• RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Scottsdale, AZ)
    …cost-effective member care. Candidates with UM and Appeals experience are highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Mesa, AZ)
    …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... Care Management & Waiver Service Auditing experience is highly preferred . Work hours: Monday - Friday 8:00am - 4:00pm...+ Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee… more
    Molina Healthcare (11/13/25)
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  • Senior Manager, Audit and Business Oversight

    CVS Health (Phoenix, AZ)
    …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience + Experience with Part… more
    CVS Health (11/07/25)
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  • Field Medical Director, Interventional Cardiology…

    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
    Evolent (10/29/25)
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  • Profee Coder Surgical Urology

    Banner Health (AZ)
    …least 1 year of Urology coding experience** to join our talented team. ** Preferred experience in Surgical Urology and Gynecology Oncology and coding, knowledge and ... coding (clearly reflected in your attached resume);** + **Surgical Urology experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined… more
    Banner Health (11/26/25)
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  • Profee Coder Academic General Med

    Banner Health (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), Certified… more
    Banner Health (11/28/25)
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  • Medical Assistant Registration Representative…

    Banner Health (Surprise, AZ)
    …know how to have fun and it shows. As a **Medical Assistant Registration Specialist ** on this team, we offer a customer-focused and friendly work environment with ... PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within...Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS One to two years of experience working… more
    Banner Health (11/27/25)
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  • Registered Nurse RN Home Care

    Banner Health (Tempe, 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 (11/06/25)
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  • Registered Nurse RN Home Health

    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. POSITION SUMMARY This position assesses,… more
    Banner Health (11/06/25)
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  • Oncology Sales Representative - Seattle South

    Merck (Phoenix, AZ)
    **Job Description** **Oncology Sales Representative / Specialist ** Grow and accelerate your career with our Oncology Sales organization and join a team that's driven ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** +… more
    Merck (11/22/25)
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