• Clinical Specialist 1

    Abbott (Phoenix, AZ)
    …and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist 1 , CPT - Phoenix, AZ** **Working at ... **The Opportunity** Our team is actively recruiting for a ** Clinical Specialist I, CPT ** **in...clinical , and programming assistance, primarily in support of 1 -2 Territory Manager(s). + Assist Territory Managers in after-hours… more
    Abbott (11/13/25)
    - Save Job - Related Jobs - Block Source
  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Phoenix, AZ)
    …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... workspace! Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART software experience strongly encouraged to apply **You Will:** +… more
    Datavant (10/09/25)
    - Save Job - Related Jobs - Block Source
  • Denials Prevention Specialist , Clinician…

    Datavant (Phoenix, AZ)
    …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...State Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word,… more
    Datavant (11/12/25)
    - Save Job - Related Jobs - Block Source
  • Revenue Trainer/Quality Control Specialist

    Sonora Quest (Phoenix, AZ)
    …management to develop learning materials and necessary tools for Revenue Specialist 's ongoing success. Provides quality assurance and professional development to ... requirements, as well as applicable professional standards._ **CORE FUNCTIONS** 1 . Tracks, monitors, reports and provides feedback regarding quality and… more
    Sonora Quest (10/15/25)
    - Save Job - Related Jobs - Block Source
  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Scottsdale, AZ)
    …appeals nurses and administrative team members. **Required Qualifications** * At least 3 years clinical nursing experience, with at least 1 year of managed care ... Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist more
    Molina Healthcare (11/14/25)
    - Save Job - Related Jobs - Block Source
  • Medical Review Nurse (RN)

    Molina Healthcare (Scottsdale, AZ)
    …program per applicable policies/protocols. **REQUIRED QUALIFICATIONS:** + At least 2 years clinical nursing experience, including at least 1 year of utilization ... suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS),… more
    Molina Healthcare (09/06/25)
    - Save Job - Related Jobs - Block Source