• Medicare Member Engagement…

    Molina Healthcare (Chandler, AZ)
    …team members, and manager. Basic understanding of managed healthcare systems and Medicare . ** PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social ... Work, Human Services, or related field. ** PREFERRED EXPERIENCE:** Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP. To all… more
    Molina Healthcare (11/13/25)
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  • Medicare Sales Specialist Hourly…

    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 ... + Proficient computer skills and knowledge of Microsoft Office ** Preferred Qualifications** + 1 to 2 years Medicare...** Preferred Qualifications** + 1 to 2 years Medicare sales experience + Medicare call center… more
    CVS Health (11/13/25)
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  • Specialist - Clinical Trials Operations

    HonorHealth (AZ)
    …project management, clinical trial operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems ... basic finance and accounting principles. The successful Clinical Trial Operations Specialist will support Research Program Managers and coordinate the activities of… more
    HonorHealth (10/24/25)
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  • Revenue Cycle Specialist

    Hospice of the Valley (Phoenix, AZ)
    …+ Flexible schedules for work/life balance **_Position Profile_** Th Revenue Cycle Specialist ensures accuracy and completeness of claims billed to multiple payors ... in a professional and timely manner. + Assures accurate data entry of Medicare , Medicare Advantage, commercial insurance, and self-pay payments and adjustments… more
    Hospice of the Valley (11/20/25)
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  • Medication Therapy Management Specialist

    Prime Therapeutics (Phoenix, AZ)
    …operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge ** Preferred Qualifications** + Contact Center experience + ... every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service … more
    Prime Therapeutics (10/31/25)
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  • Neuroscience Area Business Specialist

    J&J Family of Companies (Phoenix, AZ)
    …We are searching for the best talent for Neuroscience Area Business Specialist to cover the territory of Arizona. **About Neuroscience** Our expertise in ... of the way. Learn more at https://www.jnj.com/innovative-medicine **The** **Mood Area Business Specialist ** **will:** + Educate doctors and staff in new and existing… more
    J&J Family of Companies (11/22/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Tucson, AZ)
    …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
    Molina Healthcare (11/21/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Scottsdale, AZ)
    …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
    Molina Healthcare (11/13/25)
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  • Specialist , Quality Interventions/QI…

    Molina Healthcare (Scottsdale, AZ)
    … Education** Preferred field: Clinical Quality, Public Health or Healthcare. ** Preferred Experience** 1 year of experience in Medicare and in Medicaid. ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or… more
    Molina Healthcare (11/21/25)
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  • Post Acute Alignment Specialist HME HIT

    Banner Health (Peoria, AZ)
    …that sets us apart from the competition. As a Post Acute Alignment Specialist , you will be optimizing referral development for **Home Health, Home Medical Equipment ... key accounts. Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs… more
    Banner Health (09/05/25)
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