- Mayo Clinic (Phoenix, AZ)
- …Competitive retirement package to secure your future. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within ... service. Must be able to work independently as needed. Knowledge of Medicare , Medicaid and/or private insurance billed preferred with attention to detail. Physical… more
- CVS Health (Phoenix, AZ)
- …demographic information from members or callers, as well as from Mercy Care systems . + Confirm details such as whether members receive special assistance (applicable ... reside in Arizona. + 6 months+ of working with Medicare and Medicaid programs. + 6 months+ of behavioral...and Medicaid programs. + 6 months+ of behavioral health systems experience related to individuals with serious mental illness.… more
- Molina Healthcare (Tucson, AZ)
- …on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network ... Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Ensono (Phoenix, AZ)
- …(CMS) security standards and compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, ... Senior Systems Engineer - IAMRemote - United StatesJR012224 At...policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary… 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...among three stakeholders: Humana (majority owner), Main Line Health System , and Jefferson Health System . Humana takes… more
- HonorHealth (AZ)
- …transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems , serving a population of five million people in the greater ... documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical… more
- Molina Healthcare (Phoenix, AZ)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more
- Molina Healthcare (Mesa, AZ)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially… more
- Banner Health (Phoenix, AZ)
- …Help lead health care into the future. As one of the largest nonprofit health systems in the country, Banner Health has both the stability that comes with success ... preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or… more
- CenterWell (Phoenix, AZ)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... + Oversee the development, revision, and implementation of policies and procedures, systems , programs and standards for health care services. + Represent the… more