- Sedgwick (Phoenix, AZ)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director - Complex Claims **PRIMARY PURPOSE** **:** To be ... responsible for the day to day activities of the complex claims unit, to assess the work done by the unit, and develop and improve the individuals within the… more
- Banner Health (Phoenix, AZ)
- …effectiveness of risk mitigation strategies. 9. Oversight for investigation and evaluation of complex claims and manages such claims through mediation and/or ... Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational… more
- Trustmark (Phoenix, AZ)
- …and/or negotiate with claimants and legal representatives. Provides sign-off approval of highly complex or high-dollar claims . + Fosters a culture of continuous ... the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner… more
- Humana (Phoenix, AZ)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Phoenix, AZ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Conviva (Phoenix, AZ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (Phoenix, AZ)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Dignity Health (Phoenix, AZ)
- …St. Joseph's is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of ... proud_ _to be_ _a tobacco-free campus._ **Responsibilities** **Job Summary:** The Market Director of Revenue Cycle reports directly to the Region Vice President of… more
- Celestica (Phoenix, AZ)
- …Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , Strategic Supply Chain ... dynamic market environment. **Detailed Description** We are currently seeking a ** Director , Strategic Supply Chain Management (Capital Equipment)** to join our team… more
- Humana (Phoenix, AZ)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Evolent (Phoenix, AZ)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Prime Therapeutics (Phoenix, AZ)
- …or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic insight to ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Phoenix, AZ)
- …**Responsibilities** + Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... based upon large data sets and/or experience working with complex queries + 2 years of experience working with...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Zurich NA (Phoenix, AZ)
- …Construction Casualty Underwriter, (Sr. Level III or AVP Level IV) you will handle complex new and renewal domestic Large Casualty accounts and serve as a Subject ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...AM - Scottsdale Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR … more
- Honeywell (Phoenix, AZ)
- …this role will be responsible for the management of work scopes for very complex engine maintenance events performed at 3rd party service centers around the world. ... team member has ownership of coordinating, authorizing, and processing claims for a portfolio of Channel Partners totaling $150M-$200M...business aviation APU's. You will report directly to our Director Sales and you'll work out of our Phoenix,… more
- Microsoft Corporation (Phoenix, AZ)
- …Microsoft Cloud and our customers. We support a portfolio of complex , multi-disciplinary, multi-billion, multi-year datacenter construction and operations of those ... are looking to fill the critical role of Procurement Director for the Americas region. In alignment with our...team to meet the on-time delivery for a large, complex capital project. This role will: + partner with… more
- Prime Therapeutics (Phoenix, AZ)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims ... and ability to adjust focus **Reporting Structure** + Reports to Manager or Director in the Finance Department Potential pay for this position ranges from $64,700.00… more
- Prime Therapeutics (Phoenix, AZ)
- …The Senior Business Integration Consultant is responsible for leading multiple complex small to mid-sized client and/or product implementations, projects, analysis, ... and external leaders + Ability and desire to drive solutions for complex business needs (including operational and technical aspects) + Familiarity with project… more
- Prime Therapeutics (Phoenix, AZ)
- …**Preferred Qualifications** + PBM (Pharmacy Benefit Management) experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, ... analysts + Develop analytic methodologies, models, reports and new products + Lead complex client analytical work efforts and serve as an internal subject matter… more
- Evolent (Phoenix, AZ)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... plans and providers to achieve better outcomes for people with the most complex and costly health conditions. Working across specialties and primary care, we seek… more