Clinical Trainer and Auditor - Utilization Management Experience - Remote-AZ Blue Cross and Blue Shield AssociationClinical Trainer and Auditor - Utilization Management Experience - Remote-AZPhoenix, AZRemoteD.),or RDN (Registered Dietitian Nutritionist), CDCES (Certified Diabetes Care and Education Specialist), 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. Perform quality audits for Utilization Management activities and medical director determinations to evaluate consistency, accuracy, and compliance in evidence-based clinical decision-making, including inter-rater reliability assessments for Utilization Management as applicable.
Clinical Trainer and Auditor - Case Management Experience - Remote-AZ Blue Cross and Blue Shield AssociationClinical Trainer and Auditor - Case Management Experience - Remote-AZPhoenix, AZRemoteD.),or RDN (Registered Dietitian Nutritionist), CDCES (Certified Diabetes Care and Education Specialist), 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. Perform quality audits for Utilization Management activities and medical director determinations to evaluate consistency, accuracy, and compliance in evidence-based clinical decision-making, including inter-rater reliability assessments for Utilization Management as applicable.
Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEPhoenix, AZRemote$19.06–$28.60 / hourEffectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.
Initial Clinical Reviewer - Remote - AZ Blue Cross and Blue Shield AssociationInitial Clinical Reviewer - Remote - AZPhoenix, AZRemoteWhen 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.
Integrated Care Manager- Adult - Remote-AZ Blue Cross and Blue Shield AssociationIntegrated Care Manager- Adult - Remote-AZPhoenix, AZRemoteResponsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan. 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.
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.
Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.
Clinical Trainer & Auditor - Remote AZ Blue Cross and Blue Shield AssociationClinical Trainer & Auditor - Remote AZPhoenix, AZRemoteConsults with clinical operations leaders to identify, develop, and respond to training needs and requests Develops curriculum, maintains currency, and revises as appropriate Plan, coordinate, deliver, and evaluate clinical training for clinical operations programs, including: New hire onboarding. 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 Insurance Verification Coordinator Actalent IncRemote Insurance Verification CoordinatorPhoenix, AZRemoteThis role works closely with patients, physician offices, and insurance companies to ensure accurate documentation, timely reimbursement, and an excellent patient experience. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.
Clinical Trainer and Auditor - Case Management Experience - Remote-AZ Blue Cross Blue Shield of ArizonaClinical Trainer and Auditor - Case Management Experience - Remote-AZPhoenix, ArizonaRemoteD.),or RDN (Registered Dietitian Nutritionist), CDCES (Certified Diabetes Care and Education Specialist), 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. Perform quality audits for Utilization Management activities and medical director determinations to evaluate consistency, accuracy, and compliance in evidence-based clinical decision-making, including inter-rater reliability assessments for Utilization Management as applicable.
Clinical Trainer and Auditor - Utilization Management Experience - Remote-AZ Blue Cross Blue Shield of ArizonaClinical Trainer and Auditor - Utilization Management Experience - Remote-AZPhoenix, ArizonaRemoteD.),or RDN (Registered Dietitian Nutritionist), CDCES (Certified Diabetes Care and Education Specialist), 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. Perform quality audits for Utilization Management activities and medical director determinations to evaluate consistency, accuracy, and compliance in evidence-based clinical decision-making, including inter-rater reliability assessments for Utilization Management as applicable.
NewPreservice Review Nurse - Remote UnitedHealth Group Inc.Preservice Review Nurse - RemotePhoenix, AZRemote$29–$52 / hourThe RN is expected to approve those requests that meet medical necessity, along with benefit level, and the contractual status of the provider / facility as appropriate for self-funded lines of business. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewStaff Software Engineer - Embedded Networking (remote) Johnson ControlsStaff Software Engineer - Embedded Networking (remote)Glendale, ArizonaRemote$130,000–$180,000 / yearJohnson Controls, a global leader in thermal management, mission-critical building systems, energy efficiency, and decarbonization, helps customers use energy more productively, reduce carbon emissions, and operate with the precision and resilience required in rapidly expanding industries such as data centers, healthcare, pharmaceuticals, advanced manufacturing, and higher education. Work deep in the secure data path: identity-based overlay networking, IPsec and ESP, IKE, tunnel encapsulation, NAT traversal, Layer 2 connectivity carried over Layer 3, and certificate-based identity backed by PKI.
\n \n Remote Musculoskeletal Radiologist - Radiology Partners Sol\n \n Radiology Partners Inc\n \n Remote Musculoskeletal Radiologist - Radiology Partners Sol\n \nAZRemote$500,000–$550,000 / yearAdditionally, we will not send checks for deposit into your bank account at any stage of recruitment.u202fAll communication during the interview and hiring process should come from an email address ending in "@radpartners.com."u202fIf you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Teamu202fat recruiting@radpartners.com. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
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.
\n \n Remote Overnight Emergency Radiologist - Southwest Medical Imaging\n \n Radiology Partners Inc\n \n Remote Overnight Emergency Radiologist - Southwest Medical Imaging\n \nScottsdale, AZRemote$600,000–$700,000 / yearAbility to moonlight internally during off weeks for outpatient and inpatient exams100% RemotePowerScribe, InteleRad, and Epic support an efficient, connected workflow across reporting, imaging, and clinical systemsSalary plus comprehensive benefit package - base salary plus productivity bonusesPartnership track preferred + additional shareholder opportunity with the physician owned SMIL Outpatient Imaging CentersLOCAL PRACTICE OVERVIEWSouthwest Medical Imaging (SMIL) is a 70+ highly subspecialized radiology practice based in Scottsdale, AZ. DESIRED PROFESSIONAL SKILLS AND EXPERIENCEFellows and residents welcome to applyBoard Eligible or certified by American Board of Radiology or the American Osteopathic Board of RadiologyCompetitive salary, benefits with options to increase income with a unique flexible compensation planNeuroradiology experience is a plus, though not required.
NewRemote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere Berry StreetRemote Registered Dietitian or CNS - Flexible Hours, Work from AnywherePhoenix, AZRemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
(Remote) Licensed Life Insurance Sales Representative Efinancial LLC(Remote) Licensed Life Insurance Sales RepresentativeTempe, AZRemoteOur long track record of innovation, revolution, and leadership includes: One of the first groups to sell life insurance policies to both women and men The first company to deploy technology to bring agent/client/underwriter together at point-of-sale (POS) Pioneered the use of predictive analytics to streamline the new business process and revolutionize the speed with which policies can be issued eFinancial, an online and call-center-based insurance agency with a proven direct-to-consumer life insurance model, was acquired by Fidelity Life in 2009. eFinancial is seeking motivated, performance-driven licensed agents who thrive in a high-volume phone sales environment and want the opportunity to ramp quickly in a proven direct-to-consumer sales model.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsAZRemote$236,500–$449,300 / yearLicense/Certifications: Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareAZRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.