- HonorHealth (AZ)
- …-- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Reimbursement Manager will be responsible for overseeing and maximizing ... Initiatives and CMS final rules. Compiles public data from Medicare and Medicaid websites to model reimbursement ...from Medicare and Medicaid websites to model reimbursement effect of programs. Analyzes data and makes recommendations… more
- Humana (Phoenix, AZ)
- …such as VLOOKUP) **Preferred Qualifications** + Experience researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an… more
- Humana (Phoenix, AZ)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Molina Healthcare (Phoenix, AZ)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is...Knowledge, Skills and Abilities** + Knowledge and experience in reimbursement , the financial aspects of contracting and managed care… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of various reimbursement methodologies including DRG's, per ... **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development,… more
- CVS Health (Phoenix, AZ)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
- CenterWell (Phoenix, AZ)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... as medical, dental and vision benefits, 401k with company matching, tuition reimbursement , 3 weeks paid vacation time, paid holidays, work-life balance, growth, a… more
- Indian Health Service (Parker, AZ)
- …in Parker, Arizona. This position is under the Supervision of the Financial Manager . The primary function of this position is to manage department with ... as the primary Insurance Credentialing for PBO. Ensures all applications to Medicare , Medicaid and any Private Insurance companies are completed to specifications.… more
- Banner Health (AZ)
- …initial training by both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This position is for ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more