- BroadPath Healthcare Solutions (Tucson, AZ)
- …requirements + Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing + Utilizes an Independent Review ... Medicaid policies and procedures D. Conducts staff and medical director audits on appeal activities + Assists with appeal...action plans based on trended audit findings E. Provides data for internal and external reporting + Analyzes quarterly… more
- Molina Healthcare (Tucson, AZ)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Tucson, AZ)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Tucson, AZ)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- ADP (Tucson, AZ)
- …governance frameworks, a robust knowledge of sales and marketing technologies, and certifications in data governance or data management . As part of our team, ... ADP is seeking a ** Director of Marketing Data Governance** to...degree or equivalent. + 5+ years of experience in data governance, data management , or… more
- Molina Healthcare (Tucson, AZ)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Select Medical (Tucson, AZ)
- …- Tucson In partnership with Select Medical $10,000 Sign-On Bonus **Position:** Director of Quality Management **Location:** 355 North Wilmot Road, Tucson, ... + Certified Professional in Healthcare Quality (CPHQ) preferred **Additional Data ** Select Medical's Inpatient Rehabilitation Hospitals provide advanced… more
- Molina Healthcare (Tucson, AZ)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- Molina Healthcare (Tucson, AZ)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Tucson, AZ)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Banner Health (Tucson, AZ)
- …begin making a difference in people's lives. This position as a ** Director Regional Radiation Oncology** provides leadership, direction and support for our Radiation ... standards required to ensure a high degree of patient, provider and employee satisfaction. This position is also responsible...In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards… more
- Community Health Systems (Tucson, AZ)
- …skills to manage teams and collaborate across departments. + Proficiency in financial management , including budgeting, data analysis, and reporting. + Ability to ... available for qualified candidates!! Relocation available!** **This is a full time Director of Cardiovascular Services responsible for the oversight of the Cath Lab… more
- Celestica (Tucson, AZ)
- …Celestica, our people make the difference ** We are looking for a Sales Director who is passionate and results-oriented to be part of our global ATS organization ... deposition, etching, cleaning, wafer bonding, inspection platforms. As the Sales Director , you will be responsible for targeting new customer engagements across… more
- WSP USA (Tucson, AZ)
- **This Opportunity** WSP USA Inc. is seeking a **Technical Director , Civil/Geotechnical Engineer** with an expertise in **Heap Leach Facility Design** to join our ... Mine Waste Management Team. This role can be based in any...projects, including managing geotechnical field investigations, laboratory testing programs, data interpretation, and geotechnical analysis. + Leading the civil… more
- Molina Healthcare (Tucson, AZ)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment… more
- Celestica (Tucson, AZ)
- …Critical Thinking + Strategic Thinking + Research Skills + Communication Skills + Project Management + Data & Technology Tools + Dynamics CRM, Sales Navigator, ... blend of skills to analyze markets, competitors and customer behavior to provide actionable insights that inform strategic decision-making and go to market/sales… more
- Banner Health (Tucson, AZ)
- …Knowledge of budgeting and forecasting methodologies. Able to analyze and interpret data . Skilled in building partnerships with management , staff, and ... In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards...of Medicine in Phoenix and Tucson. Our 800-plus clinicians provide primary and specialty care to patients at highly… more
- Molina Healthcare (Tucson, AZ)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- Sevita (Tucson, AZ)
- …attendance information; reviews data and attests to accuracy; submits accurate data to the Program Director or appropriate billing authority. **Health ... on a daily basis; maintains 3. Program Planning: Assists the Program Director in development of individual program plans; trains and monitors implementation of… more
- Community Health Systems (Tucson, AZ)
- …related legal documentation in coordination with legal counsel and insurers. + Analyze data trends and provide actionable insights to leadership to inform ... The Manager of Risk Management provides leadership and expertise in developing, implementing,...leadership. + Analytical thinker with the ability to interpret data and identify actionable trends. + Highly organized, detail-oriented,… more
