- USAA (Glendale, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Director , Underwriting Research - Operations, you will be responsible for Managing a team ... of relevant industry practices, trends, and regulatory requirements. Experience reviewing policies and procedures documents and identifying and articulating the… more
- Humana (Phoenix, AZ)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Centene Corporation (Phoenix, AZ)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Sumitomo Pharma (Phoenix, AZ)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- CommonSpirit Health (Phoenix, AZ)
- …needs of each situation; including funding solutions and physician investment structures. The Director will report to Systems Director of Growth in the ... project teams in the implementation of the key development initiatives. The Director will support alignment and understanding of the Region and Market objectives… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- Amentum (Phoenix, AZ)
- …than 53,000 employees in approximately 80 countries across all 7 continents. The ** Director of IT SOX Compliance** is responsible for ensuring Amentum IT's SOX ... matrices, etc.), ensuring it is kept current. + Collaborates with the Company's Director of Internal Controls & SOX Compliance to evaluate IT system SOX scoping… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated ** Director , Underwriting Research - Operations** , you will be responsible for Managing ... of relevant industry practices, trends, and regulatory requirements. + Experience reviewing policies and procedures documents and identifying and articulating the… more
- Ryder System (Phoenix, AZ)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- NASCO (Phoenix, AZ)
- …you will function as the primary operational leader and deputy to the Director of Technical Operations, responsible for ensuring the reliability and efficiency of ... system health and minimizing downtime risks. As a key partner to the Director , this role provides regular updates to Directors and executive-level stakeholders on… more
- CenterWell (Phoenix, AZ)
- …expenditures. Generates specific market quality assessment reports along with monitoring, reviewing , and managing patient satisfaction data. MEO will work closely ... the assigned area. + May oversee backfill for Branch Director and fill-in when Branch Director role...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Dignity Health (Phoenix, AZ)
- …in Transplant quality and workgroups/council. + Additional duties assigned by Medical Director or Management **Qualifications** **MINIMUM** Master's in nursing ... Located conveniently in the heart of Phoenix Arizona St. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range of… more
- Eurofins (Phoenix, AZ)
- …maintains Standard Operating Procedures (SOPs); submits monthly QA Reports; and assists in reviewing new work as needed. The QA Manager has the final authority to ... oversee QA training courses. As directed by the Laboratory Director , may conduct ethics training minimally every quarter in...annual Management Review of the Quality System Assist in reviewing and/or writing of Quality Assurance Project Plans, and… more
- ABcom (Phoenix, AZ)
- …annual assigned quota. Scope of the position: This position reports to the Director of Sales or Vice President of Operations. Major Responsibilities: + Develop new ... Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; and participating in professional societies. Specific… more
- DLA Piper (Phoenix, AZ)
- …+ Triage vendor contracts, working closely with Deputy General Counsel, Executive Director , New Business Intake & Procurement, and Director , Procurement & ... projects and other duties as assigned. **Desired Skills** Significant experience reviewing and negotiating contracts, including data processing agreements and data… more
- Dignity Health (Phoenix, AZ)
- **Overview** Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) ... staff that cover a wide variety of specialties. The medical group has had tremendous success over the past...on behalf of and in best interest of Vice President/ Director and department. + Prepares business plan, presentations, spreadsheets… more
- Cardinal Health (Phoenix, AZ)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- Dignity Health (Phoenix, AZ)
- …Located conveniently in the heart of Phoenix ArizonaSt. Josephs Hospital and Medical Center is a 571-bed not-for-profit hospital that provides a wide range ... proud to be a nationally recognized center for quality quaternary care medical education and research. St. Josephs includes the internationally renowned Barrow… more
- Molina Healthcare (Phoenix, AZ)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, medical economics/actuaries and local health ... contracting are sufficient to meet requirements. + Responsible for reviewing internal dashboard of Value Based Programs & Contracts...HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to… more
