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Hmo Jobs in Tennessee (NOW HIRING)

Calance US

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Salesforce Platform Administrator

Nashville, TN · Hybrid

$110/hr

Experience working in public sector environments and multi-org Salesforce landscapes ===== ===== Calance Consultant Benefits Offerings: - EPO/PPO Medical Plans - HMO/PPO Dental programs - Vision ...

Calance US

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Web Accessibility Specialist (WCAG) $24.00

Nashville, TN

$26.75/hr

HMO/PPO Dental programs * Vision - VSP (Vision Plan Summary) * 401K Retirement vesting program (VOYA) * Paid Bi-Weekly/Direct Deposit * Flex Spending Plan * Voluntary Life, AD&D, STD or LTD plans ...

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Hmo information

See Tennessee salary details

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How much do hmo jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for hmo in Tennessee is $23.30, according to ZipRecruiter salary data. Most workers in this role earn between $16.98 and $28.39 per hour, depending on experience, location, and employer.

What is an HMO?

An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.

What are the typical responsibilities of an HMO medical officer on a daily basis?

As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.

What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?

To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.

What are popular job titles related to Hmo jobs in Tennessee?

For Hmo jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Hmo jobs in Tennessee look for?

The top searched job categories for Hmo jobs in Tennessee are:

Hmo jobs near you
Infographic showing various Hmo job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 7% Part Time, and 3% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $48,472 per year, or $23.3 per hour.

Manager-Provider Contracts

Baptist Memorial Health Care Corporation

Memphis, TN • On-site

$92K - $123K/yr

Full-time

Re-posted 12 days ago

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 115 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers

Job description

Manager-Provider Relations              

Job Code: 22242        

FLSA Status

Job Family: ADMIN SUPPORT

Job Summary

Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market conditions and the managed care market both provider and payor. Ensures application of appropriate business and legal protocol for contracting services to comply with organization and departmental missions. Serves as liaison for contract communication with other organizational representatives. Manages contract department, support staff, contract document control, and renewal process for payor contracts.

Job Responsibilities

  • Identifies and evaluates managed care contracting opportunities to grow the existing business, develop new business with various third party payors, including but not limited to insurance carriers, third-party administrators, managed care networks, self-funded payors, business alliances and provider organizations and to expand the provider network. Analyzes contract opportunities utilizing contract guidelines in order to improve organization's market share.
  • Negotiates contracts with various providers and third party payors. Manages the necessary interface to bring these negotiated contracts to closure and inform senior management of contract activity.
  • Maintains proficient knowledge of managed care contracting concepts, including but not limited to reimbursement methodologies, e.g., capitation, per diems, DRGs, case rates, and discounted fee-for-service; and, health benefit plan designs, including PPO, POS, EPO and HMO. Extrapolates information from payor's health benefit plans and health care reimbursement arrangements to complete contract summaries, contract information loadsheets and other reports as required to meet organizational obligations.
  • Maintains current knowledge of managed care market and market trends, both provider and payor.
  • Ensures that appropriate business and legal protocol are applied for contracting services to ensure compliance with organization and departmental missions; consults with legal on contracting issues.
  • Serves as liaison for contract communication with other organizational representatives; manages document control of contract file.
  • Manages renewal process for payor contracts, including renegotiation. Analyzes utilization data submitted for contract renewal by following contracting guidelines to monitor contract performance.
  • Performs other duties as assigned.

Specifications

Experience

Description     

Minimum Required: 3 years experience with health care contracting with health care reimbursement and health benefit plan experience.                

Preferred/Desired

Education

Description     

Minimum Required: Bachelors degree in health care administration or business administration.

Preferred/Desired: Masters degree in health care administration or related field

Training

Description     

Minimum Required    

Preferred/Desired

Special Skills

Description     

Minimum Required: Effective in making effective presentations to various provider and payor groups; strong analytical, negotiation, leadership, marketing, and verbal/written communication skills.        

Preferred/Desired

Licensure

Description     

Minimum Required    

Preferred/Desired

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Baptist Memorial logo

About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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