3 senior risk analyst jobs found in Nashville, TN

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.   Job Description: The Opportunity: This is a hybrid role, requiring Monday and Friday in office at our Nashville Location The Associate Director of Payor Relations is a senior leadership role within the Revenue Cycle Management (RCM) organization, responsible for overseeing all payor relations, contracting,...

The RTW coordinator facilitates safe, timely and appropriate return to work outcomes for injured employees. Through working partnerships with CorVel’s clients, the coordinator will identify RTW potential and will coordinate activities to achieve return to work outcomes that are successful for our clients and the employee. This is a remote role. Candidates must reside in Tennessee.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Direct contact with the client, injured employees and healthcare providers to determine RTW potential and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers Actively works with physicians to clarify medical restrictions, limitations and their impact on work functionality Works with client locations to identify job functions that can be modified and creates a bank of potential RTW job descriptions for future use Monitors injured workers' RTW status to increase functional ability before RTW...

SUMMARY Deliver expert consultation and outstanding service to Employee Benefits clientele. Responsible for helping clients navigate their benefit needs with short- and long-term solutions through planning, evaluating, implementing and managing employee benefits. ESSENTIAL FUNCTIONS Provide day-to-day customer service to clients, including helping to resolve issues related to billing, claims and eligibility Lead the renewal and marketing process, including preparing and distributing RFP packets Analyze and view proposals; provide recommendations to the Sales/Consulting team Work with Consultant in the preparation of new and renewal service contracts Verify receipt of final client contract from carrier/TPA/vendor; review final contract to ensure reflection of negotiated terms and accuracy of data Coordinate plan design changes, contract changes and carrier changes Review and maintain executed client contracts, plan documents, SPDs, Business Associate...