• Network Management - Analyst-Scottsdale Only

    CVS Health (Scottsdale, AZ)
    … claims submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that ... to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy … more
    CVS Health (07/11/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Phoenix, AZ)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience… more
    Humana (07/29/25)
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