- Banner Health (Phoenix, AZ)
- …practices and strategies for healthcare quality including understanding of quality metrics, regulatory requirements, and Medicaid managed care systems. CORE ... our executive team, responsible for leading and directing our quality management initiatives, including but not limited to ...to ensure the highest standards of care for our Medicaid members. This role requires a dynamic leader who… more
- Prime Therapeutics (Phoenix, AZ)
- …to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The… more
- Evolent (Phoenix, AZ)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current,… more
- Evolent (Phoenix, AZ)
- …in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... overall accountability for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** +… more
- Intermountain Health (Phoenix, AZ)
- **Job Description:** Reporting to the Senior Director of Revenue Integrity, the Revenue Integrity Director is responsible for directing and executing the ... Capture, Revenue Reconciliation, Revenue Guardian, and Claim Edits. The Revenue Integrity Director defines and carries out the strategy for maximizing gross and net… more
- Prime Therapeutics (Phoenix, AZ)
- …to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential pay ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- Humana (Phoenix, AZ)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top… more
- Evolent (Phoenix, AZ)
- …is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the...Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as… more
- Mathematica (Phoenix, AZ)
- …firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Learn more about our ... benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated * Director of Data Science* to lead a practice of data… more
- CenterWell (Phoenix, AZ)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...We are a value based care provider focused on quality of care for the patients we serve. Our… more
- Mathematica (Phoenix, AZ)
- …firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Read more about our ... of data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- CenterWell (Phoenix, AZ)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 310 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...We are a value based care provider focused on quality of care for the patients we serve. Our… more
- CenterWell (Phoenix, AZ)
- …lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, ... Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us… more
- Evolent (Phoenix, AZ)
- …more than 70 plans and risk-bearing provider groups to better manage both the quality and cost of care. Through a comprehensive suite of resources-such as high-value ... is unsustainable, and we believe every patient deserves higher quality care at lower costs. Founded in 2011, Evolent...lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of… more
- CenterWell (Sun City, AZ)
- …in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, ... practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to… more
- Molina Healthcare (Phoenix, AZ)
- …to improve efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an organizational strategy ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Ally Pediatric Therapy (Phoenix, AZ)
- …outcomes, without requiring 30-40-hour schedules for our clients. + Each location offers speech and feeding therapy in alignment with our integrated model which is ... funders or payors, and we proudly partner with Arizona Medicaid plans, to ensure access to care. Why You...and interdisciplinary clinical leadership, plus center-level support from clinical director and/or assistant CD. We are a local company… more