- USAA (Phoenix, AZ)
- …time in role. **What sets you apart:** + Current leadership experience as an Auto Claims Manager or Supervisor + 5+ years handling 3rd party auto moderately ... makes us so special! **The Opportunity** As a dedicated Manager , Claims Operations, you will lead a...complex Injury claims + Experience handling … more
- USAA (Phoenix, AZ)
- …support, investigate, negotiate, and resolve the highest severity and/or the most complex claims . Analyze team members proposed litigation strategies, including ... strategies + Demonstrated experience proving guidance to team members on escaladed complex claims issues + US military experience through military service… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **What** **You Bring** **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including all related processes (eg… more
- J&J Family of Companies (Phoenix, AZ)
- Strategic Intelligence Manager - 2406199376W **Description** Johnson & Johnson is currently seeking a **Strategic Intelligence Manager ** to join our **Abiomed** ... Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less… more
- Stantec (Chandler, AZ)
- …with Earned Value management and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. ... Commercial Project Manager - ( 240002FH ) **Description** We create...be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve development and management… more
- CVS Health (Phoenix, AZ)
- …health care more personal, convenient and affordable. **Position Summary:** **This RN Case Manager role is part of Aetna One Advocacy (A1A) and requires in office ... employee. There will be an expectation that the Case Manager works in the office at least one time...to address issues presented to enhance the short and long -term outcomes as well as opportunities to enhance a… more
- Terumo Medical Corporation (Phoenix, AZ)
- Territory Manager -TIS, Phoenix East Date: Sep 6, 2024 Req ID: 3525 Location: Phoenix, AZ, US Company: Terumo Medical Corporation Department: TIS Sales - Pacific ... the territory. Communicate market intelligence/competitor activity promptly to Region Manager . + Develop and maintain good customer relationships, through personal… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- RTX Corporation (Tucson, AZ)
- …a safer, more secure world. We have an exciting opportunity for a Senior Manager , Supply Chain (SC) Legal Advisor, who will report to the Associate Director, ... Review and advise SC on performance issues such as claims and insolvency + Assist the organization in writing...standard terms & conditions and negotiations guidance + Review complex legal issues with Counsel as appropriate and support… more
- CVS Health (Scottsdale, AZ)
- …topics. **Required Qualifications** **Minimum 5 years experience and knowledge of:** Complex data collection, modeling & analysis. Experience working with Excel, ... care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider contracts and the potential impact the… more
- Mayo Clinic (Phoenix, AZ)
- …continuing education and advancement opportunities at every turn, you can build a long , successful career with Mayo Clinic. You'll thrive in an environment that ... projects. Demonstrated effective clinical risk management and general liability claims managing experience, including negotiations of settlements and other forms… more
- The Hartford (Scottsdale, AZ)
- …and execute the investigation, valuation, disposition and settlement of large property claims in a manner consistent with corporate claim settlement policies and ... properly assess the indemnity and expense exposure of assigned claims . They will report to a Property Major Case.... They will report to a Property Major Case Manager and operate in a team environment that will… more
- CVS Health (Scottsdale, AZ)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Operations to ensure payment accuracy and recovery projects based on specific claims outlier and trend findings. * Manage a team of Senior Consultants/Consultants… more
- NASCO (Phoenix, AZ)
- …Plan business needs. The System Engineer III is accountable for delivery of complex technical solutions in support of NASCO wide (or Plan Enterprise) implementation ... replacement of existing systems. + Performs Estimates and Designs on complex CSRs (>1500 hours). Responsible for creating and maintaining technical deliverables… more
- Lincoln Financial Group (Phoenix, AZ)
- …solutions. + You will direct the relationships with internal/external auditors and ensure complex issues are resolved in a collaborative manager . In addition, ... of business goals and objectives. + You will identify complex billing and/or premium trends, issues and/or concerns and...lieu of Bachelor's) + 7+ Years of experience in claims and/or customer service directly related to the specific… more
- Ferguson Enterprises, LLC. (Phoenix, AZ)
- …liaison between the shipping and picking leadership in the warehouse and communicate long term needs to Area Installation Manager + Perform pre-installation and ... and better businesses. We exist to make our customers' complex projects simple, successful, and sustainable. We proactively solve...part of the installers ongoing training + Help resolve claims and customer issues + Maintain parts storage areas… more
- HomeSafe Alliance (Phoenix, AZ)
- …Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM ... and alternatives. Under general direction, uses specialized knowledge or skills to solve complex and unique problems, or direct the daily activities of a business,… more
- Humana (Phoenix, AZ)
- …use open-source programming languages (R or Python) in Databricks to analyze large, complex , but well-structured data sets from our data warehouse (SAS is also ... iterate on models. **Preferred Qualifications** + Experience with Pharmacy Benefit Manager , Pharmacy, or Healthcare data, in particular drug utilization, claims… more
- CVS Health (Phoenix, AZ)
- …for addressing pharmacy contract non-compliance allegations that are sensitive and complex . The Analyst will review non-compliance allegations and make outreach to ... This position requires 3+ years of work experience with a Pharmacy Benefit Manager (PBM) or with a Retail Pharmacy environment 1+ years of conflict resolution… more