• BroadPath Healthcare Solutions (Tucson, AZ)
    …**Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their ... interpretation to support communication between Spanish-speaking members and non-bilingual clinical staff while being mindful of cultural nuances and applying… more
    DirectEmployers Association (12/03/25)
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  • Clinical Specialist I, CPT

    Abbott (Tucson, AZ)
    …branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. ** Clinical Specialist , CPT - Tucson, AZ** **Working at Abbott** At ... the pain continuum. **The Opportunity** Our team is actively recruiting for a ** Clinical ** ** Specialist I, CPT ** **in** **Tucson, AZ** . As a member of… more
    Abbott (11/07/25)
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  • Prior Authorization Specialist

    Children's Clinics (Tucson, AZ)
    …same day appointments + Reviews patient information including diagnosis ICD10 codes, CPT codes and submits authorization request and all required documentation to ... meeting timely standards to include data-entry, coordination with offsite providers and clinical staff for scheduling and communication of status and requests +… more
    Children's Clinics (12/11/25)
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  • RN Medical Review Nurse Remote

    Molina Healthcare (Tucson, AZ)
    …suite and applicable software program(s) proficiency. **PREFERRED QUALIFICATIONS:** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), ... regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and… more
    Molina Healthcare (12/03/25)
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