• Sr Specialist , Medicare

    Molina Healthcare (Chandler, AZ)
    **Job Description** **Job Summary** The Sr . Specialist Member Engagement representative is responsible for monitoring and evaluating member interactions ... members, and manager. + Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate or bachelor's degree in social work, Human… more
    Molina Healthcare (04/30/25)
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  • MTM Specialist Sr

    Prime Therapeutics (Phoenix, AZ)
    …fuels our passion and drives every decision we make. **Job Posting Title** MTM Specialist Sr **Job Description** The Senior Medication Therapy Management ... meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid...quality of future calls + Document and research returned member materials (ie, Comprehensive Medication Review Summary Letters, Welcome… more
    Prime Therapeutics (05/10/25)
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  • Medical Specialist Principal - Life Company…

    USAA (Phoenix, AZ)
    …**The Opportunity** USAA Life Company's Claim Team is seeking a talented **Medical Specialist Principal** to play a crucial role in advising the Medicare ... on the morbidity and claims risk of health policies, including Medicare Supplement contracts and claims. The responsibilities will include providing support… more
    USAA (05/22/25)
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  • Senior Medical Director, Network…

    Banner Health (Phoenix, AZ)
    …Name:** Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director, Network Performance is a senior clinical executive ... of Banner Health's network of employed and contracted providers across Medicare Advantage, Medicaid, Commercial, and government value-based programs. This role leads… more
    Banner Health (04/25/25)
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