ years relevant work experience. Ability to collect, organize, and display data in spreadsheet format and analyze to make recommend business decisions. Attention to detail critical. Experience in working with multi-cultural and remote contacts required Strong interpersonal and communication skills Demonstrates strong organizational skills and has ability to track the progress of multiple inquiries and tasks effectively Experience supporting financial and operational aspects of a Professional Services organization preferred Other Pertinent Information Position can be fully remote in the US if able to travel as required Reporting to an Operations Manager. Responsibilities Success in this role means delivering results on project financial management activities including project creation and contract setup, contract modification evaluation and processing, revenue...

Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Actuarial Analyst III supports Medicare Advantage pricing and bid development within the Medicare Actuarial team. How You Will Make an Impact: Primary duties may include, but are not limited to: Benefit Ownership: Manage assigned pricing models and benefits, ensuring data accuracy,...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Analyst, Application Support is a highly motivated person with excellent communication and interpersonal skills to interact with internal/external teams and application users...

It's fun to work in a company where people truly BELIEVE in what they're doing! Job Description Summary: The Senior Benefit Analyst is responsible for building and delivering both global and local benefit programs that enhance the employee experience, through support and management of both global and country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit programs to enhance the employee experience and align with the company's total rewards philosophy. This role focuses on operational excellence, compliance, and data-driven insights to ensure competitive and cost-effective benefits offerings. The analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. Job Overview: The Senior Benefits Analyst supports the design,...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance hotline inquiry management and investigations, compliance education and communications, governance reporting, as well as executing program effectiveness self-assessments and data-driven reporting or dashboards. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate...

Risk Adjustment Actuarial Analyst II - Advanced Analytics On-Site Requirement: Hybrid 1; This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Risk Adjustment Actuarial Analyst II - Advanced Analytics is responsible for completing projects and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of...

We are seeking a talented individual to join our Analytics Solutions team at Marsh. Preferred locations for this role include New York City, Chicago, Atlanta, Nashville, Cincinnati, and Washington DC. This is a hybrid role that has a requirement of working at least three days a week in the office. As an Senior Actuarial Analyst, you will be part of Marsh’s Analytics Solutions division, which is focused on providing strategic advice and customized analyses to help clients address complex risk issues. You will work with a team of experts to deliver innovative digital and analytics solutions, supporting clients in quantifying and managing their risks. Must have Actuarial background We will count on you to: Support the delivery of risk quantification, modeling, and simulation capabilities for Marsh USA clients through high-quality analyses and peer review. Engage with clients by presenting results, explaining methodologies, and providing actionable recommendations....

Senior Finance Analyst Job ID 249192 Posted 21-Nov-2025 Service line GWS Segment Role type Full-time Areas of Interest Accounting/Finance Location(s) Remote - US - Remote - US - United States of America CBRE Global Workplace Solutions (GWS) works with clients to make real estate a significant contributor to organizational productivity and performance. Our account management model is at the heart of our client-centric approach to delivering integrated real estate solutions. Each client is entrusted with a dedicated leader and is supported by regional and global resources, demonstrating the industry's most robust platform. CBRE GWS delivers consistent, measurably superior outcomes for our clients at every stage of the lifecycle, and across industries and geographies. About the Role: Joining CBRE's Financial Strategy and Operations team as a Senior Financial Analyst is your chance to become a pivotal player in the financial success of a dynamic and...

Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as...

Job Description This job code is utilized for the majority of our temporary hires. The individual is performing hourly job duties as defined under the Fair Labor Standards Act. US Veteran transitioning from active service or active-duty Military Spouse new to corporate experience preferred Veterans and Military Spouses belong at Oracle This is a place where your military experience and talent will help you thrive. Our culture of inclusion values the skills that veterans bring to our workforce and empowers you to use them to transform the world for the better. Get a head start on your civilian career today. About the Oracle Veteran Internship Program (OVIP): Oracle is proud to sponsor an internship and integration program that exposes transitioning military veterans and active-duty Military Spouses new to the corporate culture, provides hands-on job-skill training and experience, and offers enhanced professional and personal development. At Oracle, we are committed...