- Molina Healthcare (Chandler, AZ)
- …with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process ... early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies...+ Research and develop reports and analysis for senior management , effectively presenting and communicating results. + Works closely… more
- Molina Healthcare (AZ)
- …active and unrestricted in state of practice. * Deep understanding of clinical operations: utilization management , care management , etc. * Ability to provide ... of relevant education and experience. * At least 3 years health care management /leadership experience. * Registered Nurse (RN) or other advanced clinical or … more
- Molina Healthcare (Phoenix, AZ)
- …+ Manage projects spanning multiple domains + Supports Market and Enterprise management and other team members are related to all things financially related ... reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting… more
- Kyndryl (Phoenix, AZ)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. The Consult Enterprise ... to ensure consistency and quality across IT systems Stakeholder Management + Communicate architecture plans, risks, issues and decisions...who believe they are eligible may apply for a medical or religious accommodation prior to the start of… more
- HonorHealth (AZ)
- …accuracy and optimal reimbursement. + Attends JOC as requested by Utilization Management or Managed Care: Works with Director , Management and staff ... The PA further acts as a resource for the medical staff regarding federal and state utilization ...or participant as needed: Care conferences Process improvement committees Utilization management LOS joint committees Resource … more
- Select Medical (Phoenix, AZ)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... well by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management… more
- Sevita (Tucson, AZ)
- …DSPs in documenting incident reports; submits initial incident reports to the Program Director . 8. Billing and Utilization : Compiles or accumulates census or ... and maintains medical supplies and equipment in consultation with Program Director ; communicates with employees and may assist with training on proper use. 5.… more
- American Express (Phoenix, AZ)
- …Strategy & Operations. This role will be critical in setting program management best practices, ensuring efficient utilization of resources, on-time delivery ... market, effectiveness of delivery and transparency. The Enterprise Customer Relationship Management Solutions (ECRMS) team creates solutions for the Sales and… more
- CenterWell (Tucson, AZ)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- Fresenius Medical Center (Show Low, AZ)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more