- Prime Therapeutics (Phoenix, AZ)
- …projects simultaneously. + Strong analytical skills **Preferred Qualifications** + Pharmacy services, PBM, managed care or health care industry experience + ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description**… more
- Molina Healthcare (Mesa, AZ)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Proficiency with retrieving specified ... **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical...medical coding/billing (UB04/1500 form). * Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Molina Healthcare (AZ)
- …for Medicaid, Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates ... **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's...cleaning of data + 3-5 years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (Scottsdale, AZ)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional… more
- Highmark Health (Phoenix, AZ)
- …various complex potential claims with emphasis on controlling losses through effective managed care . This includes following a departmental claim checklist to ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. +… more
- Molina Healthcare (Phoenix, AZ)
- …+ Proven experience handling provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and ... **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake...4 years of experience in previous roles in a managed care organization, health insurance or directly… more
- Banner Health (Phoenix, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... one of 150 top places to work in health care for 2025, we are proud to offer our...control testing, walkthroughs, and fieldwork under the guidance of senior auditors or audit leadership. 3. Prepares clear, well-organized… more
- Highmark Health (Phoenix, AZ)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... and policies and regulatory bodies; performing and providing oversight of the care management delegation functions of multiple vendors through review of annual… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... **Department Name:** IT Clinical Care -Corp **Work Shift:** Day **Job Category:** Information Technology...from you. Banner Health is seeking an **IT Solution Analyst III** to join our **Regulatory & Registries IT… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Banner Health the best place to work and receive care . We are looking for a motivated, experienced **Profee...for a motivated, experienced **Profee Coder | Physician Practice Senior Coder with 5+ years of Cardiology Complex Coding… more