- Highmark Health (Phoenix, AZ)
- …of internal clinical and value-based evaluation committees that drive formulary and utilization management functions. + Participate in product specific Pharmacy ... value of implemented initiatives. + Lead product based pharmacy trend management discussions with internal partners including senior executives. + Support… more
- Highmark Health (Phoenix, AZ)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Highmark Health (Phoenix, AZ)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and… more
- CenterWell (Phoenix, AZ)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Market CMO serves as a ...expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to… more
- Highmark Health (Phoenix, AZ)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... and minimize risk to implementation. Works to drive faster adoption, higher ultimate utilization and greater proficiency of the changes that impact employees in the… more
- CVS Health (Scottsdale, AZ)
- …activities for Medical Affairs. This includes accountability and support for utilization management (UM), formulary development, regulatory audits and clinical ... Compliance to ensure equitable application of UM across medical/surgical and behavioral health therapies. **Regulatory Strategy & Compliance** + Facilitate… more
- Banner Health (Casa Grande, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... and begin making a difference in people's lives. Apply today! **Arizona Department of Health Services has awarded Banner Health with the Healthy Arizona Worksite… more
- Banner Health (Casa Grande, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... **Work Shift:** Day **Job Category:** Pharmacy Pharmacy careers are better at Banner Health . We are committed to developing the careers of our team members. We… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …a timely response to individuals in psychosocial crisis as well as supporting the behavioral health needs of those in crisis. Coordinator will collaborate with ... GS-12 grade level and is administratively responsible for the Northern Arizona VA Health Care System (NAVAHCS) Spinal Cord Injury and Disorder program. The program… more
- Banner Health (Mesa, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... **Work Shift:** Night **Job Category:** Pharmacy Pharmacy careers are better at Banner Health . We are committed to developing the careers of our team members. We… more