- Trustmark (Phoenix, AZ)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
- Zurich NA (Phoenix, AZ)
- …Office, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR ... Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our… more
- Takeda Pharmaceuticals (Phoenix, AZ)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote… more
- Crawford & Company (Phoenix, AZ)
- …claim adjusters and other staff and oversee the analysis, review and validation of claims under the direction of the Managing Director . Ensures processes and ... is an IN-OFFICE postion that will not convert to remote . Must be local to Phoenix AZ. Responsibilities +...years of experience as an Adjuster, Adjuster in Charge, Claims Supervisor or Claims Manager. + Previous… more
- HealthEdge Software Inc (Phoenix, AZ)
- **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Cardinal Health (Phoenix, AZ)
- …are used. **What this position contributes to Cardinal Health:** The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
- Humana (Phoenix, AZ)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Microsoft Corporation (Phoenix, AZ)
- …of those assets. We are looking to fill the critical role of Procurement Director for the Americas region. In alignment with our Microsoft values, we are committed ... location. + This role is eligible for hybrid or remote work, up to (50)%. Microsoft's mission is to...change orders related to long lead equipment. + Negotiate Claims with the detailed understanding of the contractual conditions… more
- Trustmark (Phoenix, AZ)
- …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... small, mid-size, and complex/transformational projects, with support from the Executive Director , Digital Project Manager, as needed. Define baseline and target… more
- Prime Therapeutics (Phoenix, AZ)
- …Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Works independently to research and resolve regulatory inquiries/complaints related to claims , contracting and XXXX. Works directly with business partners across the… more
- Prime Therapeutics (Phoenix, AZ)
- …every decision we make. **Job Posting Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- Prime Therapeutics (Phoenix, AZ)
- …every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Zurich NA (Phoenix, AZ)
- …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Phoenix, AZ)
- …Virtual Office, AM - Phoenix Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-WL1 #LI- DIRECTOR ... work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining… more
- GNC (Phoenix, AZ)
- …every day. As our Human Resources Business Partner, your role will be fully remote but expected to be based on the West Coast (California, Oregon, Washington). Your ... are integral components of your role. Reporting to the Director of Human Resources, you will serve as a...issues including, but not limited to, wage and hour claims , EEOC claims , Civil Rights claims… more
- Zurich NA (Phoenix, AZ)
- …Office, AM - Oregon Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI- DIRECTOR ... prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims...for resume submission. Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Dallas, AM - San… more
- HomeSafe Alliance (Phoenix, AZ)
- …with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of transit ... risks of not meeting RDDs as directed by the Director of International Operations, for all shipments that may...International Operations, for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
- Centene Corporation (Tempe, AZ)
- …summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). + Document, investigate and ... of care issues. + Audit medical records, review administrative claims and analyze data and interventions for quality improvement...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Centene Corporation (Phoenix, AZ)
- …plan levels according to NCQA, URAC and State requirements. + Work with Director of Accreditation to assist with Plan compliance to NCQA/URAC standards. + Maintain ... JCAHO accreditation standards preferred. Basic understanding of health insurance business, claims payment procedures, strategies and trends in health care preferred.… more