- Verint Systems, Inc. (Phoenix, AZ)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
- Molina Healthcare (AZ)
- …in state of practice. * Deep understanding of clinical operations: utilization management, care management, etc. * Ability to provide hands-on, immersive ... and directed support for identified business improvement initiatives. * Ability to work cross-collaboratively in a highly matrixed environment. * Experience providing coaching, development and operational feedback to individuals and teams. * Experience using… more
- Travelers Insurance Company (Phoenix, AZ)
- …**What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties **What Is ... in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k)… more
- Molina Healthcare (Phoenix, AZ)
- …impacting IBNR, including bed days and admits per 1,000, prescription drug utilization , billed dollars of inventory, and other measurable factors that may be ... leading indicators of the level of reserve required for a particular cell (eg, a particular product within a state); evaluate historical performance and correlation of the various parameters measures **Required Qualifications** + At least 8 years of finance… more
- Banner Health (Scottsdale, AZ)
- …optimal clinical, operational, financial and satisfaction outcomes and evaluation of utilization patterns and other program outcomes. 5. Shapes a positive service ... excellence culture and climate within the service line/division. Provides leadership in matching service delivery with service expectations through an organizational structure that facilitates the development of a culture of employee engagement and service… more
- Molina Healthcare (Chandler, AZ)
- …operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding estimated ... settlements and risk corridor calculations. + Pricing and tracking of capitation arrangements. + Stay abreast of professional developments and industry trends. + Provide guidance and mentorship to staff member. + Coordinate the month-end close with Accounting… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …drivers and budgets, formulary access management, coverage decision processes and utilization management. - Experience with pre-launch drugs and new product launches ... is preferred - Proven track record of consistently meeting or exceeding quantitative and qualitative targets and goals - Ability to work effectively within cross-functional teams and in an environment of rapid change - Proficient in MS Office products… more
- Kyndryl (Phoenix, AZ)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. The Consult Enterprise ... Architect role consists of the following key responsibilities: Strategic Planning + Work with our consult partners and clients to develop and maintain a comprehensive architecture roadmap, identifying technology trends and assessing their potential impact on… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …convert Real World Data to evidence, including data from clinical trials, healthcare utilization datasets in US and EU, and Japan. + Demonstrated ability to explain ... complex ideas and statistical results to diverse audiences ranging from executives to technical programmers. + Excellent organizational skills with an ability to embrace change and effectively manage portfolio. + Ability to present and defend statistical… more
- Banner Health (Tucson, AZ)
- …and non-FFS service contracts. 3. Oversees staff productivity and facility utilization . Regularly reviews established benchmarks (incl. cFTEs) to monitor clinician ... productivity and make recommendations to the Chair for cFTE or benchmark adjustments. Is responsible for monitoring and administrative leadership, in collaboration with other leaders, in improving patient satisfaction scores. Works with the Chair, and other… more
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