- CVS Health (Phoenix, AZ)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet their specific healthcare needs. This role is ideal… more
- Prime Therapeutics (Phoenix, AZ)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- Bristol Myers Squibb (Gilbert, AZ)
- …with patient interest at the core of decisions should apply. The NP PA Clinical Specialist will have no direct reports and report into the Regional NPPA CS Director. ... The Dermatology Clinical Specialist will have materials created to support them in...+ Past or current Physician Assistant (PA)/Nurse Practitioner (NP) certification required. *Does not need to keep certification… more
- Banner Health (Glendale, AZ)
- …using performance improvement PI principles and analytical tools. As a QI Specialist , you will serve teams throughout the hospital by facilitating quality ... of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of… more
- Highmark Health (Phoenix, AZ)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- CenterWell (Sun City, AZ)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... CenterWell Senior Primary Care. + Assures personal compliance with licensing, certification , and accrediting bodies. **Required Qualifications:** + Minimum of two to… more
- Banner Health (AZ)
- …highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and ... as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire.** In most of our Coding roles, there is… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid… more
- Molina Healthcare (Phoenix, AZ)
- …of business. + Certified Business Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification . + Project Management Experience + Familiarity ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- Evolent (Phoenix, AZ)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... state licensure required per business needs + Active Board Certification in Interventional Cardiology **or** may be substituted for...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
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