- Molina Healthcare (Tucson, AZ)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Humana (Tucson, AZ)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll… more
- Molina Healthcare (Tucson, AZ)
- …to standardize policies and procedures. + Recruits, hires, trains, mentors, and develops medical director staff and team members as needed. + Ensures ... behavioral health and at least 3 years as a medical director in a managed care setting...management policies across health plans or navigating varied state Medicaid/ Medicare regulations. + Working knowledge of national, state, and… more
- Molina Healthcare (Tucson, AZ)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the… more
- Banner Health (Tucson, AZ)
- …Health. The University of Arizona Cancer Center (UACC), a department of Banner University Medical Center Tucson, is hiring a **Transplant Director ** to lead our ... Cell Therapy and Transplant Program (HCTT). The HCTT Program at Banner University Medical Center in Tucson, Arizona, was established in 1988 and remains the only… more
- Banner Health (Tucson, AZ)
- …a thorough knowledge of managed care contracts, other third-party payors, AHCCCS and Medicare , along with knowledge of medical terminology. Requires the ability ... rotation and shift flexibility depending on business needs) University Medical Center Tucson PBCs Banner - University Medical...providers. CORE FUNCTIONS 1. Under direction of PAS Sr. Director and/or PAS Director , provides mentoring and… more