- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- HonorHealth (Scottsdale, AZ)
- …the authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit ... at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of...load of an average of 10-15 prior auth processing per day. Requests additional information from medical office staff… more
- Centene Corporation (Phoenix, AZ)
- …requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and ... and performs data entry to maintain and update authorization requests into utilization management system + Assists utilization management team with ongoing… more
- Kiewit (Phoenix, AZ)
- …and services to our organizations. We are adding a Supply Chain Contract Specialist to our team in Phoenix, to support our Western region Infrastructure projects. ... located at 3888 East Broadway Phoenix, Arizona 85040. **Responsibilities** + Develop, review and negotiate terms and conditions of supplier contracts for raw… more
- Air Education and Training Command (Luke AFB, AZ)
- …control system networks consistent with existing or planned network infrastructures; and the utilization of organizational IT goals to review and consult on IT ... other pay systems. Examples of specialized experience includes: The utilization of control system network operations, protocols, and IT...each position held and the total number of hours per week. VOLUNTEER WORK EXPERIENCE: Refers to paid and… more
- The Cigna Group (Phoenix, AZ)
- …**Disease Management/Outreach:** Initiate new customer and ongoing telephonic connections per protocol for an identified caseload. Build care relationships among ... patients to eligible programs within ENCG and respective Arizona health plans. Review and inform the patient/caregiver around options for care, use of benefits… more
- Indian Health Service (Phoenix, AZ)
- …on funds being obligated. Reports are submitted to the PRC Health System Specialist for review and signature. Maintains control of and makes appointment ... outpatient health care services subject to the regulations regarding purchases, fully utilization of Electronic Health Record and the limitation of funds authorized.… more
- ThermoFisher Scientific (Phoenix, AZ)
- …monitoring environments (ie FSO, FSP, Government, etc.). Acts as a site processes specialist , ensuring that the trial is conducted in accordance with the approved ... and decrease risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. Assess investigational… more
- Marriott (Phoenix, AZ)
- …within a data warehouse environment. + Deep knowledge of and ability to develop, run, review and tune SQL scripts to retrieve and analyze data. + Deep knowledge and ... and follow through to a resolution. + Ability to review and manage Cost and Usage analysis of Oracle...for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either… more
- Amergis (Phoenix, AZ)
- …+ Documents patient case information within a database system + Performs chart review /audits monthly or as needed + Participates in monthly case conferences by ... referrals for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making for care… more