- 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
- J&J Family of Companies (Phoenix, AZ)
- …benefit verification, pre-authorization, billing, coding, claims, and appeals/grievances); REMs certification ; Medicare and Medicaid rules and regulations; and ... We are searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Arizona. **About Neuroscience** Our expertise in… more
- Molina Healthcare (Scottsdale, AZ)
- …Public Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification , Association** + ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or… more
- Banner Health (Tucson, AZ)
- …of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of ... profession, such as participation in professional organizations and achievement of certification in healthcare quality. 9. Responsibilities cross all levels of… more
- Molina Healthcare (Mesa, AZ)
- …oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School ... documents) and Microsoft Excel (edit/save spreadsheets, sort/filter) **Required License, Certification , Association** Licensed registered nurse (RN), Licensed practical nurse… more
- CenterWell (Phoenix, 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 (Mesa, AZ)
- …measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position evaluates ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… 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
- Humana (Phoenix, AZ)
- …approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, ... + PharmD + Health Plan experience + Knowledge of Medicare as it relates to pharmacy + Six Sigma...to pharmacy + Six Sigma and/or Project Management Professional certification + Pharmacy practice residency or similar pharmacy practice… more