Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Mesa, ArizonaRemoteRemote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.
Medical Coding Specialist (Remote) Optima MedicalMedical Coding Specialist (Remote)Scottsdale, AZRemoteWe go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death.
Director, Digital Technology Engineering (Remote) First Citizens BankDirector, Digital Technology Engineering (Remote)Phoenix, ArizonaRemoteFull timeWe are seeking a highly accomplished Director, Digital Technology Engineering to lead a global organization of approximately 40 software engineering professionals responsible for the development, testing, delivery, and production support of our custom-built Commercial Banking digital platform. This leader will own the end-to-end technology delivery lifecycle across multiple modules of our web and mobile banking platform , including software engineering design and development , quality engineering, release management, platform integrity, and Tier 4 production support.
Psychiatric Nurse Practitioner (Remote) Optima MedicalPsychiatric Nurse Practitioner (Remote)Scottsdale, AZRemoteThe PMHNP serves as a key member of the Behavioral Health team by delivering direct patient care, providing clinical consultation and staffing support, overseeing care management activities, completing disability-related documentation, and collaborating with primary care and behavioral health leadership to ensure high-quality patient outcomes. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.
NewCase Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Phoenix, ArizonaRemoteRemote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.
Senior Architect, Information Systems - Databricks - Remote Molina Healthcare IncSenior Architect, Information Systems - Databricks - RemoteAZRemoteBuilds relationship with executive leadership, technical teams (applications, infrastructure and others), vendors etc. to understand and solve problems. Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any design solution.
NewNetwork Pricing Consultant - Remote Pst/Mst/Cst UnitedHealth Group Inc.Network Pricing Consultant - Remote Pst/Mst/CstPhoenix, AZRemote$72,800–$130,000 / yearAs a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. While this role primarily supports West Region markets, you'll enjoy the flexibility to work remotely from anywhere in the U.S. For hires residing in the Minneapolis or Washington, D.C. areas, on-site work is required at least four days per week.
NewAssociate Director, Network Contracting - Remote UnitedHealth Group Inc.Associate Director, Network Contracting - RemotePhoenix, AZRemote$112,700–$193,200 / yearAs an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Required Qualifications: 5+ years of supervisory level experience in a network management-related role handling complex network providers with accountability for business results.
NewSenior Provider Relations Advocate - Remote In AZ UnitedHealth Group Inc.Senior Provider Relations Advocate - Remote In AZPhoenix, AZRemote$72,800–$130,000 / yearDemonstrate understanding of internal claims and payment policies and procedures; systems such as CSP, FACETS, ServiceNow, Spire, and the UHC provider portal; vendor platforms, EDI processes, and clearinghouses; provider contracting terminology and methodology; coding, billing, and reimbursement policies; policies and procedures impacting providers; fee negotiation protocols; branding, service tools, and outreach activities; industry trends, regulations, and health care reform; MS Office, PowerPoint, Excel, and relevant applications; and market trends and current events impacting the provider community. This role supports provider network performance by strengthening provider relationships, resolving complex operational issues, delivering provider education, and partnering across claims, contracting, compliance, network, and operational teams.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistMesa, ArizonaRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemotePhoenix, ArizonaRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Finance Product Owner-Velocity Claim Payment Operations- Remote AZ Blue Cross Blue Shield of ArizonaFinance Product Owner-Velocity Claim Payment Operations- Remote AZPhoenix, ArizonaRemoteAZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building.
UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - Remote UnitedHealth Group Inc.UM Medical Director - Orthopedic Spine, Neurosurgery Or Spine Surgery - RemotePhoenix, AZRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy.
Director, Data Management (EIM / Health Plan Analytics / AI & ML) - REMOTE Molina Healthcare IncDirector, Data Management (EIM / Health Plan Analytics / AI & ML) - REMOTEAZRemoteThis role leads the design, integration, and operation of data platforms that support Medicaid, Medicare, Marketplace, and other payer lines of business, with a strong emphasis on Databricks-based lakehouse architecture, AI-enabled data management, and cloud platform cost optimization (FinOps). This leader owns end-to-end data domain delivery, including ingestion, integration, governance, quality, analytics enablement, and operational reliability for critical healthcare data such as claims, clinical, provider, member, authorizations, encounters, quality, and financial data.
Seeking Remote Radiologist for SimonMed Imaging SimonMed ImagingSeeking Remote Radiologist for SimonMed ImagingPhoenix, AZRemoteSimonMed Imaging is one of the largest outpatient medical imaging providers in the United States, recognized for our commitment to cutting-edge technology, patient-centered care, and clinical excellence. This is an excellent opportunity for physicians who value work-life balance, advanced technology, and the ability to read high-quality studies from the comfort of home.
Remote Radiologists - California SimonMed ImagingRemote Radiologists - CaliforniaPhoenix, AZRemoteSimonMed Imaging is one of the largest outpatient medical imaging providers in the United States, recognized for our commitment to cutting-edge technology, patient-centered care, and clinical excellence. This is an excellent opportunity for physicians who value work-life balance, advanced technology, and the ability to read high-quality studies from the comfort of home.
Staff Pharmacist - Accredo - Remote (AZ, FL, IN, OH, TN) The Cigna GroupStaff Pharmacist - Accredo - Remote (AZ, FL, IN, OH, TN)AZRemote$54–$91 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. This individual may take calls from customers regarding lost orders or dispensing errors, maintain daily production, quality and service levels, vary work priorities and activities to accommodate business needs.
Remote-Real Estate Investment Representative/Acquisitions Agent RebuiltRemote-Real Estate Investment Representative/Acquisitions AgentPhoenix, ArizonaRemoteRebuilt ( www.rebuilt.com ) is building a truly unique, vertically integrated real estate investment business fueled by unparalleled local market expertise and enabled by advanced technology solutions. Rebuilt is a Private Equity-backed real estate firm that creates win-win opportunities for property sellers seeking a convenient sale process and real estate investors looking for exclusive, high-return properties.
Staff Pharmacist - Advanced Pulmonary Conditions- Accredo - Remote (AZ, FL, OH, PA) The Cigna GroupStaff Pharmacist - Advanced Pulmonary Conditions- Accredo - Remote (AZ, FL, OH, PA)AZRemote$54–$91 / hourIn addition to health care products, we provide comprehensive management services - including outcomes measurement, counseling, clinical care management programs, social services and reimbursement services. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Senior Program Manager (Remote) Molina Healthcare IncSenior Program Manager (Remote)AZRemoteLeads CMS/HPMS submission activities and ongoing monitoring, including Health Service Delivery (HSD) tables and Exception Requests associated with Service Area Expansions (SAE) and triennial network adequacy reviews. Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.