NewLicensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USAEl Mirage, AZRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Whether it’s getting answers for customers quickly, consulting on products with compassion or resolving their issues with a smile, you’ll be the difference between their customer experience being just average or an exceptional one.
NewRegistered Nurses Needed! Aveanna HealthcareRegistered Nurses Needed!Phoenix, AZRemote$30–$40 / hourSee Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Phoenix, AZRemote$70,000–$80,000In this role, you will be a high-volume "talent hunter," identifying and placing a diverse range of medical professionals—from Mental Health Counselors, to Registered Nurses and Physicians to Allied Health and specialized clinical staff—into top-tier healthcare facilities coast-to-coast. High-Impact Outreach: Drive candidate engagement through massive "text blast" campaigns and high-volume daily call targets (50–100 calls) to build a robust talent pipeline.
Senior Account Manager - Life Sciences & Healthcare (Remote) Clarivate PlcSenior Account Manager - Life Sciences & Healthcare (Remote)Chandler, AZRemote$105,600–$132,000 / yearOur market-leading intelligence solutions and transformative data technology equip our customers with the insight and foresight needed across all their initiatives from early-stage drug discovery right through commercialization and beyond. As a Senior Account Manager, you will own end‑to‑end account strategy-developing and executing account plans, identifying whitespace, and leading opportunities from discovery through close.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEPhoenix, AZRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Director, Quality (Healthcare) - Remote Magellan Health Services, Inc.Director, Quality (Healthcare) - RemoteScottsdale, AZRemoteFull timeLCSW - Licensed Clinical Social Worker - Care MgmtCare Mgmt, LPC - Licensed Professional Counselor - Care MgmtCare Mgmt, LSSBB - Lean Six Sigma Black Belt Certification - EnterpriseEnterprise, LSSGB - Lean Six Sigma Green Belt Certification - EnterpriseEnterprise. Directs and supervises proactively the quality department and projects to meet unit goals for the quality program, including the monitoring cost effectiveness, policies, procedures, activities, to meet multiple contractual requirements, external accreditation, and state and federal regulations.
Healthcare Informatics Consultant- Remote within the Western US - R-27342-7754 Siemens Healthcare Diagnostics Inc.Healthcare Informatics Consultant- Remote within the Western US - R-27342-7754Phoenix, AZRemote$18,810–$93,680 / yearRemote role supporting customers across the Western U.S. - High-visibility consulting role with direct impact on patient-care. - Co-create future-state workflows with Healthcare Consultants (HCs).
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligiblePhoenix, AZRemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
Public Healthcare Consultant Arizona Department of AdministrationPublic Healthcare ConsultantPhoenix, ArizonaRemotePrepares for and participates in audits to include the review of pre-audit documents and polices, on site audit, formal written documentation of findings and monitoring the corrective Action Plans as applicable. Job Summary:Under the general direction of the Medical Management (MM) Manager and Supervisor, this position will monitor and evaluate Medical Management programs for the AHCCCS Complete Care Contractors, Arizona Long Term Care System and RBHA Contractors.
NewRegistered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience)- Remote Blue Cross and Blue Shield AssociationRegistered Nurse-Initial Clinical Reviewer (prior UM Health Plan experience)- RemotePhoenix, AZRemoteWhile the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month Onsite: daily onsite requirement based on the essential functions of the job 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 Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Required Certifications N/A PREFERRED QUALIFICATIONS Preferred Work Experience 3 years of experience in clinical field of practice, health insurance, or other health care related field Preferred Education Bachelor''s Degree in Nursing or related field of study Preferred Licenses Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse Preferred Certifications N/A ESSENTIAL job functions AND RESPONSIBILITIES Identify, research, process, resolve and respond to customer inquiries and correspondence via telephone, written communication and/or in person.
Public Healthcare Consultant State of ArizonaPublic Healthcare ConsultantPhoenix, AZRemoteMajor duties and responsibilities include but are not limited to: Prepares for and participates in audits to include the review of pre-audit documents and polices, on site audit, formal written documentation of findings and monitoring the corrective Action Plans as applicable. Job Summary: Under the general direction of the Medical Management (MM) Manager and Supervisor, this position will monitor and evaluate Medical Management programs for the AHCCCS Complete Care Contractors, Arizona Long Term Care System and RBHA Contractors.
Remote- Grievance and Appeals Nurse Pride GlobalRemote- Grievance and Appeals NursePhoenix, AZRemote$40–$45 / hourMaintains a thorough understanding of Health Plan operations and business unit processes, workflows, and system requirements, including plan benefits outlined in EOC documents, authorizations, referrals, network and non-network provider claims, and regulatory compliance. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
RN Case Manager- Phoenix, AZ- Hybrid Remote DaVita IncRN Case Manager- Phoenix, AZ- Hybrid RemotePhoenix, AZRemote$68,400–$100,400 / yearOur more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.
NewREMOTE RN - Quality Review Teema GroupREMOTE RN - Quality ReviewPhoenix, AZRemote$42–$43.50This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
NewRemote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerPhoenix, ArizonaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ Blue Cross Blue Shield of ArizonaRN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZPhoenix, ArizonaRemoteWorking independently, initiate research from resource materials, e.g., clinical journals, periodicals, CMS (Medicare) guidelines and publications, BCBSA publications, other BCBS plans, and internet resources relating to technical, clinical and coverage guidelines, summarizing and reporting this information to management for further action. AZ 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 RN | California License Required Pine Park HealthRemote RN | California License RequiredPhoenix, AZRemoteWhy You'll Love Us: We're a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws).
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)- RemotePhoenix, AZRemoteWithin 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC). Active and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$120,000–$150,000This fully remote role is ideal for a professional who not only understands the government procurement lifecycle, but also brings an established network of agency contacts and a proven ability to identify, pursue, and secure new contract opportunities. Gotham Enterprises Ltd is seeking a highly connected and results-driven Government Contracts Manager to both generate and manage government contracts within our healthcare staffing division.
ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Licensed Psychologist- Remote BetterHelpLicensed Psychologist- RemotePhoenix, AZRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemotePhoenix, AZRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhoenix, AZRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemotePhoenix, AZRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens. BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ) Blue Cross Blue Shield of ArizonaHigh-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)Phoenix, ArizonaRemotePrimary responsibilities include: Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources. AZ 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.
Healthcare IT Project Manager- Integration Lead TEEMAHealthcare IT Project Manager- Integration LeadPhoenix, AZRemote$45–$50This role will lead the planning, execution, and delivery of solution integrations within an Athena EMR implementation environment, ensuring timelines, dependencies, and technical readiness are met across multiple stakeholders. TEEMA is seeking an experienced IT Project Manager – Solutions Integration Lead to support a large-scale healthcare IT integration initiative.
Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Maintain a thorough knowledge of all company medical coverage guidelines and other policies, such as Client Association Medical Policy Reference Manual, MCG care guidelines and/or Change Healthcare InterQual, and eviCore criteria.
Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearExecute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.
Client Success Partner (Part-Time / Full-Time | Remote) lifebalance-wellbeing LLCClient Success Partner (Part-Time / Full-Time | Remote)Scottsdale, ArizonaRemoteYou will work within proven systems supported by structured training and ongoing mentorship while developing valuable skills in communication, relationship management, lead generation, digital marketing, and leadership development. This role is ideal for individuals who enjoy working with people, value continuous learning, and are looking for a more flexible, independent way of working while continuing to grow personally and professionally.
Remote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemoteThe Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.
Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote- Grievance and Appeals Nurse Pride Technologies LLCRemote- Grievance and Appeals NursePhoenix, AZRemote$40–$45 / hourMaintains a thorough understanding of Health Plan operations and business unit processes, workflows, and system requirements, including plan benefits outlined in EOC documents, authorizations, referrals, network and non-network provider claims, and regulatory compliance. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteDemonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.
Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemoteThis position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.
Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearWhat we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.
Care Manager (RN) Remote (Must reside in Arizona) Molina Healthcare IncCare Manager (RN) Remote (Must reside in Arizona)Phoenix, AZRemoteCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
NewBH UM Clinical Reviewer- Remote AZ Blue Cross Blue Shield of ArizonaBH UM Clinical Reviewer- Remote AZPhoenix, ArizonaRemoteD. Required LicensesActive, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy. AZ 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.
Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteWhen indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.
NewServiceNow Business Analyst (Remote MST/PST Only) Macpower Digital Assets Edge Private LimitedServiceNow Business Analyst (Remote MST/PST Only)Chandler, AZRemote$60 / hourRole Overview: As a ServiceNow Business Analyst, you will serve as the bridge between business users and technical teams to ensure the successful design, configuration, and optimization of ServiceNow solutions. Train and guide end-users on new ServiceNow features to strengthen adoption and usability.
Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross and Blue Shield AssociationBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, AZRemoteThis position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.
Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearWorking closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.
NewBH UM Clinical Reviewer- Remote AZ Blue Cross and Blue Shield AssociationBH UM Clinical Reviewer- Remote AZPhoenix, AZRemoteAZ 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. Responsible for identifying, researching, processing, resolving and responding to inquiries from internal and external customers with emphasis on excellence, privacy, compliance and versatility within the health insurance industry.