- CommonSpirit Health (Phoenix, AZ)
- …our hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- HonorHealth (Phoenix, AZ)
- …resolving mismatched DRGs. Coordinates with the HIM/CDI Director, CDI Manager and the CDI Physician Advisor to identify physician and service line education ... together. HonorHealth is one of Arizona's largest nonprofit healthcare systems , serving a population of five million people in...to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities… more
- Travelers Insurance Company (Phoenix, AZ)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred… more
- Evolent (Phoenix, AZ)
- … Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...journey. We are hiring for a Senior Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:**… more
- Dignity Health (Phoenix, AZ)
- …pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system , DHMG has full access to the staff and all facilities on our ... residency and clinical leadership. + Serve roles as Mentor and Faculty Advisor + Participation on clinical, quality, administrative and medical education committees… more
- The Cigna Group (Phoenix, AZ)
- …achieving their treatment goals + Establish credibility as the trusted advisor to physicians and other healthcare professionals, including consultations to address ... continuously improve TRC outcomes including suggesting improvements to processes and systems , approaches to therapy, improved methods of communication and new… more
- Molina Healthcare (Chandler, AZ)
- …: + Bilingual based on community need. + Familiarity with healthcare systems /processes, NCQA, and Interqual a plus. + Knowledge of community-specific culture. + ... Managed Care, MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community health advisor , family advocate, advocacy, health educator, liaison, promoter, outreach worker,… more
- Huron Consulting Group (Phoenix, AZ)
- …growth, optimize internal processes and deliver better consumer outcomes. Health systems , hospitals and medical clinics are under immense pressure to improve ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more