Healthcare Contract Specialist Jobs in Goodyear

Job Information Humana Senior Contract Tools, Education, Processes Professional - ... Phoenix Arizona Description The Senior Contract Tools, Education, Processes Professional builds ... in class knowledge. The Senior Contract Tools,..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Responsibilities Humana's Primary Care Organization is one of the largest and fastest growing value-based, senior primary care groups in the country, providing care to over 200,000 seniors across 175 sites ..

Job Information Humana UM Medical Director - Conviva in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Phoenix Arizona Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... in support of a nationally-recognized healthcare leader. We offer stimulating and ... the development and implementation of contract management tools and processes to ... Conducts initial review of proposed..

... market contracting teams to influence specialist contract terms that align with Service ... in close coordination with PCP Contract Load, Capitation Rates, Payments, and ... Adjustments teams to ensure..

Job Description Qualifying candidates may be eligible for a sign on bonus of up to $5,000. This role is work from home with 25-50% travel required in Eastern Maricopa County and ..

Job Information Humana FP&A Lead, Medicaid Market in Phoenix Arizona Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

... is a requisition for various Healthcare Scheduling Specialist - Call Center positions. During ... accordingly. Banner Health is seeking Healthcare Scheduling Representatives to join our ... to learn about..

Job Information Humana Medical Director - Florida Medicaid in Phoenix Arizona Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

... (1359) Quality/Risk Management (18) Type Contract (1) Fellowship (0) Full Time ... Full Time Days Mary Washington Healthcare Fredericksburg, Virginia NEW! NEW! Radiologic ... Michigan NEW! NEW! Radiology Interventional..

(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Overview Job Title: Nurse Medical Case Manager Company: Travelers ..

Additional Information Remote-Based Position Job Number 23019124 Job Category Sales & Marketing Location Sales Support East, 7750 Wisconsin Avenue, Bethesda, Maryland, United States Schedule Full-Time Located Remotely? Y Relocation? N Position ..

Executive (234) General Nursing (2) Hospitality, Facility, Environmental Support (880) Operations (287) Type Contract (0) Fellowship (0) Full Time (179) Locum Tenens (0) Part Time (28) Partnership (0) Per Diem (0) ..

Job Information Humana Medical Director - National Medicare Team in Phoenix Arizona Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments ..