Psychiatric Nurse Practitioner (Remote) Optima MedicalPsychiatric Nurse Practitioner (Remote)ArizonaRemoteThe 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.
Specialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Phoenix, ArizonaRemoteSpecialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.
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.
Manager - Remote Patient Services Optima MedicalManager - Remote Patient ServicesScottsdale, 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.
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.
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.
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.
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.
NewClient Support Specialist (Legal Services) - Remote Alert CommunicationsClient Support Specialist (Legal Services) - RemotePhoenix, AZRemoteFull timeFull-Time Remote Client Support Specialist (Legal Services)Job Type: Full-Time (Various Shifts) l Pay: $16/hr l Location: Remote (Arizona Residents Only [Excluding Flagstaff])About the RoleAt Alert Communications, we provide around-the-clock live answering and intake solutions tailored specifically for the legal sector. Experience: Prior experience in customer service, call centers, sales, or hospitality (legal industry experience preferred).
NewIntake Specialist (Legal Services) - Remote Alert CommunicationsIntake Specialist (Legal Services) - RemotePhoenix, AZRemotePart timePart-Time Remote Intake Specialist (Legal Services)Various Part-Time shifts Pay: $16/hrAt Alert Communications, we provide around the clock live answering and intake solutions tailored specifically for the legal sector. (No Apple/Macbooks/Tablets)Wired USB headset with a micAbout Us: With over 40 years of experience, Alert Communications powers client communication in the legal, healthcare, and home service sectors.
Small Business Account Manager, SmartSense (Southwest US, Remote) Food: Grocery, Restaurant, C-Store Digi International IncSmall Business Account Manager, SmartSense (Southwest US, Remote) Food: Grocery, Restaurant, C-StoreAZRemote$96,000–$150,000 / yearWe are seeking a highly motivated Small Business sales executive with an ability to break down barriers, develop winning strategies and drive exponential sales growth with new and existing accounts and represent the organization in a highly professional manner. Digi International offers a distinctive Total Rewards package including a commission program, new hire stock award, paid parental leave, open (uncapped) PTO, and hybrid work environment in addition to our competitive medical, health & wellbeing and compensation offerings.
NewAppeals M.D. - Oncologist Required - Remote UnitedHealth Group Inc.Appeals M.D. - Oncologist Required - 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 with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAppeals And Grievances Medical Director Reconsiderations - Remote UnitedHealth Group Inc.Appeals And Grievances Medical Director Reconsiderations - 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 with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.
NewAssociate Director, Network Pricing - Remote In PST Or MST UnitedHealth Group Inc.Associate Director, Network Pricing - Remote In PST Or MSTPhoenix, AZRemote$112,700–$193,200 / yearThe Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). Required Qualifications: 5+ years of experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts.
NewAppeals M.D. Double Boarded Med-Peds Or FM M.D. - Remote UnitedHealth Group Inc.Appeals M.D. Double Boarded Med-Peds Or FM M.D. - 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 with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues.