- Highmark Health (Phoenix, AZ)
- …support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%) + Manages underpayment AR for assigned payors including ... **GENERAL OVERVIEW:** This job builds and maintains hospital, professional, and ASC contracts in Epic. Identifies underpaid accounts and articulates the source of… more
- Humana (Phoenix, AZ)
- …contracting and network administration in a healthcare company + Experience in negotiating managed care contracts with large or individual physician groups, ... or data requires an in-depth evaluation of variable factors. The Senior Provider Contracting Professional negotiates contract terms, payment structures,… more
- Sodexo (Phoenix, AZ)
- …career that allows you to make a difference?** Sodexo is currently seeking a ** Senior Manager, Supply Management,** to join our team. This role is responsible for ... the strategic sourcing process and management of purchasing contracts in **Indirect & Professional Services** . The ideal candidates should possess a supply… more
- Humana (Phoenix, AZ)
- …and populations served in target growth markets. **Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions ... ability of limited resources to achieve growth. **The Senior Strategy Advancement Professional** will support initiatives to develop...achievement. + 2+ years of experience in a Medicaid Managed Care Organization **OR** 2+ years of… more
- Microsoft Corporation (Phoenix, AZ)
- As a Senior Data Center Inventory & Asset Technician (SDIAT), you will prioritize and assign ticketed work to technicians on the team, provide guidance on ... millions of servers. Our foundation is built upon and managed by a team of subject matter experts working...schedule of DBD destruction or shredding in partnership with senior leadership. Performs DBD destruction as necessary. Handles any… more
- The Cigna Group (Phoenix, AZ)
- …Provider Contracting & contract negotiations. In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix ... Able to work across the US. Preferred location is Phoenix, AZ_** As a ** Senior Data Analytics - National Unit Cost** , this highly technical and analytical… more
- Prime Therapeutics (Phoenix, AZ)
- …+ Advanced clinical training or certifications + Previous clinical experience in a managed care , pharmaceutical, or PBM environment + Experience working with ... and drives every decision we make. **Job Posting Title** Clinical Research Analyst, Senior - Remote **Job Description** The Senior Clinical Research Analyst… more
- Banner Health (Mesa, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... and Culinary You have a place in the health care industry. One might be surprised by the number...levels of acuity in the East Valley. As the Senior Maintenance Technician, you will lead and coordinate all… more
- RTX Corporation (Phoenix, AZ)
- …design reviews, technical assessments, and cross-functional collaboration are efficiently managed to support product qualification and delivery milestones. + Cost ... project status, key issues, and progress updates to stakeholders, including senior leadership and external customers. Conduct formal reviews and present project… more
- Prime Therapeutics (Phoenix, AZ)
- …experience in healthcare or insurance, to include 6 years of account management in PBM or managed care + Must be eligible to work in the United States without ... and improvement + Lead the development, negotiation and compliance of client contracts ; proactively analyze contract language and/or requirements and collaborate… more
- Cardinal Health (Phoenix, AZ)
- …340B and Medicaid, including duplicate discounts, fee-for-service versus managed care , medical versus pharmacy, and entity-owned versus contract pharmacy ... value that supports the patient throughout the continuum of care . The team's mission is to provide exceptional clinical,...well as having 340B expertise to drive success for Managed Services onsite staff. This is an individual contributor… more
- Molina Healthcare (Phoenix, AZ)
- …* 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience managing/supervising ... Administration or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. To all current Molina employees: If you… more
- Prime Therapeutics (Phoenix, AZ)
- …HS diploma or GED is required + 5 years of work experience in managed care or Pharmacy Benefit Management, in client engagement, compliance/regulatory, project ... of the client's program + Provides overall project coordination for the contract 's clinical and operational functions. + Collaborate with key internal and external… more
- Mathematica (Phoenix, AZ)
- …Medicaid payment and financing policies (fee-for-service base and supplemental payments, managed care capitation rates, and state approaches to provider ... and financing at the state or federal level * Senior Researcher candidates should have 10/+ years of experience...& Medicare Services (CMS). Most staff working on CMS contracts will be required to complete a successful background… more
- Humana (Phoenix, AZ)
- …+ 2+ years of experience in Change Management. + 3 + years working in a managed care healthcare system or health plan. + Experience working in Medicaid and/or ... put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a specific defined business area (non-IT)… more
- HomeSafe Alliance (Phoenix, AZ)
- …is better than the last. **About the Role - This is a Service Contract Act (SCA)** **position** . HomeSafe Alliance is seeking an experienced and highly motivated ... household goods relocations. + Provide regular reports on booking performance to senior management, highlighting key metrics and improvement initiatives. + Train and… more