EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-AZ-Phoenix

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Florida Medicaid - USA-AZ-Phoenix

Thu, 23 Mar 2023 00:00:00 CDT

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 assignm...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-AZ-Phoenix

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Sr. Professional, Medicaid Network Strategy (Remote) - USA-AZ-Phoenix

Sun, 13 Nov 2022 00:00:00 CST

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth m...

Medical Director - Southeast Region - USA-AZ-Phoenix

Sun, 11 Dec 2022 00:00:00 CST

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 situ...

Behavioral Health Medical Director - USA-AZ-Phoenix

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Medical Director-KY Medicaid - USA-AZ-Phoenix

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Grievances and Appeals Medical Director - Nationwide - USA-AZ-Phoenix

Fri, 14 Apr 2023 00:00:00 CDT

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 interp...

Medical Director - Claims Management - USA-AZ-Phoenix

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-AZ-Phoenix

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-AZ-Phoenix

Thu, 20 Apr 2023 00:00:00 CDT

Circulating RN $10,000 Sign On Bonus - USA-AZ-Phoenix

Thu, 11 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:Provides nursing care to the patient during pre, intra, and post-operative phases. Assists physicians by giving moderate sedation and has the knowledge and experience with medication...

Medication Mgmt Associate - USA-AZ-Glendale

Thu, 04 May 2023 00:00:00 CDT

PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Care (FMCNA) renal patient population (internal and external) by providing guidance...

Clinical Support 2 - (US) - Medication Mgmt Associate - USA-AZ-Scottsdale

Thu, 04 May 2023 00:00:00 CDT

Job Posting Title Provider Network Operations Coordinator 3 / Contract Maintenance - USA-AZ-Phoenix

Thu, 11 May 2023 00:00:00 CDT

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting d...

Massage Therapist (Part-Time) - Arizona Biltmore, a Waldorf Astoria Resort - USA-AZ-Phoenix

Mon, 15 May 2023 00:00:00 CDT

The historic Arizona Biltmore is looking for a Massage Therapist to join the Spa Team at the beautiful Tierra Luna Spa ( ******* ! This luxurious resort reopened in 2021 after undergoing a $70 milli...

Facitlity Master Social Worker MSW 1-Part Time - USA-AZ-Mesa

Thu, 18 May 2023 00:00:00 CDT

About this role:As a Social Worker with Fresenius Medical Care, you will provide psychosocial services for our dialysis clinic patients. You will work with the health care team to promote positive ad...

Pharmacist - Medication Therapy Management - USA-AZ-Phoenix

Sat, 27 May 2023 00:00:00 CDT

Job Description This position will be a part of our hybrid work from home/on site business model. Requirements would be 2 day per week working onsite in office, the remaining days would be work from h...

Gastroenterology in Arizona - USA-AZ-Phoenix

Tue, 30 May 2023 00:00:00 CDT

We are currently looking for a\u00a0Gastroenterology physician locum tenens support in\u00a0Arizona. VISTA's client needs April through 2024 coverage by a provider who\u00a0may support inpatient hosp...

Physician (Primary Care) - USA-AZ-Phoenix

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n To qualify for this position, you must meet the basic requirements as well as any additio...