- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Molina Healthcare (Mesa, AZ)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Humana (Phoenix, AZ)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Phoenix, AZ)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Phoenix, AZ)
- …adapt and the courage to innovate **Additional Information** Typically reports to a Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Grifols Shared Services North America, Inc (Phoenix, AZ)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Humana (Phoenix, AZ)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Banner Health (Phoenix, AZ)
- …achieve sustainable growth. This role will partner with the appropriate corporate organizations to coordinate rate filings and year-end financials. Is responsible ... in support of audits of health care liabilities, communicating ROI for medical management and other health plan initiatives to leadership, preparing and delivering… more
- Molina Healthcare (Mesa, AZ)
- …the state health plan. Works with direct management, senior leadership/management, Corporate , and staff to develop and implement standardized provider contracts and ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Banner Health (Phoenix, AZ)
- …Banner Health the best place to work and receive care. Banner - University Medical Center Phoenix has been recognized on the Becker's Hospital Review 2025 "Great ... patient safety. This role is **onsite at Banner University Medical Center - Phoenix working Monday - Friday** **8-5**...part of your Total Rewards package. Within Banner Health Corporate , you will have the opportunity to apply your… more
- Humana (Phoenix, AZ)
- …caring community and help us put health first** **Clinical Business Lead, Humana Medicare Advantage** As Regional Clinical Business Lead, you serve as a key member ... clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The… more