- Molina Healthcare (Phoenix, AZ)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- CenterWell (Phoenix, AZ)
- …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... administrative, supervisory, quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge of federal… more
- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... quality service focused on senior population health + Responsible for medical interpretation, reviews,...facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be… more
- Banner Health (Phoenix, AZ)
- …Name:** Clinical Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director, Network Performance is a senior clinical executive ... of Banner Health's network of employed and contracted providers across Medicare Advantage, Medicaid, Commercial, and government value-based programs. This role leads… more
- Evolent (Phoenix, AZ)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Banner Health (Phoenix, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This...This is a requirement of the Whole Family Counseling Program held at this specific facility. Employees working in… more