- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Amazon (AZ)
- Description Application deadline: Jan 8, 2026 As a Program Manager II on the One Medical At -Risk team, you will be the primary builder of new and existing ... balancing time, quality, and resources to optimize project and program outcomes * Lead the end-to-end implementation of new...driving end to end delivery, and communicating results to senior leadership experience - 3+ years of driving process… more
- Humana (Mesa, AZ)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Danaher Corporation (Phoenix, AZ)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- CVS Health (Phoenix, AZ)
- …with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development ... support segment leaders with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Scottsdale, AZ)
- …Summary** CVS Health offers an exciting opportunity to join our team as Senior Manager , Financial Reporting & Analysis within HCB Controllership. This role ... Qualifications** 2+ years managing teams. Knowledge of: + Healthcare Industry/ Medicare /Medicaid/Commercial business drivers. + Accounting, finance, and auditing experience… more
- Banner Health (Tucson, AZ)
- …heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program . POSITION SUMMARY This position is responsible for the management and ... thorough knowledge of managed care contracts, other third-party payors, AHCCCS and Medicare , along with knowledge of medical terminology. Requires the ability to… more
- CenterWell (Phoenix, AZ)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Molina Healthcare (AZ)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... focused interventions and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including key… more
- CenterWell (Phoenix, AZ)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with... leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and… more
- Humana (Phoenix, AZ)
- …advanced agentic AI decision-making across our organization. As a Lead Technical Product Manager (PM-T), you will be responsible for shaping the vision, defining the ... and meets regulatory requirements. + Communicate complex technical concepts to senior executives in a clear, results-oriented manner. + Work with compliance… more
- CenterWell (Phoenix, AZ)
- …during the week.** + **Required to work every other holiday.** The **Care Manager , Telephonic Nurse** helps to ensure optimal continuity of care for patients ... appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- BrightSpring Health Services (Scottsdale, AZ)
- …and direct telephone outreach, the primary responsibility of the Regional Account Manager (inside sales) position will be to develop and manage a designated ... within initiatives (ie Selling our Success communication, drug launches, Medicare changes, etc.) designed to ensure territory meets performance requirements… more
- CenterWell (Phoenix, AZ)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Surprise, AZ)
- …requires an in-depth evaluation of variable factors. Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...impact** **Required:** + Graduate of accredited MD or DO program from an accredited University. + Board Certification or… more
- CenterWell (Phoenix, AZ)
- …services within the Center. + Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Assures personal compliance with ... Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 310 centers across fifteen… more
- CenterWell (Phoenix, AZ)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... direct patient care. **Required Qualifications:** + Graduate of accredited MD or DO program from an accredited university + Board Certification or Eligible to become… more
- CenterWell (Phoenix, AZ)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... , a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group...the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible… more
- Banner Health (Phoenix, AZ)
- …benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package. Banner Health Network (BHN) is ... preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or… more
- CenterWell (Phoenix, AZ)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more