• Medical Director -- Claims

    Humana (Phoenix, AZ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Executive Director , Claims

    Banner Health (Phoenix, AZ)
    …and a minimum of five to seven years medical professional liability management experience, either as in-house claims professional or outside counsel. Must ... Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide...leadership experience with healthcare risk management , quality management , in house liability claims management more
    Banner Health (09/26/24)
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  • Director - Complex Claims

    Sedgwick (Phoenix, AZ)
    …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 ... negotiation, mediation, arbitration, or ADR skills on higher value complex claims . Management experience preferred. Specific jurisdictional expertise required.… more
    Sedgwick (12/17/24)
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  • Medical Director - Florida

    Humana (Phoenix, AZ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/14/24)
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  • Reviewing Medical Director

    Conviva (Phoenix, AZ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by… more
    Conviva (12/11/24)
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  • Medical Director - National Medicare…

    Humana (Phoenix, AZ)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    Merck (Phoenix, AZ)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Corporate Medical Director

    Humana (Phoenix, AZ)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/27/24)
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  • Director , Provider Contracting Network…

    The Cigna Group (Scottsdale, AZ)
    …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical ... with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management ** serves as...position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external… more
    The Cigna Group (11/22/24)
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  • Market Director Revenue Cycle

    Dignity Health (Phoenix, AZ)
    …+ Experience with third party claim resolution processes including denials and appeals management , adjudication of claims required + 3+ years of acute care ... heart of Phoenix, Arizona, (http://phoenix.gov/visitors/index.html) St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a… more
    Dignity Health (12/19/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Phoenix, AZ)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • CE Strategic SCM Director 1

    Celestica (Phoenix, AZ)
    …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... a dynamic market environment. **Detailed Description** We are currently seeking a ** Director , Strategic Supply Chain Management (Capital Equipment)** to join our… more
    Celestica (12/20/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Phoenix, AZ)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White… more
    Baylor Scott & White Health (12/21/24)
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  • Programs Director

    Nammo Defense Systems, Inc (Mesa, AZ)
    …advanced technologies through ongoing production programs. How you will be rewarded as a Director of Programs * Medical , dental, vision, STD. LTD, 401k, employee ... Nammo Defense Systems seeks an experienced accountable, action-oriented, and collaborative Director of Programs with a strong background in both Contract … more
    Nammo Defense Systems, Inc (11/23/24)
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  • Associate Director , Global Labeling Lead…

    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 ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Senior Project Management Specialist…

    Honeywell (Phoenix, AZ)
    …Master's degree preferred + Knowledge of Engines and APUs + Knowledge of SAP, claims , order management , and pricing + Project Management Professional (PMP) ... As a Senior Project Management Specialist here at Honeywell, you will be...team member has ownership of coordinating, authorizing, and processing claims for a portfolio of Channel Partners totaling $150M-$200M… more
    Honeywell (12/09/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Phoenix, AZ)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
    HomeSafe Alliance (10/02/24)
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  • Care Management Associate

    CVS Health (Phoenix, AZ)
    …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers,...- May assist in the research and resolution of claims payment issues. - Supports the administration of the… more
    CVS Health (12/21/24)
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  • Coordinator, Intake Utilization Management

    Evolent (Phoenix, AZ)
    …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
    Evolent (12/04/24)
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  • Coordinator, Utilization Management

    Evolent (Phoenix, AZ)
    …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
    Evolent (12/24/24)
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