- Cardinal Health (Phoenix, AZ)
- …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, ... medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles… more
- Amazon (Tempe, AZ)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
- Molina Healthcare (Chandler, AZ)
- …Data Validation) team, assisting in the execution of CMS and internal audit activities. This position contributes to the development of chart retrieval chase ... lists by helping identify and validate source data required for medical record collection. This is an ideal opportunity for an early-career analyst with a strong… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program,… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... optimization, continuous improvement and governance to areas such as training and audit . Foster a culture of operational excellence, ensuring best practices are… more
- CVS Health (Phoenix, AZ)
- …claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Consults cross-functionally with other ... regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations regarding training… more
- Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. **Position Summary** As an Audit and Testing Program manager, you will provide technical, analytical, and business support ... audits and adequately communicate implications to ensure a successful audit experience for our clients. Your ability to research... experience for our clients. Your ability to research claims , read benefit setups in RxClaim, and articulate risks… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across… more
- Republic Services (Phoenix, AZ)
- …+ Drafts and otherwise contributes to reports to the Company's Chief Legal Officer, senior management, auditors, and Audit Committee of the Board of Directors. + ... **POSITION SUMMARY** : The Senior Corporate Counsel (Operations) is responsible for managing...areas on a full range of legal matters, including claims , demands, investigations, litigation, administrative and business law, contracts,… more