- Molina Healthcare (Phoenix, AZ)
- …Please have that experience updated on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **A background in quality/HEDIS is very important for this… more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
- Cardinal Health (Phoenix, AZ)
- …* Process all patient applications in accordance to set policy, procedures and PHI compliance * Speak with manufacturer field team members on case updates via phone ... benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred… more
- CVS Health (Scottsdale, AZ)
- …is responsible for leading the delivery of Aetna quality and compliance efforts, cross-functional reporting, and cultural transformation. This position will be ... Qualifications** - Registered Nurse - 2 years experience working with Medicaid or Exchange Contract Requirements **Education** Bachelor's Degree or equivalent… more
- Banner Health (Phoenix, AZ)
- …assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state ... Medicaid plans, Center for Medicare Services (CMS), Office of...make needed corrections and ensure accurate coding, reimbursement, and compliance . 7. Provides mentoring for less experienced staff members… more
- CenterWell (Phoenix, AZ)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 300 centers across fifteen ... 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 (Phoenix, AZ)
- …seeing consistency in the content. The Copywriter 2 (VSP/PT) collaborates with Legal and Compliance for both our Medicare and Medicaid lines of business. The ... at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more