- Molina Healthcare (Mesa, AZ)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Banner Health (AZ)
- …claims /billing with providers/health plans highly preferred. Certified Fraud Examiner (CFE) certification and Bachelor degree preferred. Additional related ... your experience and skills to BPN. As a Fraud, Waste, and Abuse Specialist , you will be responsible for identifying and researching potential instances of fraud,… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... support to team members (SIU Coordinator and Senior SIU Specialist ) in the performance of job duties as assigned....Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- CDM Smith (Tucson, AZ)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Johns Hopkins University (Tolleson, AZ)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. +...Medicine, Workers' Compensation, and DOT exams. + DOT Medical Examiner . + Certified Urine Drug Screen Collector . +… more
- Johns Hopkins University (Tolleson, AZ)
- …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... health and wellness events and initiatives. + To manage workers' compensation claims . + To expand clinic services and reach. + Provide crisis… more