Top 394 Regulatory specialist Jobs in Nashville, Tn

QUALITY CONTROL SPECIALIST - 79974
TennCare —Nashville, TN
- $48,684 - $73,188 a year
- Full-time
- Background check
- Writing skills
- Research
- Work from home
2d
Customer Experience Category Specialist
Quince —Nashville, TN
- $26 an hour
- Remote
- Background check
- Writing skills
- Continuous improvement
- Paid training
- Health insurance
Accreditation and Regulatory Specialist (Clarksville - Local / Hybrid)
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Mid-level
- Bachelor's degree
- Health insurance
6d
Specialist, Risk and Compliance Services (Onboarding)
Deloitte —Nashville, TN
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Mid-level
- 3 years
Quality Assessment Claims Specialist
Lyft —Nashville, TN
- $50,180 - $62,730 a year
- Remote
- Mid-level
- Continuous improvement
- Fair chance
- Commuter assistance
- Paid parental leave
9h
Rewards Regional Specialist (Nashville, TN)
Philips —Nashville, TN
- $93,000 - $148,000 a year
- Full-time
- Mid-level
- Office
- Finance
- Health savings account
- Employee stock purchase plan
Registered Nurse - Pediatric Cardiac First Assistant
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- Surgery
- RN License
- Disability insurance
- Health insurance
Registered Nurse 2- Pediatric Surgical, Trauma, Acute, Medicine and Safer Unit
Vanderbilt Health —Nashville, TN
- Acute care
- Nursing
- Surgery
- Disability insurance
- Health insurance
RN Spine Coordinator, FT, Days, VUH
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- RN License
- 5 years
- Disability insurance
- Health insurance
Registered Nurse, Cardiac Medicine Stepdown, Night Shift - VUH
Vanderbilt Health —Nashville, TN
- Full-time
- Nursing
- RN License
- Primary Care
- Disability insurance
- Health insurance
Cath Lab Technologist
Ascension —Nashville, TN
- Part-time
- PALS Certification
- Hospital
- BLS Certification
- Disability insurance
- Health insurance
Research Analyst GRC
Infopro Digital Services Limited —Nashville, TN
- Full-time
- Hybrid work
- Mid-level
- Office
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply
Sonography Technologist
Ascension —Nashville, TN
- Rotating shift
- BLS Certification
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
13d
Field Technician – Fall Protection Systems
Diversified Fall Protection —Nashville, TN
- $28 - $32 an hour
- Weekends as needed
- Background check
- Heavy lifting
- Construction site
- Disability insurance
- Health insurance
Quick Apply
12d
Sonography Technologist
Ascension —Nashville, TN
- Rotating shift
- BLS Certification
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
13d
RSVP - W2 Life Insurance Specialist - Remote - Hiring Event
Insurance Supermarket Inc. —Tennessee
- $38,500 - $180,000 a year
- Full-time
- Computer literacy
- Mid-level
- Communication skills
- Health insurance
- Paid time off
Automotive Controller - Nashville, TN
Element Partners —Nashville, TN
- From $175,000 a year
- Full-time
- CPA
- Dealership
- 5 years
- Relocation assistance
- Health insurance
Quick Apply
Travel School Psychologist - Ashland City, Tennessee
Soliant —Ashland City, TN
- Full-time
- School experience
- Doctoral degree
- Mid-level
- Travel reimbursement
Quick Apply
Safety Specialist
SHR Talent —Nashville, TN
- Mid-level
- Continuous improvement
- Travel
Quick Apply
SENIOR BUYER – RESINS & PLASTICS (UP TO 100K)
PeopleFind,Inc. —Tennessee
- $85,000 - $100,000 a year
- Microsoft Word
- 5 years
- Analysis skills
Quick Apply

I want to receive the latest job alert for regulatory specialist in nashville, tn

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

regulatory specialist jobs near nashville, tn

Registered Nurse First Assistant jobs in Nashville, TN

Regulatory Specialist jobs in Nashville, TN

Compensation Specialist jobs in Nashville, TN

Sonographer jobs in Nashville, TN

Field Technician jobs in Nashville, TN

Controller jobs in Nashville, TN

Safety Specialist jobs in Nashville, TN

Cath Lab Technologist jobs in Nashville, TN

Clinic Coordinator jobs in Nashville, TN

Claims Specialist jobs in Nashville, TN

Registered Nurse jobs in Nashville, TN

Controls Engineer jobs in Nashville, TN

Onboarding Manager jobs in Nashville, TN

Research Analyst jobs in Nashville, TN

Customer Experience Specialist jobs in Nashville, TN

Senior Buyer jobs in Tennessee

Registered Nurse Pediatrics jobs in Nashville, TN

Insurance Specialist jobs in Tennessee

Medical Assistant jobs in Baytown, TX

Registered Nurse First Assistant jobs in New York, NY

QUALITY CONTROL SPECIALIST - 79974

TennCare -
Nashville, TN

Apply Now

Job Details

Full-time
$48,684 - $73,188 a year
2 days ago

Benefits

Work from home

Qualifications

Writing skills
Research

Full Job Description

Executive Service

QUALITY CONTROL SPECIALIST

Division of TennCare

Member Services

Nashville, TN

Minimum Annual Salary $48,684.00

Closing Date: 08/31/2026

Background Check:

This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.

Who We Are and What We Do:

TennCare is Tennessee's Medicaid managed care program, serving over 1.4 million Tennesseans, including children, pregnant women, older adults, and individuals with disabilities. With an annual budget exceeding $19.2 billion, TennCare operates under the oversight of the Centers for Medicare and Medicaid Services (CMS).

TennCare's mission is to improve the lives of Tennesseans by providing high-quality, cost-effective care. At TennCare, we are driven by purpose. Our team is committed to improving outcomes for Tennessee's most vulnerable populations through innovation, integrity, and collaboration. Employees at TennCare report a deep sense of impact and satisfaction in their work. We prioritize people and process equally to create a workplace that values meaningful service, professional development, and shared success.

Job Overview:

TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy

The Division of TennCare is dedicated to providing our employees with a hybrid work environment All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need You may review the specific expectations with our hiring team

The Division of TennCare is seeking a Quality Control Specialist in the Compliance and Policy Group within Member Services. This position will report directly to the Assistant Quality Director. This role is responsible for performing quality control tasks within the Tennessee Eligibility Determination System (TEDS), completing federal and State audit tasks, and reviewing casework completed by Member Services employees. Additionally, the Quality Control Specialist will provide accurate and concise responses to quality control inquiries relating to all aspects of Medicaid eligibility and Member Services operations.

Key Responsibilities:

Review and analyze caseworkers' actions taken in TEDS to determine accuracy and compliance with TennCare policy and procedures.
Research and analyze current and past business processes, system functionality, and eligibility documentation to ensure compliance with regulatory authority and internal requirements.
Remain current on all Medicaid eligibility policy updates and TEDS design materials. -Implement corrective action plans resulting from audit/quality control findings.
Field and respond to all eligibility-related questions from internal and external stakeholders.
Collaborate with internal and external teams to develop procedural documents and guidance related to TEDS casework.

Minimum Qualifications:

Graduation from an accredited college or university with a bachelor's degree in a related field (preferred degree in business administration, management, public health, health policy, paralegal, or legal assistant studies) and 2 years of relevant work experience. OR An equivalent combination of education and work experience may be considered.

Desirable Qualifications:

Experience in quality control such as evaluating the quality of services, identifying problems and needs, and recommending corrective action and improvements to ensure optimum service delivery will be considered a plus
Research experience, including the ability to locate and analyze documents and integrate information from multiple sources
Strong grasp of Medicaid policy and experience applying policy knowledge to casework
Ability to foster and maintain cohesive working relationships
Ability to adapt to changing priorities and deadlines
Ability to exercise sound judgment
Strong organizational skills necessary, including the ability to prioritize, multi-task and manage workload to meet specific timeframes and deadlines
Advanced writing and communication skills required

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.

Apply Now

Refine Your Search

regulatory specialist jobs in nashville, tn

QUALITY CONTROL SPECIALIST - 79974

Customer Experience Category Specialist

Accreditation and Regulatory Specialist (Clarksville - Local / Hybrid)

Specialist, Risk and Compliance Services (Onboarding)

Quality Assessment Claims Specialist

Rewards Regional Specialist (Nashville, TN)

Registered Nurse - Pediatric Cardiac First Assistant

Registered Nurse 2- Pediatric Surgical, Trauma, Acute, Medicine and Safer Unit

RN Spine Coordinator, FT, Days, VUH

Registered Nurse, Cardiac Medicine Stepdown, Night Shift - VUH

Cath Lab Technologist

Research Analyst GRC

Sonography Technologist

Field Technician – Fall Protection Systems

Sonography Technologist

RSVP - W2 Life Insurance Specialist - Remote - Hiring Event

Automotive Controller - Nashville, TN

Travel School Psychologist - Ashland City, Tennessee

Safety Specialist

SENIOR BUYER – RESINS & PLASTICS (UP TO 100K)

I want to receive the latest job alert for regulatory specialist in nashville, tn

Related Searches

Explore jobs in more locations

QUALITY CONTROL SPECIALIST

Division of TennCare

Member Services

Nashville, TN

Minimum Annual Salary $48,684.00

Closing Date: 08/31/2026

Job Seeker Tools

Employer Tools

Browse

Stay Connected