- Highmark Health (Phoenix, AZ)
- …and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …recommending tailored solutions to protect their financial interests. This is role is remote ; however, it will require travel and in person meetings with health ... Collaborate with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …(RFP) activities. Collaborate with internal teams, including sales, underwriting, and claims team to develop renewal strategies and ensure client retention. Serve ... recommendations. + Collaborate with internal teams, including sales, underwriting, and claims teams, to develop renewal strategies and ensure client retention. +… more
- Molina Healthcare (Tucson, AZ)
- …of business as it relates to audits. * Delegation Oversight; voting representative for delegation oversight committees. * Liaison to Special Investigative Unit ... 5 years of experience in Medicare, DSNP and CSNP population, Enrollment, A&G, Claims , Compliance, or other Operations experience To all current Molina employees: If… more
- Transdev (Phoenix, AZ)
- …in accordance with company policy and within the parameters established by the manufacturers. Claims need to be filed in a timely manner. + Performs periodic audits ... of maintenance systems to ensure claims are getting flagged for potential warranty. Reports discrepancies...the job is performed outside, work alone and in remote locations. * Sit for extended periods (up to… more