- Molina Healthcare (Tucson, AZ)
- **Job Description** **JOB SUMMARY:** The Senior Specialist , Quality Program Management & Performance RNensures quality monitoring audits and investigations are ... review + Well-versed in the requirements of the quality program and day-to-day work processes to support compliance...processes that may require remediation. In particular, the Senior Specialist may be asked to focus on parts of… more
- Molina Healthcare (AZ)
- …to working in the pacific time zone. **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and guidance for ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention… more
- HonorHealth (AZ)
- …with basic finance and accounting principles. The successful Clinical Trial Operations Specialist will support Research Program Managers and coordinate the ... position's competencies include project management, clinical trial operations, coding/billing compliance , Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination,… more
- Molina Healthcare (Mesa, AZ)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or… more
- The Walt Disney Company (Phoenix, AZ)
- …apply today. As Environmental Officer you will be the ship specialist on environmental matters, supervising the implementation of the Company's Environmental ... policy and procedures, verifying compliance with applicable national and international laws and training...Level: 3 stripes Senior Officer **Responsibilities :** + Ship specialist on environmental matters - supervises ship and Island… more
- Molina Healthcare (Mesa, AZ)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or… more
- Fresenius Medical Center (Apache Junction, AZ)
- …vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. ... + Competitive compensation and exceptional benefits. + Outstanding tuition reimbursement program . + Recognized among Fortune's World's Most Admired Companies in… more
- Fresenius Medical Center (Miami, AZ)
- …vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. ... healthcare team, supporting the FMCNA commitment to the Quality Enhancement Program (QEP) and Quality Assessment and Performance Improvement (QAI) activities.… more
- Molina Healthcare (Chandler, AZ)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical,… more