- Humana (Phoenix, AZ)
- …and external partners to complete fast paced and time sensitive projects. The Quality Program Delivery Professional 2 work assignments are varied and ... Horizons is seeking a Quality Programs Delivery Professional 2 who will support quality program ...of action. Works collaboratively with members of the National Medicaid Quality team, state health plan quality teams, and… more
- Humana (Phoenix, AZ)
- …community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional ... an in-depth evaluation of variable factors. The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance… more
- Banner Health (Phoenix, AZ)
- …network of employed and contracted providers across Medicare Advantage, Medicaid , Commercial, and government value-based programs. This role leads enterprise ... of leading providers through complex transformation efforts in care delivery , documentation, and performance accountability. Through data-informed leadership, enterprise… more
- Adelante (Phoenix, AZ)
- …EXPERIENCE + Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from ... health care programs available through state and federal programs such as Medicaid /AHCCCS, DES, etc. + Bilingual English/Spanish. Must have the ability to… more
- Molina Healthcare (Phoenix, AZ)
- …checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and ... fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. +...claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding of datamining and use of… more