• Medicaid Provider Hospital

    Humana (Phoenix, AZ)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (10/21/25)
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  • Medicare (PPS) Provider Hospital

    Humana (Phoenix, AZ)
    …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
    Humana (10/18/25)
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  • Director, Provider Contracts (Must reside…

    Molina Healthcare (Scottsdale, AZ)
    …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
    Molina Healthcare (10/05/25)
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  • Manager, Managed Care

    Cardinal Health (Phoenix, AZ)
    …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
    Cardinal Health (10/24/25)
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  • Payer Analytics Strategy Initiatives Analyst

    CommonSpirit Health (Phoenix, AZ)
    …including an understanding of national standards for fee-for-service and value-based provide reimbursement methodologies. + Experience in contribution to ... supporting negotiations across a diverse payer portfolio, including commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages… more
    CommonSpirit Health (09/17/25)
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  • Privacy Director

    Banner Health (AZ)
    …liaison in the corporate and business support environment, also assisting the (a) hospital or other health care facilities, (b) provider groups, (c) insurance ... to health care, regulatory compliance, physician billing and information systems, Medicare/ Medicaid and financial reimbursement systems, and HIPAA Privacy and… more
    Banner Health (10/10/25)
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  • Inpatient Medical Coding Auditor

    Humana (Phoenix, AZ)
    …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
    Humana (09/24/25)
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  • Senior PFS Representative

    Banner Health (Tucson, AZ)
    …Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best ... Report. The academic medical center has earned Magnet Recognition becoming the only hospital in southern Arizona to meet the rigorous standards of the American… more
    Banner Health (10/27/25)
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  • Intake Coordinator

    BrightSpring Health Services (Prescott, AZ)
    Our Company Amerita Overview Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we ... of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita. As… more
    BrightSpring Health Services (10/14/25)
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  • Social Worker

    Somatus (Phoenix, AZ)
    …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
    Somatus (10/01/25)
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