• Risk Adjustment Program

    CVS Health (Scottsdale, AZ)
    …personal, convenient and affordable. Aetna has an exciting opportunity for a Program Manager to join our Risk Adjustment Retrospective Program for ... project manager and subject matter expert in Risk Adjustment chart retrieval & coding programs...+ Strong written and verbal communication. **Preferred Qualifications** + Risk adjustment program experience within… more
    CVS Health (09/04/24)
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  • Cell Therapy Market Access Manager

    Bristol Myers Squibb (Scottsdale, AZ)
    …. **Summary:** The CAR T (Cellular Therapy) Market Access Manager (CMAM) is responsible for executing access and reimbursement strategies ... by your state of residence, and 3) a driving risk level deemed acceptable by the Company. The starting...Wellbeing support such as the BMS Living Life Better program and employee assistance programs (EAP). Financial well-being resources… more
    Bristol Myers Squibb (09/15/24)
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  • Government Health Actuary Manager

    Deloitte (Tempe, AZ)
    …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be eligible to participate in a discretionary annual incentive program , subject to the rules governing the program more
    Deloitte (07/03/24)
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  • Medical Coding Director - East and West

    CenterWell (Phoenix, AZ)
    …interrelate across the function or segment. **Strategy:** + In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing ... (including GenAI) + Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with… more
    CenterWell (08/24/24)
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  • Sr Informatics Developer, Business Intelligence

    CVS Health (Phoenix, AZ)
    …Informatics Developer within the Revenue Integrity organization, you will be leading Risk Adjustment technical activities, not limited to electronic medical ... and/or matrixed staff as required to support ACA IFP Risk Adjustment Revenue Integrity initiatives. + Responsible...to maximize results; customize ACA reporting views and outreach manager data needed for day to day operations work.… more
    CVS Health (09/05/24)
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  • Senior Investigative Analyst

    RELX INC (Chandler, AZ)
    …to show value and insights while communicating with customers? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... drive insights from complex data sets, improving operation efficiency, increasing program integrity, discovering, and recovering revenue, and making timely and… more
    RELX INC (09/11/24)
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  • Associate Director, Clinical Coding Education (RN)

    CenterWell (Phoenix, AZ)
    …Must possess an active RN license + A minimum five years' experience in risk adjustment coding, auditing, and/or education, working with providers + CPC ... other clinical education projects and programs as needed, as program or project manager . + As a...experience + Knowledge of EMR + In-depth knowledge of risk adjustment key performance indicators + Comprehensive… more
    CenterWell (08/27/24)
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  • Workers Compensation Specialist

    Aerotek (Tempe, AZ)
    …to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager , the Claims Review Specialist will assist in the monitoring and ... administering of Aerotek's workers compensation program to ensure the maximum cost containment. Seek to...+ Participates in communicating claims trends to Regional Safety Manager + Working with Compliance Supervisor to develop and… more
    Aerotek (09/03/24)
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  • Installation Superintendent (Electronic Security)

    Diversified (Phoenix, AZ)
    …managed, it is your responsibility to communicate that with the Regional Supervisor/Project Manager / Program Manager so that management can understand why the ... (or not required) and communicate that with your Project Manager and the Design Engineering team. . Keep job...UILs, Job Hazard Analysis (JHAs), Task Hazard Analysis (THAs), Risk Hazard Analysis (RHAs), RFIs, Redlines + Must be… more
    Diversified (08/04/24)
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  • Contracts Negotiator

    Aerotek (Tempe, AZ)
    **Overview:** **Aerotek has an opening for a Contracts Negotiator / Manager at the corporate office in Tempe, AZ.** **Job Summary:** The Contracts Manager is ... by providing Contractual guidance towards successful negotiations while minimizing Company risk . He/she will work closely with all departments within the… more
    Aerotek (09/03/24)
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  • Return-to-Work Specialist

    Sedgwick (Phoenix, AZ)
    …written communication. + Develops contacts with company managers to introduce program ; represents client. + Contacts employers to determine specific information ... trends. + Maintains regular contact with clients following placement, as per program guidelines; contacts involved individuals regarding progress on each case and… more
    Sedgwick (09/13/24)
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