- Adelante (Mesa, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... for providing comprehensive primary health care services through the identification, management and/or referral of the health problems and maintenance of the… more
- Highmark Health (Phoenix, AZ)
- …stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
- Adelante (Buckeye, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... for providing comprehensive primary health care services through the identification, management and/or referral of the health problems and maintenance of the… more
- Banner Health (Queen Creek, AZ)
- …needs including but not limited to credentialing, peer reviews, meeting management , regulatory requirements of state and accreditation surveys, managing the needs ... hospital setting. This role requires **Certified Professional Medical Services Management certification** ; alternatively, must possess significant experience in… more
- Adelante (Surprise, AZ)
- …pre visit planning, and maintaining health records by following the document management process. The Administrative Medical Assistant also will be required to help ... the Arizona Department of Public Safety for all specialty behavioral health locations + High school diploma or GED...with prior authorization support and referrals + Perform chart review to ensure coordinated patient care. + Utilize evidence… more
- Highmark Health (Phoenix, AZ)
- …medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians ... report improper coordination of benefit billing practices through paid claims review . + Complete other assigned duties as specified. **QUALIFICATIONS:** **Minimum**… more
- Adelante (Buckeye, AZ)
- …Type 2 diabetes, hyperlipidemia, hypertension, metabolic syndrome, and weight management . This individual will work collaboratively with the PCMH interdisciplinary ... Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations + Documented excellence in customer service with the ability to… more
- Adelante (Surprise, AZ)
- …Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations + Graduation from an approved medical assistant training program ... clear instructions to patients regarding obtaining and collecting of specimens. + Review patient plan and educates patient on discharge instructions + Can accurately… more
- Highmark Health (Phoenix, AZ)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... knowledge of the pharmacy industry, including benefit design, formulary management , and pharmacy best practices. + Proven ability to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Acxiom (Phoenix, AZ)
- …being sold and technical expertise to drive and increase adoption and utilization of Acxiom's products. Demonstrates product features beyond central functionality to ... high quality work on time and against commitments, proactive pitch proposals and business review presentations. **WHAT WILL SET YOU APART:** + 12 + years of relevant… more
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