- Molina Healthcare (Tucson, AZ)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... codes, etc. + Access and Excel - intermediate skill level (or higher) ** Preferred Education** Bachelor's Degree ** Preferred Experience** + 5+ years managed care… more
- Cardinal Health (Phoenix, AZ)
- …scheduled training. **_Qualifications_** + Bachelors degree or equivalent experience in Managed Care preferred + 2-4 years experience in health care preferred + ... Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong written and… more
- CVS Health (Phoenix, AZ)
- …Qualifications** + Must reside in Arizona. + 6 months+ of working with Medicare and Medicaid programs. + 6 months+ of behavioral health systems experience related ... the information provided by callers to ensure completeness and accuracy. ** Preferred Qualifications** + Excellent communication skills. + Strong critical thinking… more
- Humana (Phoenix, AZ)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health… more
- Ensono (Phoenix, AZ)
- …US Citizenship and pass related background checks including but not limited to Medicare and Medicaid and VA ** Preferred Skills:** + Experience with secure ... policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary certifications… more
- CenterWell (Phoenix, AZ)
- …Provider Number + Minimum of three to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with ... + Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of… more
- CVS Health (Phoenix, AZ)
- …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
- Molina Healthcare (Phoenix, AZ)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... 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
- Molina Healthcare (Mesa, AZ)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for… more
- Molina Healthcare (Phoenix, AZ)
- …and verbal communication skills including ability to synthesize complex information. ** PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more