- USAA (Phoenix, AZ)
- …what makes us so special! **The Opportunity** We are currently seeking a talented ** Business Process Owner I** that will support Medicare Supplement Claims for ... end-to-end claims process. This role will work with our third-party supplier and key business partners supporting our Medicare Supplement Claims. As business … more
- Humana (Phoenix, AZ)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Project Management Certification + Experience in business consulting ... community and help us put health first** The Senior Project Manager manages all aspects of a project...experience + 5 or more years of experience managing business projects + Highly self-motivated and proactive with a… more
- Evolent Health (Phoenix, AZ)
- …with Clinical Operations , Medical Leadership, IT, Provider Relations, and other business groups. **What You Will Be Doing:** + Support team responsibilities and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will… more
- HonorHealth (Phoenix, AZ)
- …the lifecycle of the study. The position's competencies include operations , coding/billing compliance, Medicare coverage analysis/budgeting, contracting, ... finance and accounting principles. The successful Associate Clinical Trials Operations Specialist will support business activities of...a support role for pipeline, primary start up; and project modification operations within the CTO. This… more
- Humana (Phoenix, AZ)
- …products. + 5+ years of experience supporting Medicaid managed care health services operations and the Medicaid managed care business development lifecycle. + ... work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize,...and growth of the Medicaid and Duals lines of business . This is a unique opportunity for a motivated… more
- Public Consulting Group (Phoenix, AZ)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- Humana (Phoenix, AZ)
- …Qualifications** + Master's Degree + Certification with Six Sigma and/or the Project Management Institute + Knowledge of Medicare Advantage **Scheduled Weekly ... Professional will work as liaison between vendors and Humana supporting internal business areas while helping ensure vendors meet contractual obligations as part of… more
- Humana (Phoenix, AZ)
- …from across the enterprise (clinical, quality, operations , analytics, and business ) and leading the end-to-end project of strategy development for ... and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer… more
- Public Consulting Group (Phoenix, AZ)
- …+ Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and ... (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and...as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined… more
- CVS Health (Phoenix, AZ)
- …Senior Manager of Commercialization and Sales Enablement, part of the Health Care Delivery business unit of Health Services segment at CVS Health, you will be an ... teams (sales, strategy, product, marketing, finance, actuarial, clinical, sales operations , contracting, partner success, etc.) to deliver top notch sales… more
- Dignity Health (Phoenix, AZ)
- …assigned market(s). The position is responsible for ensuring optimal revenue operations across the market(s) of responsibility by driving revenue cycle opportunity ... identification, project management, vendor accountability, performance tracking, and partnership between...CI team, and EHR system to optimize revenue cycle operations by solving technology/build issues, interface issues, and work… more
- Humana (Phoenix, AZ)
- …years of project leadership and consulting experience. + Health Care Business Domains - Medicare , Medicaid, Group, Specialty etc. **Additional Information** ... help us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's… more
- Public Consulting Group (Phoenix, AZ)
- …federal and state law and regulation. + Reviews and is an expert in business operations for service and efficiency improvements. + Develops and executes new ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- Banner Health (AZ)
- …knowledge of leading edge business trends that can positively affect business operations . Establishes guidelines and best practices for business ... in support of the company's infostructure and infrastructure. CORE FUNCTIONS 1. Business Outcomes: Relentless focus on delivering outcomes and value to our … more
- Humana (Phoenix, AZ)
- …with a focus on strategic planning + 6+ years of experience in operations /product owner development experience. ( project management) + 3+ years' experience in ... innovation opportunities, and translates ideas into actionable and profitable business . The Director, Innovation Portfolio Strategy requires an in-depth… more
- Prime Therapeutics (Phoenix, AZ)
- …the team through the full cycle contract management processes for Commercial, Medicare Part D, Medicaid, and Health Insurance Marketplace and the provider relations ... to pharmacy clients by creating a strong interface between contact center operations and provider relations + Develop and maintain relationships with internal and… more
- Humana (Phoenix, AZ)
- …Analytics Professional manages data to support and influence decisions on day-to-day operations , strategic planning and specific business performance issues. The ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more