- Molina Healthcare (Phoenix, AZ)
- …writing and is responsible for preparing the executive summary for review by senior leadership. May serve as owner of RFx section(s). Ensures high engagement and ... matter experts (SMEs). Conducts peer review and coaching for junior and senior writers. Executes tasks independently and reliably, with ability to interpret… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... and maintain direct relationships with clients, specifically with the senior leadership; develop a consultative, service-oriented partnership with the client… more
- Humana (Phoenix, AZ)
- …) + Collaborates with key stakeholders for successful VB specialty and vendor Medicaid programs by state + Lead senior -level conversations on contract structure ... community and help us put health first** The Associate Director - Value-based Specialty and Vendor Support role builds...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- Banner Health (Mesa, AZ)
- …City/State:** Mesa, Arizona **Department Name:** **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers are built at Banner Health. There's ... for stakeholders. In this position you will lead a team of Quality Improvement Specialists and will handle rounding, team facilitation, data management, regulatory… 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
- 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
- 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 ... community and help us put health first** The Risk Adjustment Compliance Director ensures compliance with governmental requirements. The Risk Adjustment Compliance … 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 ... and be their most productive. Against that backdrop, we are seeking a Director of Financial Operations of Home Health Solutions who will provide program… 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 ... of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and… 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
- 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
- Evolent (Phoenix, AZ)
- …mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you looking to ... change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance Suite… more
- Humana (Phoenix, AZ)
- …the Health Quality and Stars (HQS) leadership team as the Director , Competitive Intelligence to drive the strategic vision of the company's Stars competitive ... leadership team + Collaborate with Stars Measure Owners and senior leaders to refine strategies that align our mission,...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid… more
- CenterWell (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 ... ensure smooth integration of newly acquired IPA affiliates. **Productivity and Quality Management:** + Establish Key Performance Indicators (KPIs) for coding… 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 ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we… more
- CenterWell (Sun City, 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
- 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