- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** **Launch Your Healthcare Career - No Experience Needed** ** Medicare Sales & Enrollment Specialist ** **Location: The Hive, powered by BroadPath in ... and covered licensing costs** **.** Complete our 7-week training program and become eligible for placement into a high-demand...Learn and Do** + Guide prospective members through their Medicare options with clarity and care + Enroll customers… more
- HonorHealth (AZ)
- …project management, clinical trial operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems ... finance and accounting principles. The successful Senior Clinical Trial Operations Specialist will lead and coordinate the activities of a multidisciplinary team… more
- CenterWell (Phoenix, AZ)
- …caring community and help us put health first** The **Denials Management Specialist ** is responsible to respond to, monitor and analyze all governmental requests, ... administrative, supervisory, quality assurance or teaching position in/or related to a Medicare certified home health agency. + A thorough knowledge of federal… more
- Molina Healthcare (AZ)
- …to working in the pacific time zone. **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention… more
- Molina Healthcare (Mesa, AZ)
- … Specialist (CPCS) or participation in a CPCS progression program . **Preferred Education:** Bachelor's Degree in a related field **Preferred Experience:** ... sanctions/exclusions. * Reviews and processes monthly daily alerts for Medicare Opt-Out reports to determine if any provider has...to determine if any provider has opted out of Medicare . * Reviews and processes assigned daily NPDB Continuous… more
- Indian Health Service (Parker, AZ)
- …as the primary Insurance Credentialing for PBO. Ensures all applications to Medicare , Medicaid and any Private Insurance companies are completed to specifications. ... Maintains Medicare , Medical and private/commercial insurance manuals and directives, Providers...maintains and directs the billing operation for third party program and acts as an advocate for IHS on… more
- Humana (Phoenix, AZ)
- …that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and Medicare ... Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health...post-acute facilities + Develops contracts for the enhanced track Medicare Shared Savings Program (MSSP) + Designs… more
- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Indian Health Service (Kayenta, AZ)
- …improvement to assure compliance with hospital accreditation and Centers of Medicare and Medicaid (CMS) standards This position is being announced concurrently ... degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the… more
- Evolent (Phoenix, AZ)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more