- Cardinal Health (Phoenix, AZ)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Molina Healthcare (Phoenix, AZ)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- CVS Health (Phoenix, AZ)
- …License + Certified Case Manager (CCM) + Case Management experience + Managed Care experience + Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee… more
- Molina Healthcare (Phoenix, AZ)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Molina Healthcare (Phoenix, AZ)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Phoenix, AZ)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Banner Health (Phoenix, AZ)
- …internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May ... to change lives, we want to hear from you. As the RN Case Manager in Care Coordination, you will have the opportunity to provide comprehensive care … more
- Banner Health (Mesa, AZ)
- …internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May ... Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- CenterWell (Phoenix, AZ)
- …Nurse with a Bachelor of Science in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2. In this pivotal role, you will play a crucial ... infectious diseases, cancer(s), and other rare ailments. As a Care Manager , Telephonic Nurse your primary responsibility...Microsoft Office applications including Word, Excel, and Outlook + Managed care experience + Must be passionate… more
- Highmark Health (Phoenix, AZ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- CommonSpirit Health (Phoenix, AZ)
- …to ensure contract compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and implemented for operational ... system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for… more
- Humana (Phoenix, AZ)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Phoenix, AZ)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- AbbVie (Phoenix, AZ)
- …relationships with appropriate providers within territory + Remain current on key managed care , reimbursement, and policy activities Qualifications + At least ... 3 years of experience in rare disease with experience in Managed Health Care , Payer Account Management, and/or Access and Reimbursement + Demonstrated… more
- Natural Grocers (Gilbert, AZ)
- Salary Range USD $59,000.00/Hr. - Overview The Job in a Nutshell: The Assistant Store Manager is the second person in charge of the store and is responsible for the ... food safety certifications and registration. + The Assistant Store Manager is responsible for ensuring that the store is...rotated and stocked per company standards. + Mark-downs are managed per company standards. + Responsible for assisting the… more
- Molina Healthcare (Phoenix, AZ)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... **Job Summary** The Manager , Medical Economics provides support and consultation to...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- CVS Health (Phoenix, AZ)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Mosaic (Phoenix, AZ)
- …family members, and key stakeholders. Plus, you'll manage critical relationships with Managed Care Plans, Case Managers, and community partners. + Growth ... ! We're seeking an experienced, dynamic, and passionate Area Manager to oversee our contracted care programs,...passionate Area Manager to oversee our contracted care programs, elevate quality service delivery, and spearhead growth… more
- Banner Health (Glendale, AZ)
- …internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. MINIMUM ... whom have co-morbidities that require an extra level of acute medical care . As a Behavioral Case Manager you will have the opportunity to work with a wide… more
- CDM Smith (Phoenix, AZ)
- …Description:** CDM Smith currently has an exciting opportunity for a Project Manager with previous experience managing Water and Wastewater projects to join our ... to CDM Smith's mission by: * Managing and serving as the Project Manager on major area Arizona water & wastewater projects. * Providing technical guidance,… more