- CommonSpirit Health (Phoenix, AZ)
- …our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
- CommonSpirit Health (Phoenix, AZ)
- …our hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
- Travelers Insurance Company (Phoenix, AZ)
- …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred… more
- Evolent (Phoenix, AZ)
- …specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would ... more connected care journey. We are hiring for a Part-Time Practice Performance Advisor to join our Evolent Care Partners Performance Team. The Part-Time Practice… more
- Evolent (Phoenix, AZ)
- … Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...journey. We are hiring for a Senior Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:**… more
- Dignity Health (Phoenix, AZ)
- …pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system , DHMG has full access to the staff and all facilities on our ... residency and clinical leadership. + Serve roles as Mentor and Faculty Advisor + Participation on clinical, quality, administrative and medical education committees… more
- Lilly (Phoenix, AZ)
- …annual Red Book Training + Become proficient on important marketing internal systems including Centralized Payment System (CPS), Customer Program Portal (CPP) ... strategies for Gastroenterologists, Advanced Practice Providers (Nurse Practitioners and Physician Assistants), and Key Office Immunology staff (KOS) across our… more
- Molina Healthcare (Surprise, AZ)
- …: + Bilingual based on community need. + Familiarity with healthcare systems /processes, NCQA, and Interqual a plus. + Knowledge of community-specific culture. + ... Managed Care, MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community health advisor , family advocate, advocacy, health educator, liaison, promoter, outreach worker,… more
- Huron Consulting Group (Phoenix, AZ)
- …growth, optimize internal processes and deliver better consumer outcomes. Health systems , hospitals and medical clinics are under immense pressure to improve ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more