- Molina Healthcare (Mesa, AZ)
- …including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical ... in accordance with audit standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment, provider contract, provider demographic… more
- Amazon (AZ)
- …CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our mission of delivering high-quality ... of customer-service, administrative work and are motivated to cultivate change in healthcare . You are currently looking for your next opportunity at an organization… more
- Molina Healthcare (Tucson, AZ)
- **Job Description** **JOB SUMMARY:** The Senior Specialist , Quality Program Management & Performance RNensures quality monitoring audits and investigations are ... and critical incident cases (as applicable) + Adheres to written documentation and business practices (eg, policies and procedures, desk-level procedures, manuals,… more
- Molina Healthcare (AZ)
- …Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues utilizing systems and other available ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Molina Healthcare (Phoenix, AZ)
- …inquiries; prepares written analyses of advocacy issues; and assists with documentation preparation for appeals, fair hearings or other formal/informal dispute ... Program for Managed Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical care, quality of… more
- Molina Healthcare (Tucson, AZ)
- …etc.).; and mailing label extract generation. + Develops and maintains documentation and guidelines for all assigned areas of responsibility. **JOB QUALIFICATIONS** ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- HonorHealth (AZ)
- …to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare ... care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …Equipment Support Specialist (BESS) at the full performance level within Healthcare Technology Management (HTM) Service at the Southern Arizona VA Health Care ... Certified Radiology Equipment Specialist (CRES), Certified Laboratory Equipment Specialist (CLES), or Certified Healthcare Technology Manager (CHTM).… more
- HonorHealth (AZ)
- …to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare ... care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona.… more
- Adelante (Phoenix, AZ)
- Value Based Clinical Data Specialist Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Full Time Job Category Health ... Care Description POSITION SUMMARY The Value Based Clinical Data Specialist will serve as a key support between Adelante... will serve as a key support between Adelante Healthcare and the patient population as attributed through Value… more