data reviewer jobs in Phoenix

Claims Reviewer Location: Phoenix AZ 85053 (REMOTE) Duration: 6+ Months Pay Range: $28.00/hr on W2 Shift: Mon Fri 8.00 AM 5 PM PST Job Summary Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services, as it relates to claims inquiry, resolution, audit, and related functions. Applies clinical,...

Bill Review Analyst The Bill Review Analyst is responsible for reviewing, auditing and data-entry of bills for multiple states and lines of business. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for auditing bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts...

About Us Specialized Care for the Patients Who Need It Most.NeuroPsychiatric Hospitals (NPH) is dedicated to providing unparalleled service to our patients, team members, physicians, and families. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique...

Job Title Independent Executive Reviewer Client Company/Dept. Name Arizona Department of Economic Security (ADES), AZ Address 1802 West Jackson #100 City Name Phoenix State Name AZ-Arizona Zip Code 85007 If others (Address) Duration of the project Undetermined Start Date ...

Company DescriptionAltegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit,...

Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MI, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and...

Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Provides Subject Matter Expert (SME) support to Claims Administration functional...

Overview:TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This 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...

DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona.DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of...

Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality, safety, and utilization concerns, and...

Summary The primary mission of the Executive Office for Immigration Review (EOIR) is to adjudicate immigration cases by fairly, expeditiously, and uniformly interpreting and administering the Nation's immigration laws. Under delegated authority from the Attorney General, EOIR conducts immigration court proceedings, appellate reviews, and administrative...

​​​Spanish Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE & QUALIFICATIONS:Fluent in Spanish Language, Mexican Dialect preferredFamiliarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.Experience with...

AHCCCS Arizona Health Care Cost Containment SystemAccountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, TeamworkThe Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally...

Company DescriptionWhy You Should Work For Us:HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including:...

Company DescriptionAbout Collabera:Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We...

Data Scientist Post Available Only to Americans Position: American, Off-grid From here, our viewpoint is that the creative staff is committed to using data to reach findings that inspire fresh ideas. Data is about far more than simply numbers for us; it's the secret to revealing latent opportunities, overcoming tough obstacles, and future...

OFFICE OF ECONOMIC OPPORTUNITY The Arizona Office of Economic Opportunity (OEO) is committed to advancing Arizona's workforce and fostering opportunities for well-paying jobs, in line with Governor Hobbs's vision. Collaborating with state, federal, local, tribal, educational, business, labor, and community partners, OEO serves as the state's workforce...

SourcePro Search has a fantastic opportunity for an experienced Data Analyst in the New York office of one of our top global clients.  This role will support the production of financial management & client reports, analysis of monthly financial performance, and assistance with the analysis of departmental metrics.  The successful candidate will have a...

POSITION SUMMARY: The Data Engineer is a hands-on technical role focused on full-stack data engineering within the Enterprise Data organization. The role will play a critical part in shaping future big data, analytics, and AI agent engineering initiatives using Snowflake, DBT, SQLDBM, and Medallion architecture. TIMELINE: The first batch of resumes will be...

UnitedHealth Group seeks a Medical Director to support Enterprise Clinical Services, focusing on clinical coverage determinations and cost-effective care. You will collaborate with network and non-network physicians, document reviews, and participate in clinical rounds.The role requires MD/DO, unrestricted license, board certification, and 3+ years of...