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Assistant Remote Utilization Review Jobs in Tennessee

Patient Finance Specialist

Nashville, TN · Remote

$17.50 - $23.25/hr

... Billing, Utilization Review, Outreach and Clinical * Support client-related requests from the ... LI-Remote Based on the nature of this role, you will need to complete several state background ...

Produce monthly vendor utilization reports for each corporate contract by center * Perform various ... assist you with the recruiting process. #LI-REMOTE #LI-CH1

New

Produce monthly vendor utilization reports for each corporate contract by center * Perform various ... assist you with the recruiting process. #LI-REMOTE #LI-CH1

New

... utilization management to members. Performs prospective, concurrent, and retrospective reviews for ... Remote in any state except, NY, CA, HI and AK VIVA is an equal opportunity employer. All qualified ...

... reviews with the NPs. Your contributions will be instrumental in maintaining high standards of ... utilization of our advanced remote monitoring technology.This is a part-time, remote role ...

Address plan review comments and assist in resolving regulatory issues. Collaboration ... This position is remote/hybrid work with a preferred for this position to be worked full-time in ...

Address plan review comments and assist in resolving regulatory issues. Collaboration ... This position is remote/hybrid work with a preferred for this position to be worked full-time in ...

Nurse Practitioner: Remote Urgent Care

Frisco, TX · On-site +1

$102K - $141K/yr

Evaluate symptoms, review medical histories, and determine appropriate interventions. * Determine ... Document all encounters accurately and timely in the electronic medical record. * Assist in ...

Showing results 41-60

Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

What are the most commonly searched types of Remote Utilization Review jobs in Tennessee? The most popular types of Remote Utilization Review jobs in Tennessee are:
What cities in Tennessee are hiring for Assistant Remote Utilization Review jobs? Cities in Tennessee with the most Assistant Remote Utilization Review job openings:

Financial Planning and Analysis Analyst (FP&A) - Nashville Hybrid / Remote Surrounding areas

Surgery Partners

Brentwood, TN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Surgery Partners rating

7.7

Company rating: 7.7 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

159th of 887 rated healthcare providers


Job description

Financial Planning and Analysis (FP&A) Analyst - Nashville Hybrid / Remote Surrounding areas
  • Hybrid for candidates in Nashville and surrounding areas.
  • Remote option available for candidates outside of surrounding areas.

Position Summary
The Financial Planning and Analysis (FP&A) Analyst plays a key role within the Corporate Finance organization, supporting strategic decision-making through critical financial analysis and reporting. This position will assist in preparing and delivering financial insights used by the executive leadership team and board of directors.
The ideal candidate demonstrates strong financial and analytical skills, solid business acumen, excellent organizational capabilities, and effective communication. The FP&A Analyst will thrive in a fast-paced, dynamic environment and contribute to the company's long-term business goals through data-driven insights and collaboration across departments.
Essential Duties and Responsibilities
  • Collaborate with cross-functional teams (Accounting, Operations, Development, and Corporate Finance) to align on performance metrics, monthly results, forecasts, and risk/opportunity assessments.
  • Leverage financial and operational data to create and enhance management reporting for assigned business lines and/or enterprise-level reporting.
  • Support the enhancement of monthly financial reporting by integrating operational data to improve enterprise performance visibility.
  • Analyze financial and operational trends to identify opportunities and communicate key insights to leadership.
  • Assist in developing and maintaining management reports for monthly, quarterly, and annual analysis, including profitability, segment metrics, and capital utilization.
  • Support the consolidation and analysis of annual budgets and forecasts.
  • Present financial and operational results on a regular and ad hoc basis to stakeholders.
  • Contribute to the development of performance dashboards and predictive financial models.
  • Perform additional duties and projects as assigned.

Qualifications
Education:
  • Bachelor's degree in Finance, Accounting, Mathematics, or a related field required.
  • MBA or CPA strongly preferred.

Experience:
  • Minimum of 2 years of relevant experience in financial planning, financial analysis, data mining, or financial modeling.
  • FP&A, accounting, and/or financial consolidation background preferred.
  • Experience using financial systems and advanced Excel skills (financial modeling, data management).
  • Experience working cross-functionally with stakeholders across multiple business functions.
  • Healthcare, hospital, ASC, or joint venture industry experience preferred.

Skills and Competencies:
  • Strong analytical and problem-solving abilities.
  • Exceptional communication and presentation skills.
  • High attention to detail and strong organizational skills.
  • Proven ability to interpret data and tell a clear business story through numbers.
  • Self-starter with the ability to work independently and manage multiple priorities in a fast-paced environment.

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Life Insurance
  • PTO
  • 401(k) retirement plan with a company match
  • And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.
*No Recruiters Please
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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