- 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 ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Banner Health (AZ)
- …EM coding (clearly reflected in your attached resume);** + **Specialty experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined ... 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)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered… more
- Banner Health (Scottsdale, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position assesses,… more
- Banner Health (Eloy, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position assesses,… more
- Molina Healthcare (Chandler, AZ)
- …Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred . **Required Experience** + 3-5 years clinical nursing experience, with 1-3 ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
- The Cigna Group (Phoenix, AZ)
- …+ Represents Evernorth Care Group as the Senior Community Engagement Specialist with key stakeholders at payor/broker partnership events, community-based events, ... metrics to inform the ROI of these efforts. + Maintain current knowledge of Medicare , Medicaid, and health economic trends in order discuss and provide input to… more
- Banner Health (Sun City, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. **$5,000 Hire on Incentive!** POSITION… more
- Cardinal Health (Phoenix, AZ)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- HonorHealth (AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the ... Responsible for coordinating and conducting medical necessity reviews for all Medicare , AHCCCS, Self-pay, and all other payers, upon admission and concurrently… more