- Molina Healthcare (AZ)
- …experience with demonstrable successes in application of Lean/Six-Sigma. + Project management. + Process design & engineering. + Medicare . + Proven track record ... **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer… more
- Humana (Phoenix, AZ)
- …on Medicare Advantage strategy development. As a Insurance Strategy Consultant , you will deconstruct issues and challenges, perform targeted research and ... in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's...total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly… more
- Highmark Health (Phoenix, AZ)
- …programs and results to key provider partners. + Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned ... integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development,… more
- Banner Health (AZ)
- …compliance to the FDA, billing entities, and institutional regulations. As a ** Senior Clinical Research Financial Analyst** , you will be responsible for reviewing ... and determine appropriate coverage and billing requirements. Serves as a knowledgeable consultant to guide other personnel on the determinations of what patient care… more
- CVS Health (Phoenix, AZ)
- …member eligibility data, billing/payment status, and prior to initiation of the appeal process . + Serves as point person for newer staff in answering questions ... in third party audits, customer meetings, regulatory meetings and consultant meetings when required. + Understands and can respond...as assigned. + Required Qualifications : + 1-2 years Medicare part C Appeals experience. + Experience in reading… more
- CVS Health (Phoenix, AZ)
- …that will sharpen the Care Transition strategies going forward and elevate to Sr Leadership for continuous process improvement. + Motivate and mentor others ... to probe into technical and operational details to improved process , efficiency, and results. + Contribute to a motivated work environment by working effectively to… more