- Molina Healthcare (Phoenix, AZ)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- USAA (Phoenix, AZ)
- …makes us special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be ... Strong relationship management skills and demonstrated ability to influence decisions at senior leadership levels. + Strong issue resolution and follow-up skills. +… more
- CVS Health (Phoenix, AZ)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- USAA (Phoenix, AZ)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager Senior ** (Western States), you will responsible ... colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts...position is: $103,450 - $197,730 **.** **USAA does not provide visa sponsorship for this role. Please do not… more
- Zurich NA (Phoenix, AZ)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Phoenix, AZ)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- HUB International (Scottsdale, AZ)
- …by developing relationships with others ** Senior Account Manager ** The Senior Account Manager will provide professional, courteous service to our ... HUB, we believe in investing in the future of our employees and provide continuous opportunities for growth and development. Our entrepreneurial culture fosters an… more
- Danaher Corporation (Phoenix, AZ)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- Humana (Phoenix, AZ)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …(RFP) activities. Collaborate with internal teams, including sales, underwriting, and claims team to develop renewal strategies and ensure client retention. Serve ... of working from home. At CRC Benefits (formerly BenefitMall), an industry leading provider of benefits services, we believe that it takes great employees to build… more
- USAA (Phoenix, AZ)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... There are 2 positions available. As a dedicated, **Business Process Owner Senior ** you will plan, direct, and coordinate activities for complex processes, including… more
- Molina Healthcare (Phoenix, AZ)
- …and rejection inventory, and works with other areas including IT, health plan, claims , provider , enrollment, regulators, and external vendors, as needed, to ... departments for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to… more
- Walgreens (Cave Creek, AZ)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Bank of America (Phoenix, AZ)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Fraud Analytics and Innovation Senior Leader - Emerging Fraud Technology Richmond, Virginia;Plano,...Business, Statistics or quantitative related field + Fraud and/or Claims background with focus on Authentication + Functional knowledge… more
- Bank of America (Phoenix, AZ)
- …considerations. Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated ... Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun...SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met,… more
- Cardinal Health (Phoenix, AZ)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Burns & McDonnell (Phoenix, AZ)
- …brownfield projects at substations, switching stations and/or renewable interconnections. The Project Manager will report directly to the Senior Program ... regulatory agencies and other project stakeholders. Major responsibilities for the Project Manager will include: + Provide overall management of projects from… more
- Fujifilm (Phoenix, AZ)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- PCL Construction (Phoenix, AZ)
- …Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and project managers. + Understands, communicates, and ... Construction Manager , Manufacturing Center **The future you want is...status. PCL combines numerous pay and benefit strategies to provide a comprehensive and competitive total rewards package. Any… more
- Cardinal Health (Phoenix, AZ)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more