- Carondelet St. Josephs Hospital (Tucson, AZ)
- …clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to ... The Clinical Lead is a registered nurse who assists the nurse manager/ director in coordination, direction, throughput and evaluation of patient care, unit activities… more
- Community Health Systems (Bullhead City, AZ)
- **Job Summary** The Director , Practice Management is responsible for the operational, financial, and clinical oversight of physician practices within the ... with regulatory agencies, accreditation bodies, and healthcare laws governing physician practice management , billing, coding, and patient privacy. + Collaborates… more
- Zurich NA (Phoenix, AZ)
- AVP, Industry Practice Director - Manufacturing, Wholesale, Retail 128864 Zurich North America is seeking an AVP Industry Practice Director - ... This is a critical role as the AVP Industry Practice Director will utilize their expertise at...insurance. Zurich North America is a leader in risk management , with over 150 years of expertise and coverage… more
- Adelante (Mesa, AZ)
- Advance Practice Medical Director Job Details Job Location Adelante Healthcare Mesa - Mesa, AZ Position Type Exempt Education Level MD degree or DO degree Job ... preferred + Two years of experience working in a management capacity in a health care institution or agency... Managers, and contributes to the evaluation of the Practice Manager in conjunction with the Director … more
- Evolent (Phoenix, AZ)
- …the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management ... outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input… more
- CenterWell (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilizationmanagement experience in a medical ... toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical … more
- Humana (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Celestica (Phoenix, AZ)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal ... for a defined segment and require significant experience in both customer management and execution of both strategic and tactical supply chain initiatives. They… more
- Humana (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in ... value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures,… more
- Humana (Phoenix, AZ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more
- Evolent (Phoenix, AZ)
- …and external to Evolent + Partner with oncology group leadership to build change management processes and support the practice pull through activities needed to ... THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and … more
- CommonSpirit Health (Phoenix, AZ)
- …the healthcare system. Develops a model for fostering nursing research and evidence-based practice .In collaboration with the System Director for EBP and IS, ... trends, clinical priorities, and organizational objectives. + Works collaboratively with the System Director of Professional Practice and the System Director … more
- Humana (Phoenix, AZ)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...or >65 years of age) + Internal Medicine, Family Practice , Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital… more
- Humana (Phoenix, AZ)
- …members of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...or >65 years of age) + **Internal Medicine, Family Practice , Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital… more
- Molina Healthcare (Mesa, AZ)
- …3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice . + Current clinical knowledge. + Experience ... + Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice , capitation, HMO regulations, managed healthcare systems,… more
- Public Consulting Group (Phoenix, AZ)
- …Business Enablement + Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services and developing new ... should also be versed in big data, coding, project management , technical writing, and cloud services. The Director...developing resources to support the Business Unit and the Practice Area. The Director is responsible for… more
- Cadence Education (Gilbert, AZ)
- Company Overview Montessori Director Gilbert, AZ We're hiring immediately!Cadence Academy Montessori, part of the Cadence Education family, is currently seeking a ... Preschool Director to bring your love of children and past...the school at a level exceeding these standards + Practice effective counseling and advising of students and parents… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Highmark Health (Phoenix, AZ)
- …**Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice ) **Preferred** + 1 year in Medical Management in a Health ... SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current… more
