- Elevance Health (Phoenix, AZ)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- Prime Therapeutics (Phoenix, AZ)
- …to a Functional Business Consultant, Functional Business Owner, Manager or Director in PBM Operations, Specialty Operations, Clinical Operations, Compliance, ... our passion and drives every decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional… more
- CenterWell (Phoenix, AZ)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +...(SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description ... Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all … more
- Humana (Phoenix, AZ)
- … Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... and work is performed without direction. The Behavioral Health Medical Director actively uses their medical...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Boehringer Ingelheim (Phoenix, AZ)
- …expectations for insight generation related to scientific objectives. + In collaboration with Medical Excellence, the MSL Director and TA Sr. AD MSLs, identify ... within Medicine and across stakeholders, and support the MSL Director in accountabilities and key initiatives. + Collaborate with...- required. + 8 or more years' of relevant medical affairs experience, clinical practice, or research:… more
- CenterWell (Phoenix, AZ)
- …in Medicare /seniors * Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization. * Knowledge ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management** The Director of… more
- Adelante (Phoenix, AZ)
- Finance Director Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Exempt Education Level Bachelor's degree Job Category ... Health Care Description POSITION SUMMARY The Finance Director will work in a fast-paced environment with other highly skilled professionals in a team setting. As the… more
- Banner Health (Queen Creek, AZ)
- …leads the Quality Department. This role elevates high reliability in clinical performance through assessment of performance, ensures prioritization of improvement ... activities, overseeing performance improvement projects and ensuring successful clinical project implementation at operating entities. This position prioritizes … more
- Prime Therapeutics (Phoenix, AZ)
- …of utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... as needed to discuss cases and problems. + Utilizes medical / clinical review guidelines and parameters to assure... Affairs. + Other duties as assigned. **Responsibilities** + Medicare Part D experience preferred. + Doctor of Medicine… more
- Bristol Myers Squibb (Phoenix, AZ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Reporting into the Medical Value Liaison Field Director , the Senior Medical Value ... enters strategic discussions with health care decision makers as they relate to medical / clinical and health economic and outcome research (HEOR) data with… more
- CenterWell (Phoenix, AZ)
- …participant and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with RMD about quality of...to write prescriptions under the authority of a collaborating physician/ medical director + This role is considered… more
- Molina Healthcare (Phoenix, AZ)
- …including: + Minimum 5 years clinical practice. + 5 years in a Medical Director role. + 4 years HMO/Managed Care experience, including Utilization and/or ... management, and care management programs. Oversees the development of the Plan's clinical practice guidelines and provides medical oversight and expertise in… more
- CenterWell (Phoenix, AZ)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- HonorHealth (Phoenix, AZ)
- …and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care ... at HonorHealth.com. Responsibilities Job Summary Under the direction of the Network Director of Revenue Integrity & Specialty Billing and Collections, this role will… more
- Banner Health (Mesa, AZ)
- …options for contributing to our award-winning patient care. POSITION SUMMARY Evaluates medical records, provides clinical and surgical abstraction and assigns ... Category:** Revenue Cycle Health care is full of possibilities. Medical Coders play a pivotal role in ensuring patients...1 Associate Manager, 1 Coding Educator, and 1 Associate Director . This team works very closely together with lots… more
- Banner Health (Phoenix, AZ)
- …contributing to our award-winning patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full ... superstar strong **Plastics and HPB Physician Complex Coder | Medical Coder** looking for the opportunity to code a...a strong team of 10 Coder with an Associate Director and Associate Manager. If you are interested in… more