11/24 | Description From a doctors practice, coordinates and ensures that all communication is maximized effectively related to key processes and coordination between the practice, health plan, and any disease management vendor(s). Employed by HealthSprings Professional Corporation. Reviews and participates in audits of medical records. Implement and maintain process for member chronic disease identificat | HealthSpring | Nashville | | map | | | action |
11/23 | Description Responsible for non-clinical administrative, data management, and support services of a health services functional area. Required Skills Support may be technical and confidential nature. Prepares correspondence and reviews and edits written material. Responsible for data collection and / or data entry into computer system. Sorts and distributes faxes. Answers inquires, gathers informat | HealthSpring | Nashville | | map | | | action |
11/20 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Analyst will be respon | HealthSpring | Houston | | map | | | action |
11/20 | Description Primary Function: This position is responsible for the administration of all medical services for the corporation. It is responsible for the coordination of medical policy, peer review, quality management, legal/medical issues, and the effectiveness of the Medical Management Program. Responsibilities: Oversee the Health Services Department to include Medical Management, Quality Managem | HealthSpring | Hoover | | map | | | action |
11/20 | Description Responsible for the development and implementation of assigned projects. Responsible for completing projects on time, on budget, and to requirements. Position will be part of the Enterprise Project Management Office. Required Skills Responsible or all aspects f the development and implementation of assigned projects and provides a single point of contact for these projects. Takes proje | HealthSpring | Nashville | | map | | | action |
11/19 | Description Responsible for providing direction, support, and training on application for department. Required Skills Responsible for application used by department. Assists users in accessing and using application. Trains new employees and all employees after application upgrades or changes. Reviews user use of application to ensure accuracy and quality. Identifies, researches, analyzes, and reso | HealthSpring | Nashville | | map | | | action |
11/19 | Description Responsible for providing direction, support, and training on application for department. Required Skills Responsible for application used by department. Assists users in accessing and using application. Trains new employees and all employees after application upgrades or changes. Reviews user use of application to ensure accuracy and quality. Identifies, researches, analyzes, and reso | HealthSpring | Nashville | | map | | | action |
11/16 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Responsible for assist | HealthSpring | Sugarland | | | | | action |
11/16 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description From a doctorâ??s prac | HealthSpring | Houston | | map | | | action |
11/16 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Assist members, prospe | HealthSpring | Houston | | map | | | action |
11/16 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Responsible for collab | HealthSpring | Houston | | map | | | action |
11/13 | Description Responsible for non-clinical administrative, data management, and support services of a health services functional area. Required Skills Support may be complex, detailed, technical and confidential nature. Prepares correspondence and reviews and edits written material. Updates policies and procedures ensuring compliance. Conducts research assignments, compiles data, summarizes findings | HealthSpring | Nashville | | | | | action |
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11/13 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Job Description: | HealthSpring | Chattanooga | | map | | | action |
11/12 | Description Responsible for application systems analysis and programming activities for a group or section. Responsible for feasibility studies, time and cost estimates, and the establishment and implementation of new or revised applications systems and programs. Assigns staff to various projects and directs activities. Prepares activity and progress reports. Confers with and advises staff on admi | HealthSpring | Nashville | | map | | | action |
11/11 | Description Experienced, detail-oriented individual to manage the physician network activities. Proven history of maintaining positive interactions with key physicians, practices and senior management. Involving extensive interaction with Administrators, Sr. Network Operations Representatives (SR NOR), Office Personnel, Physicians and Department Managers. This position will require a broad overvie | HealthSpring | Mobile | | map | | | action |
11/11 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Performs review activi | HealthSpring | Houston | | map | | | action |
11/11 | HealthSpring, headquartered in Nashville, Tennessee, is one of the country's largest coordinated care plans with a primary focus on the Medicare Advantage market. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Illinois, Mississippi, Tennessee, and Texas and also offers a national stand-alone Medicare prescription drug plan. Description Assist members, prospe | HealthSpring | Houston | | map | | | action |
11/04 | Description Responsible for coding education and training of physicians and physician offices. Responsible for monitoring and auditing medical record coding performed by physician offices to ensure proper CPT and/or ICD-9 coding requirements are met. Required Skills Responsible for providing education and training to physician groups/offices on correct coding initiatives, auditing high volumes o | HealthSpring | Rosemont | | map | | | action |
10/28 | Description Responsible for all training programs and training outcomes. Responsible for development, implementation, and administration of training and / or orientation programs for the department. Ensures compliance with company, departmental, regulatory agencies guidelines. Required Skills Clinical Only. Conducts training on manage care principles, automated systems, department policy and p | HealthSpring | Nashville | | map | | | action |
10/27 | Description Responsible for directing claims functions to include managing, analyzing and ensuring accuracy of Medicare Advantage claims. Direct all activities for Provider Reimbursement, Savings and Recovery. Conduct rolling goals and assess training needs of department. Consult with management team regarding promotional and educational opportunities. Required Skills Manage and identify areas of p | HealthSpring | Nashville | | map | | | action |
10/26 | Description From a doctor's practice, coordinates and ensures that all communication is maximized effectively related to key processes and coordination between the practice, health plan, and any disease management vendor(s). Employed by HealthSpring's Professional Corporation. Reviews and participates in audits of medical records. Implement and maintain process for member chronic disease identific | HealthSpring | Hoover | | map | | | action |
10/26 | Description Develops, tests, maintains, and supports high-performance, innovative web-based applications. Responsible for analyzing and troubleshooting complex software problems and providing solutions to overcome those problems using the latest technologies. Provides recommendations for application and system improvements. Required Skills Develops and documents internal and external ASP .NET w | HealthSpring | Nashville | | map | | | action |
10/26 | Description Responsible for coding education and training of physicians and physician offices. Responsible for monitoring and auditing medical record coding performed by physician offices to ensure proper CPT and/or ICD-9 coding requirements are met. Required Skills Responsible for providing education and training to physician groups/offices on correct coding initiatives, auditing high volumes of m | HealthSpring | Nashville | | map | | | action |
10/22 | Description Assist members, prospective members, providers, and/or external vendors with member health plan benefit information, claim status, medical authorizations, health plan documents, and/or product information over the phone. Calls may be inbound or outbound. Employee may follow a script. Proficiently able to explain company products. Documents information into database. Calls are usua | HealthSpring | Houston | | map | | | action |
10/22 | Description Responsible for coordination of medical policy, peer review, quality management, legal/medical issues, and the effectiveness of the Medical Management Program. Time will be split between the HealthSpring of Tennessee Health Plan and the Part D Plan. Required Skills Directs the medical policy for a single-market health plan and the Medicare prescription drug plan. Establishes and implem | HealthSpring | Nashville | | map | | | action |