- Molina Healthcare (Scottsdale, AZ)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Phoenix, AZ)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Phoenix, AZ)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- WelbeHealth (Phoenix, AZ)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Phoenix, AZ)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- HUB International (Scottsdale, AZ)
- …by developing relationships with others ** Senior Account Manager ** The Senior Account Manager will provide professional, courteous service to our ... HUB, we believe in investing in the future of our employees and provide continuous opportunities for growth and development. Our entrepreneurial culture fosters an… more
- Danaher Corporation (Phoenix, AZ)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Phoenix, AZ)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Walgreens (Mesa, AZ)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Gilbert, AZ)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Bank of America (Phoenix, AZ)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Fraud Analytics and Innovation Senior Leader - Emerging Fraud Technology Richmond, Virginia;Plano,...Business, Statistics or quantitative related field + Fraud and/or Claims background with focus on Authentication + Functional knowledge… more
- Bank of America (Phoenix, AZ)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun...SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met,… more
- Cardinal Health (Phoenix, AZ)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Burns & McDonnell (Phoenix, AZ)
- …brownfield projects at substations, switching stations and/or renewable interconnections. The Project Manager will report directly to the Senior Program ... regulatory agencies and other project stakeholders. Major responsibilities for the Project Manager will include: + Provide overall management of projects from… more
- Fujifilm (Phoenix, AZ)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- PCL Construction (Phoenix, AZ)
- …Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and project managers. + Understands, communicates, and ... Construction Manager , Manufacturing Center **The future you want is...status. PCL combines numerous pay and benefit strategies to provide a comprehensive and competitive total rewards package. Any… more
- Cardinal Health (Phoenix, AZ)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- PCL Construction (Tempe, AZ)
- …Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and project managers. + Understands, communicates, and ... Construction Manager **The future you want is within reach.**...status. PCL combines numerous pay and benefit strategies to provide a comprehensive and competitive total rewards package. Any… more
- Molina Healthcare (Scottsdale, AZ)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more