- ISC2 (Phoenix, AZ)
- …items. + Monitor action items and task ownership and progress against deliverables. ** Board Member Performance Evaluation** + Coordinate board member ... and committee workflow and providing highly responsible staff support for the Board of Directors ensuring effective governance practices, compliance, and… more
- USAA (Phoenix, AZ)
- …and reporting to governance committees, senior management, regulatory bodies and the USAA Board of Directors . We offer a flexible work environment that requires ... governance committees, senior management, regulatory bodies and the USAA Board of Directors . + Ensures risks associated...employees. They are the heart and soul of our member -service culture. When you join us, you'll become part… more
- Banner Health (Phoenix, AZ)
- …stakeholder relations, workforce, and financial goals and objectives as developed by the Board of Directors and senior executive management. CORE FUNCTIONS 1. ... assure attainment of organizational objectives established by corporate leadership and the Board of Directors . Maintains an effective budgeting and capital… more
- USAA (Phoenix, AZ)
- …may present to governance committees, senior leaders, regulatory bodies and the USAA Board of Directors . + Ensures risks associated with business activities are ... individual performance and at the discretion of the USAA Board of Directors . The above description reflects...employees. They are the heart and soul of our member -service culture. When you join us, you'll become part… more
- Molina Healthcare (Phoenix, AZ)
- …markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight ... and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to… more
- CVS Health (Phoenix, AZ)
- …+ Serves as a clinical SME supporting SIU Investigators, Managers, and Directors as appropriate in matters pertaining to the investigation of suspected healthcare ... guidance for ABA prior authorization clinical team and the health plan medical directors . + Attends and participates in clinical meetings with care management and… more
- Humana (Phoenix, AZ)
- …reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will ... to gather additional clinical information and discuss determinations. Medical directors are expected to understand Humana processes with a...or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A… more
- Evolent (Phoenix, AZ)
- …liaison between clinical teams and clients. + Directly manage field medical directors focused on medical oncology, radiation oncology, and surgical oncology + ... innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the quality of care for oncology care… more
- Banner Health (Glendale, AZ)
- …plans for carrying out the goals and objectives of the System as developed by the Board of Directors . This position is responsible serving as a change agent and ... as the principal link between hospital activities and the community, local Board , and medical staff. CORE FUNCTIONS 1. Promotes high performance expectations for… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... a full suite of Commercial Insurance Products to address each member and/or non- member 's unique risk profile. You will use knowledge of insurance marketplace,… more
- Humana (Phoenix, AZ)
- …execution + Prepare executive-level presentations and materials for senior leadership and the Board of Directors + Support the annual strategic planning process ... challenges and biggest opportunities. Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join… more
- Molina Healthcare (Phoenix, AZ)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Assesses services for members to ensure… more
- Humana (Phoenix, AZ)
- …materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will ... care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission,...or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... quality assurance, training, compensation, compliance, and tool optimization for Member Service Representatives (MSRs). Ensures operational efficiency, service consistency,… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... and compliance insights to be delivered to executives and board members. + Executes compliance risk management activities in...employees. They are the heart and soul of our member -service culture. When you join us, you'll become part… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... financial security. Responsible for driving and delivering on product, member , and financial goals for Life Co. Leads and...in the developing of programs to maximize effectiveness of member acquisition and relationship efforts We offer a flexible… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... Maximize Property & Casualty sales potential by expertly handling member inquiries, identifying cross-selling opportunities, and providing exceptional service… more
- Molina Healthcare (Phoenix, AZ)
- …benefit interpretation, and appropriate level of care for provision of member services in alignment with state, federal, accrediting, and billing/coding guidelines ... and regulations. Contributes to overarching strategy to provide quality and cost-effective member care. For this position we are seeking an RN with previous… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... to help ensure members' financial security. **What you'll do:** + Facilitate the member experience by answering phone calls, emails, and other requests from members.… more
- USAA (Phoenix, AZ)
- …overall corporate and individual performance and at the discretion of the USAA Board of Directors . The above description reflects the details considered ... theft and authentication models to mitigate fraud losses and negative member experience from fraud application, synthetic fraud and account takeover attempts… more