Medicare jobs in phoenix, az

Remote

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13d ago

Immediate need for a talented Medicare Benefits Advisor. This is a 03 - 04+months contract opportunity with long-term potential and is located in Denver, CO (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-22375 Pay Range: $37/hr - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Work Schedule & HoursPa

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Contract

$37 - $40

Automation Mobile Tester with Medicare

Remote or Hybrid

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Today

Remote position Must have Medicare exp & Mobile testing Must Have: 5+ years of Medicare experience 10 + years of experience in technology Quality Engineering. Strong experience with UI and Mobile OS (iOS/Android) testing Proficiency in API testing tools such as Postman, Bruno, or REST Assured. Experience of SDLC processes, agile methodology and QE practices. Agile certification is preferred. Experience with using AWS services like S3, Lambda, DynamoDb etc. Strong experience with UI and database

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Third Party

Enterprise Data Modeler Medicare Advantage

Remote

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5d ago

We are looking for a Senior Enterprise Data Modeler with deep healthcare domain expertise to lead the development of enterprise and domain data models for a strategic data transformation program. You will bridge the gap between business stakeholders and technical execution teams to build resilient, enterprise-wide data structures. Key ResponsibilitiesDesign and maintain Enterprise, Logical, Physical, and Canonical Data Models. Translate complex business concepts into robust domain data models. P

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Contract

Depends on Experience

Clinical Pharmacist Advisor - Medicare - Remote

Remote

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24d ago

Title: Clinical Pharmacist Advisor - Medicare - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelin

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Contract

47 - 52

Data Modeler with Medicare Advantage

Remote

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12d ago

Enterprise Data Modeler (Medicare Advantage) Position Summary We are seeking a highly experiencedEnterprise Data Modelerto lead the development of enterprise and domain data models that will serve as the foundation of a strategic enterprise data transformation program. This role will be responsible for creating and maintaining: Enterprise Business Data ModelsCanonical Data ModelsLogical Data ModelsPhysical Data ModelsDomain Data Models across prioritized business domainsCritical Success Factors

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Contract

Depends on Experience

Healthcare Informatics Analyst (Pharmacy OR Medicare Advantage - Fully Remote Contract Role )

Remote

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24d ago

Position 2: Sr. Healthcare Informatics Analyst (Medicare Advantage)Seeking a Senior Healthcare Informatics Analyst! The selected candidate will independently provide analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider en

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Contract

75 - 80

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

•

11d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

Phlebotomist - Full Time - Days

Tempe, Arizona

•

Today

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star qu

Full-time

Certified Phlebotomist - Full Time - Days

Tempe, Arizona

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Today

Full-time

Senior Healthcare Data Analyst

Phoenix, Arizona

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Today

Senior Healthcare Data Analyst Department: Business Intelligence Location: Remote (U.S.) Position Overview We are seeking a Senior Healthcare Analyst to join our Business Intelligence team. This individual will partner with executive leadership, clinical operations, finance, and business stakeholders to transform complex healthcare data into actionable insights that drive operational performance, quality outcomes, and strategic decision-making. The ideal candidate brings strong healthcare analy

Full-time

USD 95,000.00 - 105,000.00 per year

HIM Specialist Part Time

Tempe, Arizona

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Today

Part-time

Senior Government Consultant - Systems & Encounter Specialist

Phoenix, Arizona

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11d ago

Company: Mercer Description: We are seeking a talented individual to join our Government Health Services Consulting (GHSC) team at Mercer, a Marsh business. This can be based anywhere near a Mercer office and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. As a Senior Government Consultant - Systems and Encounters Specialist, you will play a vital role as a core team member providing expert insights on complex projects for clients, which are primarily

Full-time

USD 88,000.00 - 176,000.00 per year

Associate VP, Network Strategy & Operations

Phoenix, Arizona

•

Today

Primary City/State: Phoenix, Arizona Department Name: Health Plan Mgmt Work Shift: Day Job Category: General Operations As the Associate Vice President, Network Strategy & Operations, you will play a pivotal role in shaping the future of our provider network and advancing our value-based care strategy. This highly visible leadership position sits at the intersection of network development, provider engagement, population health, and financial performance. You will lead complex provider ne

Full-time

RHTP Evaluation & Data Manager

Phoenix, Arizona

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Today

RHTP Evaluation & Data Manager Job No: 542549 Work Type: Full-time Location: PHOENIX Categories: Information Technology/Services, Program Management, Misc/Other/Not Applicable, Management/Supervisor AHS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHS), Arizona's Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective he

Full-time

USD 102,000.00 per year

Product Owner – Capitation & Value-Based Care

Remote

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20d ago

Job Title: Product Owner Capitation & Value-Based Care Location: Remote/Hybrid Experience: 712 Years Position Summary We are looking for a Product Owner with deep experience in Capitation, Value-Based Care (VBC), and Provider Reimbursement. This role will own products supporting capitation payments, provider incentives, attribution, quality programs, and population health analytics while partnering with payer and provider stakeholders. Capitation is a payment model where providers receive a fix

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Contract

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Remote

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6d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

Claims Examiner - Workers Compensation - W2 Only

Remote

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4d ago

Position: Claims Examiner - Workers Compensation - W2 Only Duration: 03 Months of Contract with possible extension or conversion Pay Range: $52/hr to $56/hr on W2 (without Benefits) Requirements: Only Ex-Sedgwick candidatesAny specific skill/ certification/ license: CA adjuster certificationYears of experience: 3+ years of relevant experience Primary purpose: To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims

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Contract

52 - 56

Technical Project/Delivery Manager With Medicaid Experience - Remote

Remote

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2d ago

Required:15+ years of overall IT experience5+ years of managerial experienceDeep functional knowledge of Healthcare processes specially Medicaid BusinessAware of the Cloud native architecture along with understanding of associated technologiesDemonstrated understanding of Project Management processes, strategies and methodsExperience mentoring, coaching and developing rising talent in the technology departmentExcellent time management and organizational skills and experience establishing guideli

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Contract, Third Party

$61

Epic Tapestry Contracts Administration SME

Remote

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19d ago

** This is 5 months contract with possibility of extension. Work Arrangement: 100% Remote Schedule: Full-time, 40 hours per week Working Hours: Eastern Time business hours Industry: Healthcare Insurance / Health Plan Position SummaryWe are seeking an experienced Epic Tapestry Contracts Administration Subject Matter Expert to lead contract-related application build and provide structured knowledge transfer within a healthcare insurance environment. This is a hands-on SME-level position requiring

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Contract, Third Party

Depends on Experience

Business Analyst III

Remote

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4d ago

Immediate need for a talented Business Analyst . This is a 10+ months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-25605 Pay Range: $35/hr - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Schedule: MondayFriday, 8:00 AM5:00 PM EST o

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Contract

35 - 40

Medicare jobs in Phoenix, AZ, USA