• Managed Care , Claims

    Zurich NA (Phoenix, AZ)
    Managed Care , Claims Vendor Management Sr Specialist 118916 Zurich North America is seeking a Managed Care , Claims Vendor Management ... United States. **About the Role** As a Senior Specialist in Managed Care and Claims Vendor Management, you will play a key role in administering… more
    Zurich NA (12/18/24)
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  • Mgr, Enrollment

    Molina Healthcare (Phoenix, AZ)
    …and strong system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of ... education and experience **Required Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate… more
    Molina Healthcare (12/19/24)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Phoenix, AZ)
    …7+ years of related compliance and/or special investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated ... Attend federal CMS and state fraud meetings with other managed care organizations, as well as state...exciting interviewing technology provided by Modern Hire, a third-party vendor . This technology provides our team of recruiters and… more
    Humana (12/19/24)
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  • Business Consultant

    HealthEdge Software Inc (Phoenix, AZ)
    …Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care , and commercial payment methodologies, payment integrity, and ... and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working knowledge… more
    HealthEdge Software Inc (12/18/24)
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  • Associate Director, Global Labeling Lead - Remote

    Takeda Pharmaceuticals (Phoenix, AZ)
    Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (10/16/24)
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  • AVP, Business Operations - Medical Policy…

    CVS Health (Phoenix, AZ)
    …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** At Aetna, our health… more
    CVS Health (12/20/24)
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  • Data Center Inventory & Asset Technician

    Microsoft Corporation (Phoenix, AZ)
    …and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you ... Centers in 32 countries and millions of servers. Our foundation is built upon and managed by a team of subject matter experts working to support services for more… more
    Microsoft Corporation (12/20/24)
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  • Data Center Inventory & Asset Technician (West…

    Microsoft Corporation (Phoenix, AZ)
    …and outbound deliveries as instructed by management. You will initiate warranty claims and process returns on failed equipment. This opportunity will allow you ... Centers in 32 countries and millions of servers. Our foundation is built upon and managed by a team of subject matter experts working to support services for more… more
    Microsoft Corporation (12/14/24)
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