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Contractual Informatica Admin Jobs in Tennessee (NOW HIRING)

ORAU

Logistics Group Manager

Oak Ridge, TN · On-site

$96K - $134K/yr

... Information Act (FOIA) requests. Drives long-range planning, fiscal stewardship, operational ... Responsible for ensuring contractual requirements are met under the ORISE contract. Responsible for ...

ORAU

Logistics Group Manager

Oak Ridge, TN · On-site

$96K - $134K/yr

... Information Act (FOIA) requests. Drives long-range planning, fiscal stewardship, operational ... Responsible for ensuring contractual requirements are met under the ORISE contract. Responsible for ...

ORAU

Logistics Group Manager

Oak Ridge, TN

$96K - $134K/yr

... Information Act (FOIA) requests. Drives long-range planning, fiscal stewardship, operational ... Responsible for ensuring contractual requirements are met under the ORISE contract. Responsible for ...

AmSurg LLC

DIRECTOR, CLIENT DELIVERY

Nashville, TN · Remote

$204K/yr

This role will act as a liaison between center administrators and the CBO performance team. To ... This includes understanding the claims submission process, the information required for accurate ...

X Energy LLC

Subcontracts Administrator

Oak Ridge, TN · On-site

We will never ask you to provide payment information as part of the recruiting process. If anyone ... Initiate documentation to authorize and direct work in accordance with contractual requirements.

X Energy LLC

Subcontracts Administrator

Oak Ridge, TN · On-site

We will never ask you to provide payment information as part of the recruiting process. If anyone ... Initiate documentation to authorize and direct work in accordance with contractual requirements.

Centerline

Credit and Collections Specialist

Knoxville, TN · On-site +1

$18.25 - $24.50/hr

Review and evaluate customer credit applications and financial information. * Establish and ... Work closely with project managers, contract administrators, and customers to resolve invoice ...

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Contractual Informatica Admin information

What are the typical challenges faced by a Contractual Informatica Admin, and how can they be managed effectively?

Contractual Informatica Admins often face challenges such as quickly acclimating to new environments, managing multiple projects with varying priorities, and ensuring seamless data integration across diverse systems. To manage these effectively, it's important to develop strong communication with stakeholders, maintain thorough documentation, and stay updated on Informatica best practices. Building rapport with permanent team members and proactively identifying potential bottlenecks can also help ensure smooth operations and successful project delivery.

What is the difference between Contractual Informatica Admin vs Contractual Data Warehouse Developer?

AspectContractual Informatica AdminContractual Data Warehouse Developer
CertificationsInformatica certifications, SQL, ETL toolsData warehousing, SQL, ETL tools, sometimes Informatica certifications
Work EnvironmentData integration teams, IT departmentsData architecture teams, BI departments
Industry UsageIT services, finance, healthcareRetail, finance, telecom

While both roles involve data management and ETL tools, the Contractual Informatica Admin primarily focuses on maintaining and managing Informatica environments, whereas the Contractual Data Warehouse Developer designs and develops data warehouse solutions. The roles often overlap but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as a Contractual Informatica Admin, and why are they important?

To thrive as a Contractual Informatica Admin, you need a solid understanding of Informatica PowerCenter administration, data integration concepts, and database management, often supported by a relevant degree or certification. Experience with ETL tools, Informatica platform upgrades, and monitoring systems like Oracle, SQL Server, and Unix/Linux environments is typically required. Strong problem-solving, communication, and time management skills help you effectively handle incidents and collaborate with cross-functional teams. These skills and qualifications ensure smooth data operations, minimize downtime, and maintain data integrity, which are crucial for organizational success.

What are Contractual Informatica Admins?

Contractual Informatica Admins are IT professionals hired on a contract basis to manage, maintain, and support Informatica environments within an organization. Their primary responsibilities include installing, configuring, upgrading, and troubleshooting Informatica PowerCenter and related data integration tools. They ensure the platform’s optimal performance, handle user access, and implement security policies. As contractors, they typically work on specific projects or for a defined period, providing specialized expertise without long-term employment commitments.
What are the most commonly searched types of Informatica Admin jobs in Tennessee? The most popular types of Informatica Admin jobs in Tennessee are:
What are popular job titles related to Contractual Informatica Admin jobs in Tennessee? For Contractual Informatica Admin jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Contractual Informatica Admin jobs in Tennessee look for? The top searched job categories for Contractual Informatica Admin jobs in Tennessee are:
Contractual Informatica Admin jobs near you
RN Appeals Analyst Medicare Part B - CGS

RN Appeals Analyst Medicare Part B - CGS

CGS Administrators, LLC

Nashville, TN • On-site, Remote

Full-time

Medical, Vision, Life, Retirement, PTO

Posted 28 days ago

Job description

Summary
We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Additionally, you will provide thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Lastly, you will document decisions within mandated timeframes and in compliance with applicable regulations or standards.
This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial health plans, Medicaid members, Medicare beneficiaries, healthcare providers, and medical equipment suppliers for more than 50 years.
Here is your opportunity to join a dynamic team at a diverse company with secure, community roots and an innovative future.
Description
Logistics
CGS -one of BlueCross BlueShield's South Carolina subsidiary companies.
This position is full time (40 hours/week) Monday-Friday 8:00-4:30PM CST and will be W@H OR On-site at One Century Plaza, Nashville TN.
What You Will Do:
  • Documents the basis of the appeal or retrospective review in an accurate and timely manner and in accordance with applicable regulations or standards.
  • Performs thorough research of the substance of service appeals by both member and provider based on clinical documentation, contractual requirements, governing agencies, policies and procedures, while adhering to confidentiality regulations regarding protected health information.
  • Performs appeal and retrospective reviews demonstrating ability to define and determine precedence of pertinent issues in application of policies and procedures to clinical information and or application to benefit or policy provisions.
  • Performs special projects including reviews of clinical information to identify quality of care issues.

To Qualify for This Position, You Will Need:
  • Associate's in a job related field
  • Graduate of Accredited School of Nursing
  • 2 years clinical experience plus 1 year utilization/medical review, quality assurance, or home health, OR, 3 years clinical. FOR PALMETTO GBA (CO. 033) ONLY: 2 years clinical experience plus 2 years utilization/medical review, quality assurance, or home health experience or a combination of experience in clinical, utilization/medical review, quality assurance or home health experience totaling four years.
  • Working knowledge of word processing software.
  • Ability to work independently, prioritize effectively, and make sound decisions.
  • Working knowledge of managed care and various forms of health care delivery systems.
  • Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience.
  • Knowledge of specific criteria/protocol sets and the use of the same.
  • Good judgment skills.
  • Demonstrated customer service, organizational, oral and written communication skills.
  • Ability to persuade, negotiate, or influence others.
  • Analytical or critical thinking skills.
  • Ability to handle confidential or sensitive information with discretion.
  • Microsoft Office.
  • Required License and Certificate: An active, unrestricted RN license from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC).

What We Prefer You Have:
  • Utilization Review / Medical Review experience.
  • MCS System Knowledge.
  • Medicare Part B.
  • CMS Knowledge.
  • Knowledge of claims systems.
  • Ability to effectively use Microsoft Office applications, such as Word, Power point and Excel.
  • Coding experience.

What We Can Do for You:
  • 401(k) retirement savings plan with company match.
  • Subsidized health plans and free vision coverage.
  • Life insurance.
  • Paid annual leave - the longer you work here, the more you earn.
  • Nine paid holidays.
  • On-site cafeterias and fitness centers in major locations.
  • Wellness programs and healthy lifestyle premium discount.
  • Tuition assistance.
  • Service recognition.
  • Incentive Plan.
  • Merit Plan.
  • Continuing education funds for additional certifications and certification renewal.

What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and salary requirements.
Management will be conducting interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.

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