- Sharecare (Phoenix, AZ)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Phoenix, AZ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- IQVIA (Phoenix, AZ)
- …real world. **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. ... Care Manager 's may be responsible for contacting...assistance programs and/or varied adherence support. This is a ** remote ** position. **Hours:** Must be available for an 8… more
- Highmark Health (Phoenix, AZ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Option Care Health (Phoenix, AZ)
- …infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
- Wolters Kluwer (Phoenix, AZ)
- …will live in the eastern time zone area._** The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing ... the industry. **Additional Information** : Lippincott Solutions for Patient Care | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/lippincott-solutions) **Responsibilities:** * Maintains, extends,… more
- System One (Phoenix, AZ)
- …sure to include the exact job title and job location in your email message. REMOTE WORK ( Eastern Time Zone business hours ) IBM PEM (Partner Engagement Manager ... Support Engineer : - Support integration and configuration of IBM Partner Engagement Manager (PEM) across the organization - Support and manage a system serving… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Phoenix, AZ)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Account Manager - Remote **Job Description** Overall management of assigned book of ... or services that includes demonstrating the knowledge of the dynamics facing managed care in the current market. + Understands about the company's business and… more
- Highmark Health (Phoenix, AZ)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- The Cigna Group (Phoenix, AZ)
- The Taft-Hartley Account Manager (TH-AM) will have responsibility of overall operational performance strategy and execution for Cigna clients with 5,000+ member ... Programs, Cigna Global, etc.) + Maintains current knowledge of Health Care Reform (legislation/compliance rules) and can confidently and effectively articulate… more
- Sharecare (Phoenix, AZ)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- IQVIA (Phoenix, AZ)
- …you can help deliver medical breakthroughs in the real world. The Program Manager manages the relationships with the manufacturer and Access or Affordability Support ... improvement** Application of techniques that continually improve the quality of care provided, patient safety, organizational performance, and the financial health… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... quality strategies and solutions to close quality and risk care gaps. * Identify potential risks and execute mitigation...mastery of the drivers of value in managed health care as well as in-depth knowledge of the healthcare… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Phoenix, AZ)
- …experience. + Operational Process Improvement experience. + 2-3 years of Managed Care experience. + Experience with Microsoft Project, Excel, Teams, PowerPoint and ... : * 5-7 years of Program and/or Project management experience.* Managed Care experience. * Experience working in a cross functional highly matrixed organization.… more
- SMBC (Phoenix, AZ)
- …policies and procedures for fraud review, as well as partner with Customer Care to establish similar policies and procedures around fraud interactions + As Fraud ... SME and advisor to Customer Care , build and maintain programs that incorporate best practices and adhere to applicable regulations: Red Flags, Identity Theft… more
- Sharecare (Phoenix, AZ)
- …and accurately explains the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more