- UnitedHealth Group (Phoenix, AZ)
- …benefit from a high touch model of care. The IPA Medical Director in AZ will report to the AZ CMO. The IPA Medical Director will assist in directing the clinical ... facility utilization, oversight and direction of Outpatient Care Management Services, Medicare Risk Adjustment Factor (RAF) education as well as HEDIS/STARS… more
- City of Casa Grande, AZ (Casa Grande, AZ)
- …and local government structure and services. Research and analysis methods, statistics, cost analysis, computer modeling and report presentation. Public sector ... of employment, employees are eligible for insurance coverage. The cost of employee health, vision and dental insurance is...gross wages to the Social Security System and a Medicare tax, which is also matched by the City.… more
- Banner Health (Peoria, AZ)
- …measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position is ... supervision and delegation of personnel to achieve safe delivery of quality cost effective patient care. Supervision and delegation of the PTA, ATC, Therapy… more
- Public Consulting Group (Phoenix, AZ)
- …principles and procedures. . Recommend accounting process improvements. . Assist with the Medicare and/or Medicaid cost report audit support and ... To learn more, visit www.publicconsultinggroup.com . Duties & Responsibilities . Prepare Medicare and/or Medicaid cost reports for ambulance providers. .… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals ... to the Reimbursement Managers and/or Directors. Accountabilities: Prepares interim and annual cost reports for Medicare Medicaid and other State or Federal… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation ... Managers and/or Directors. Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other...five (5) years of experience with all aspects of Medicare and Medicaid (Medi-Cal) regulations monitoring and report… more
- CVS Health (Phoenix, AZ)
- …and help implement creative initiatives that will drive efficiencies. This position will report to the Lead Director of Medicare Grievances. This position has ... analytics and strategic thinking to help incorporate solutions within the Medicare Grievance department operations. This is an opportunity to partner across… more
- Molina Healthcare (Mesa, AZ)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care. + Ensures that medical decisions are rendered… more
- CenterWell (Phoenix, AZ)
- …evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Dignity Health (Phoenix, AZ)
- …for the clinical teams within Arizona Care Network (ACN). ACN CPLs report to the Manager of Practice Transformation within the Clinical Performance Department, ... performance in value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs (HCC/RAF). In addition these positions also support our clinicians… more
