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About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health for over 65 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow.

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📍 USA, TN, Chattanooga, Nashville, Memphis, Knoxville, Johnson City, Jackson

🧭 Full-Time

🔍 Healthcare

  • Registered Nurse (RN) with an active license in Tennessee or a Compact State.
  • 3+ years of clinical experience required.
  • 5 years of experience in the healthcare industry preferred.
  • Certified Case Manager (CCM) credential required at hire or within 2 years.
  • Excellent oral and written communication skills.
  • Basic PC skills including Microsoft Office and e-mail.
  • Supporting utilization management functions for complex and non-routine cases.
  • Serving as a liaison among members, providers, and customers.
  • Overseeing highly complex cases for effective intervention and benefit utilization.
  • Performing essential activities of case management: assessment, planning, implementing, coordinating, monitoring, and evaluating outcomes.
Posted 4 days ago
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🔥 Internal Auditor
Posted 4 days ago

📍 United States of America

🧭 Full-Time

🔍 Health Insurance

  • Bachelors degree in Finance, Accounting or a related field or equivalent work experience.
  • 2 years of auditing or other relevant experience required.
  • Demonstrated ability to effectively work with senior leadership teams.
  • Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint).
  • Proficient oral and written communication skills.
  • Proficient interpersonal and organizational skills.
  • Ability to work independently under general supervision and collaboratively as part of a team in a fast-paced environment.
  • Preparing audit reports to communicate audit results.
  • Preparing work papers to support work performed, findings, and conclusions reached.
  • Working with management and staff to identify internal control issues and develop recommendations to address them.
  • Following up on agreed actions resulting from audit issues for timely and effective implementation.

Data AnalysisAnalytical SkillsMicrosoft OfficeAccountingAttention to detailComplianceFinancial analysis

Posted 4 days ago
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