- Trustmark (Phoenix, AZ)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Deloitte (Tempe, AZ)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Molina Healthcare (Phoenix, AZ)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. +… more
- Intermountain Health (Phoenix, AZ)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- Banner Health (Phoenix, AZ)
- …& Claims Mgmt **Work Shift:** Day **Job Category:** Legal The ** Senior Director, Claims & Litigation Counsel** will provide strategic and operational ... If you have **significant leadership experience with healthcare risk management, quality management, in house liability claims management (including litigation… more
- Highmark Health (Phoenix, AZ)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Global Financial Lines Errors and Omissions Claims Group currently has an open claim professional position in our Architects &… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... Hartford Global Specialty - Financial Lines Employment Practices Liability ("EPL") Claims Group currently has an open Claim Consultant/Professional position. As an… more
- The Hartford (Scottsdale, AZ)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- CenterWell (Phoenix, AZ)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- The Hartford (Scottsdale, AZ)
- …Expense Containment Training - Create and administer litigation cost containment training to Claims .* Analysts will be expected to leverage their knowledge ... area, including Auto,General Liability, Property Damage/ Construction Defect and ProfessionalLiability claims .* All training will address topics such as billing… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Phoenix, AZ)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Phoenix, AZ)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Banner Health (Phoenix, AZ)
- …Name:** Clinical Risk Mgmt & Ptnt Rel **Work Shift:** Day **Job Category:** Risk, Quality and Safety The ** Senior Director, Clinical Risk Management & Patient ... risk management team and patient relations. Great opportunity to collaborate with quality and patient safety, and strategically contribute to Banner's mission of… more
- Atlas (Tempe, AZ)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- The Cigna Group (Scottsdale, AZ)
- **Role Overview:** The Enrollment/Billing Senior Representative works under the direction of the Manager of RCM to maintain the accuracy of Village Fertility ... statements and invoices. + Determines required adjustments to billed claims and adjusts claims as needed on...**Requirements:** + Must be local to Scottsdale, AZ as training will be onsite followed by a hybrid schedule… more
- Walgreens (Phoenix, AZ)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training and completes PPLs requested ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Phoenix, AZ)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more