- Molina Healthcare (Scottsdale, AZ)
- …telephone calls with prospective members with the intent to educate them on benefits of Molina products and then conducts enrollment into product of choice over ... enrollment channel desired. **Knowledge/Skills/Abilities** * Strong working knowledge of Medicare and Medicaid and other government health programs/ income… more
- Humana (Phoenix, AZ)
- …community and help us put health first** The DSNP Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and ... segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity...patient care. + Serves as the primary liaison between Medicare and Medicaid teams for all DSNP activities. +… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case management staff and/or other health care ... Understands the intricacies of ICD-9-CM, ICD-10-CM/PCS, MS-DRG, APR-DRG, and the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations… more
- US Tech Solutions (AZ)
- …**Location: Remote** **Duration: 12+ months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and ... providers with requests related to their pharmacy benefits . You will be responsible for ensuring cases are...and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity… more
- TEKsystems (Phoenix, AZ)
- …for the state they reside in. Job Description: + The Licensed Virtual Benefit Advisor 's responsibilities include selling and enrolling retirees into appropriate ... to health, prescription drug, vision, dental plans, and advising Pre- Medicare eligible recipients of their options. + This is...Friday + Requests for OT during weekends Pay and Benefits The pay range for this position is $21.00… more
- Option Care Health (Phoenix, AZ)
- …conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for ... (listed in order of importance and/or time** **spent)** Act as a trusted advisor to our business teams providing strategic guidance and support on compliance-related… more
- Humana (Phoenix, AZ)
- …and test automation, to accelerate speed-to-market. Serve as a trusted advisor to the Enrollment Product organization, bringing insights into system capabilities, ... is based upon company and/or individual performance. **Description of Benefits ** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers… more
- Cardinal Health (Phoenix, AZ)
- …The VP of Revenue and Payor Operations will be a seasoned leader and advisor , with proven experience in the Oncology physician office space. They will be responsible ... initiatives. + Thorough knowledge of commercial managed care, Medicaid, and Medicare contract payment terms, healthcare finance concepts and principles. +… more
- Banner Health (Scottsdale, AZ)
- …regulatory and compliance requirement. This position will serve as the primary advisor to the Banner Telehealth senior leadership on matters related to ... E Earll Dr, Scottsdale, AZ 85251** Your pay and benefits are important components of your journey at Banner...services. 8. Assures compliance with all regulatory bodies, including Medicare , State, Joint Commission and CMS, as applicable. Assures… more