- Evolent (Phoenix, AZ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Scope Analyst, Scope Management** The Specialty Scope Management team is made up ... coding stay accurate, compliant, and aligned with evolving needs. As a member of our team, you'll collaborate across disciplines, contribute to scalable solutions,… more
- Prime Therapeutics (Phoenix, AZ)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy ... meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid...quality of future calls + Document and research returned member materials (ie, Comprehensive Medication Review Summary Letters, Welcome… 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
- 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
- Humana (Phoenix, AZ)
- …Experience Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Humana offers a variety...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more