![Gallagher](https://contents.bebee.com/companies/us/gallagher/avatar-96lMS.png)
Clinical Advisor
1 week ago
About Us:
Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a legacy of trust and triumph in the dynamic world of risk management.
We believe that every candidate brings something special to the table, including you So, even if you feel that youre close but not an exact match, we encourage you to apply.
Responsibilities:- Monitor utilization review and case management activities of insurance carrier for accuracy and effectiveness.
- Ensure appropriate utilization of services and effective case/cost management.
- Coordinate and manage large claim processing and payments.
- Monitor and resolve escalated large claims issues.
- Act as a liaison between referral source, physician and member and coordinate appropriate cost-effective solutions.
- Review claims paying over $25k.
- Review claim denials.
- Recommend solutions to non-standard requests and issues.
- Identify members for referral opportunities to integrate with other services (i.e. Case Management, Disease Management, COE).
- Periodic review of open subrogation cases.
- Develop and implement health and wellness programs.
- Collaborate with healthcare professionals, vendors, and other departments or teams to integrate health and wellness initiatives.
- Monitor and evaluate health and wellness programs through data collection and analysis.
- Organize and manage wellness events to encourage healthy behaviors and engagement.
- Maintain accurate records and documentation of program participation, outcomes, and expenses.
- Serve as a resource and point of contact for employees or clients seeking information or support related to health and wellness.
Required
- Current Arizona RN license in good standing.
- 3+ years in the healthcare industry, including wellness, nutrition, or exercise physiology.
- Valid IVP Fingerprint Clearance Card within 60 days of hire.
- Ability to succeed in a hybrid role local travel between locations and corporate three-four days a week.
Preferred
- Understanding and utilization of Case Management functions, self-funded insurance plans and PPO networks.
- Knowledge and application of medical/health insurance terminology, ICD-9/ICD-10, HIPAA and DOL regulations.
- Utilization management/case management experience in an insurance (non-hospital) setting is beneficial.
- Skilled in the use of personal computers and general office software, including Microsoft Word, Excel, and PowerPoint.
- Pre- and post-pay claims review and healthcare data experience preferred.
- Experience in quality improvement related activities.
- BSN preferred.
- Case management experience is preferred.
- Experience with program development.
- Bi-lingual is a plus.
On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits youll get, depending on your job level these benefits may improve:
- Medical/dental/vision plans, which start from day one
- Life and accident insurance
- 401(K) and Roth options
- Tax-advantaged accounts (HSA, FSA)
- Educational expense reimbursement
- Paid parental leave
Other benefits include:
- Digital mental health services (Talkspace)
- Flexible work hours (availability varies by office and job function)
- Training programs
- Gallagher Thrive program elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
- Charitable matching gift program
- And more...
We value inclusion and diversity
Click Here to review our U.S. Eligibility Requirements
Inclusion and diversity (I&D) is a core part of our business, and its embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as protected characteristics) by applicable federal, state, or local laws.
Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
-
Physician Advisor
2 weeks ago
Phoenix, Arizona, United States Common Spirit Full timeOverviewCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Recreation Advisor
1 week ago
Phoenix, Arizona, United States Adams and Associates, Inc. Full timeRecreation Advisor Job Details Job Location Phoenix - Phoenix, AZ Position Type Full Time Education Level High School Salary Range $17.20 Hourly Job Category Education Description About Phoenix Job Corps Center The Phoenix Job Corps Center provides students with the opportunity to earn their High School Diploma or Equivalent (GED), and hands-on training...
-
Clinical Account Manager, Southwest Region
1 week ago
Phoenix, Arizona, United States Centinel Spine, LLC Full timeCentinel Spine, LLC is the world's largest privately-held, pure play, spine company focused on anterior column reconstruction. The company offers a continuum of trusted, brand-name, motion-preserving backed by over 30 years of clinical success—providing the most clinically-proven technology platforms in the world for total disc replacement (prodisc).Today,...
-
Clinical Document Integrity Specialist
1 week ago
Phoenix, Arizona, United States UnitedHealth Group Inc. Full time$500 Sign-on Bonus For External CandidatesOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a...
-
Phoenix, Arizona, United States Banner Health Full timeMedical Director Care Coordination /Physician AdvisorEXCELLENT OPPORTUNITY TO JOIN THE GROWING TEAM OF PHYSICIANS WITH BANNER HEALTH IN A NON-CLINICAL LEADERSHIP ROLEPer Diem Opening Currently Available.Phoenix, AZThis position acts as a Physician Advisor to ensure the appropriate and efficient medical management of cases while assuring the quality of care...
-
Phoenix, Arizona, United States Banner Health Full timeMedical Director Care Coordination /Physician AdvisorEXCELLENT OPPORTUNITY TO JOIN THE GROWING TEAM OF PHYSICIANS WITH BANNER HEALTH IN A NON-CLINICAL LEADERSHIP ROLEPer Diem Opening Currently Available.Phoenix, AZThis position acts as a Physician Advisor to ensure the appropriate and efficient medical management of cases while assuring the quality of care...
-
Chief Nurse Surgical Services
4 days ago
Phoenix, Arizona, United States Veterans Health Administration Full timeVA offers a comprehensive total rewards package: VA Nurse Total RewardsDuties Include but not limited to:Functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability.Provides senior leadership and oversight for daily clinical and administrative operations within nursing as directed...
-
Executive Director, Therapy Services
1 week ago
Phoenix, Arizona, United States RISE LLC Full timeJob DetailsJob Location Phoenix, AZ (East Valley) - Phoenix, AZPosition Type Full TimeEducation Level Bachelors Degree in Related FieldSalary Range $70,000.00 SalaryTravel Percentage Limited or OccasionalJob Shift DaysJob Category Nonprofit - Social Services Description PURPOSE:Responsible for the oversight of all therapy services provided by RISE EI and...
-
Sakrete Sales Specialist
1 month ago
Phoenix, Arizona, United States CRH Full timeJob ID: 490132 Oldcastle APG, a CRH Company, is the leading provider of outdoor living solutions in North America with an award-winning portfolio that enables customers to Live Well Outside. Inspiring endless possibilities with enduring performance, its collection of premier building products create inviting outdoor spaces where people connect, reflect and...
-
Sakrete Sales Specialist
4 weeks ago
Phoenix, Arizona, United States CRH Full timeJob ID: 490132 Oldcastle APG, a CRH Company, is the leading provider of outdoor living solutions in North America with an award-winning portfolio that enables customers to Live Well Outside. Inspiring endless possibilities with enduring performance, its collection of premier building products create inviting outdoor spaces where people connect, reflect and...
-
Physician Advisor
2 months ago
Phoenix, United States Common Spirit Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Physician Advisor
4 weeks ago
Phoenix, United States Common Spirit Full timeOverview CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our...
-
Medical Advisor
1 month ago
Phoenix, United States Essity Aktiebolag (publ) Full timeMedical Advisor - Compression (West) Who We Are Essity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being through innovation in Professional Hygiene, Consumer Goods, and Health & Medical...
-
Medical Advisor
4 weeks ago
Phoenix, United States Essity Aktiebolag (publ) Full timeMedical Advisor - Compression (West) Who We Are Essity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being through innovation in Professional Hygiene, Consumer Goods, and Health & Medical...
-
Safety & Security Advisor
4 weeks ago
Phoenix, United States Adams and Associates Full timeAbout Phoenix Job Corps Center The Phoenix Job Corps Center provides students with the opportunity to earn their High School Diploma or Equivalent (GED), and hands-on training in the following areas: Certified Nurse Assistant, Clinical Medical Assistant, Medical Administration Assistant, Patient Care Technician, Plumbing, Painting, Security and...
-
Safety & Security Advisor
3 weeks ago
Phoenix, United States Adams and Associates Full timeAbout Phoenix Job Corps Center The Phoenix Job Corps Center provides students with the opportunity to earn their High School Diploma or Equivalent (GED), and hands-on training in the following areas: Certified Nurse Assistant, Clinical Medical Assistant, Medical Administration Assistant, Patient Care Technician, Plumbing, Painting, Security and...
-
Senior EHS&T Advisor
1 month ago
Phoenix, United States Boart Longyear Full timeJob Description Boart Longyear is a global leader in drilling services, providing innovative and reliable solutions to the mining and drilling industry. With a rich history spanning over 130 years, Boart Longyear is committed to delivering excellence in safety, drilling services, and technology. We are currently seeking an EHS&T Advisor to join our Boart...
-
Senior EHS&T Advisor
4 weeks ago
Phoenix, United States Boart Longyear Full timeJob Description Boart Longyear is a global leader in drilling services, providing innovative and reliable solutions to the mining and drilling industry. With a rich history spanning over 130 years, Boart Longyear is committed to delivering excellence in safety, drilling services, and technology. We are currently seeking an EHS&T Advisor to join our Boart...
-
Medical Advisor
1 month ago
Phoenix, United States Essity Full timeMedical Advisor - Compression (West)Who We AreEssity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being through innovation in Professional Hygiene, Consumer Goods, and Health & Medical...
-
Medical Advisor
4 weeks ago
Phoenix, United States Essity Full timeMedical Advisor - Compression (West)Who We AreEssity is a global leader in health and hygiene headquartered in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being through innovation in Professional Hygiene, Consumer Goods, and Health & Medical...
-
Senior EHS&T Advisor
1 month ago
Phoenix, United States Boart Longyear Full time**Job Description:** Boart Longyear is a global leader in drilling services, providing innovative and reliable solutions to the mining and drilling industry. With a rich history spanning over 130 years, Boart Longyear is committed to delivering excellence in safety, drilling services, and technology. We are currently seeking an EHS&T Advisor to join our...
-
Senior EHS&T Advisor
3 weeks ago
Phoenix, United States Boart Longyear Full time**Job Description:** Boart Longyear is a global leader in drilling services, providing innovative and reliable solutions to the mining and drilling industry. With a rich history spanning over 130 years, Boart Longyear is committed to delivering excellence in safety, drilling services, and technology. We are currently seeking an EHS&T Advisor to join our...
-
Medical Director Care Coordination
3 months ago
Phoenix, United States Banner Health Full timeMedical Director Care Coordination/Physician AdvisorBanner University Medical Center Phoenix, Arizona EXCELLENT OPPORTUNITY TO JOIN THE GROWING TEAM OF PHYSICIANS WITH BANNER HEALTH IN A NON-CLINICAL LEADERSHIP ROLE. Banner Health is regarded and recognized as a top health system in the country for the clinical quality consistently provided to patients in...
-
Medical Director Care Coordination
4 weeks ago
Phoenix, United States Banner Health Full timeMedical Director Care Coordination/Physician AdvisorBanner University Medical Center Phoenix, Arizona EXCELLENT OPPORTUNITY TO JOIN THE GROWING TEAM OF PHYSICIANS WITH BANNER HEALTH IN A NON-CLINICAL LEADERSHIP ROLE. Banner Health is regarded and recognized as a top health system in the country for the clinical quality consistently provided to patients in...
-
Clinical Advisor
4 weeks ago
Phoenix, United States Gallagher Full timeAbout Us: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a...
-
Clinical Advisor
2 weeks ago
Phoenix, United States Gallagher Full timeAbout Us: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a...
-
Clinical Advisor
1 week ago
Phoenix, United States Gallagher Full timeAbout Us: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a...
-
Clinical Advisor
1 week ago
Phoenix, United States Gallagher Full timeIntroduction: Indulge your passion for problem-solving and embrace the thrill of addressing risk head-on at Gallagher's global brokerage team. Join a family of diverse minds, united by a relentless pursuit of excellence. As part of our team, you'll be the architect of protection, safeguarding businesses and empowering their ambitions. Together, we'll build a...
-
Clinical Supervisor
3 weeks ago
Phoenix, United States Nomi Health Full timeNomi Health was founded in 2019 as a direct healthcare company with a simple yet bold mission: rebuild the healthcare system so it is accessible and affordable for everyone. We are rebuilding the healthcare system by cutting costs, confusion, and complexity through direct contracts and payment with providers, deep data dives, and convenient patient care. We...
-
Phoenix, United States Petco Full timeCreate a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. Our core values capture that spirit as we work to improve lives by doing what’s right for pets, people and our planet. - We...