Jobs for hedis remote at Phoenix

Location: Position is remote. Must live in Arizona.Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and...

DescriptionPosition Summary The Nurse Practitioner provides virtual clinical care for patients recently discharged from the hospital and for patients identified as high risk or needing follow up. The NP conducts telehealth assessments, manages care plans, completes medication reconciliation, and supports field clinicians who complete in home visits. This...

Job Title:Quality Assurance Auditor/Coder Location: Phoenix, AZ or Remote Duration: 06 Month+ Conract Pay Range: $45/Hour on w2 Summary We are seeking an experienced Quality Assurance Auditor with coding background. strong background in HCC coding, risk adjustment, and medical record auditing. The ideal candidate will have experience reviewing medical...

Job DescriptionJob DescriptionMedical Director – PediatricsRole SummaryAre you an accomplished physician executive with a passion for driving systemic clinical excellence and healthcare transformation? We are seeking a visionary, board-certified pediatric leader to step into the role of Medical Director – Pediatrics for a nationally recognized healthcare...

Hi, we're Oscar Medical Group. We're hiring fluent Spanish speaking Nurse Practitioners and Physician Assistants to join our remote Virtual Health Assessment team in a part time capacity.At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal...

Senior Director, Clinical and Translational Research Remote, USA Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. The Senior Director, Clinical & Translational Research leads Omada’s efforts to demonstrate the clinical value economic and population health value of its programs across various...

Job DescriptionJob DescriptionTitle: Lead Data & AI EngineerLocation: Phoenix, AZ (hybrid remote)Type: 6-month contract to hirePay: $50-60/hrWe’re looking for a Lead Data & AI Engineer to lead the design and delivery of secure, scalable data and AI solutions within complex healthcare environments. The position focuses on building modern data platforms,...

Senior Director, Clinical and Translational Research Remote, USA Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. Job Overview: The Senior Director, Clinical & Translational Research leads Omada’s efforts to demonstrate the clinical value economic and population health value of its programs across...

Position Purpose:Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts.Key Details:Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including...

Senior Director, Clinical and Translational Research Remote, USA Omada Health is on a mission to inspire and engage people in lifelong health, one step at a time. Job Overview: The Senior Director, Clinical & Translational Research leads Omada’s efforts to demonstrate the clinical value economic and population health value of its programs across...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. 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...

Job Title:Quality Assurance Auditor/Coder Location: Phoenix, AZ or Remote Duration: 06 Month+ Conract Pay Range: $45/Hour on w2 Summary We are seeking an experienced Quality Assurance Auditor with coding background. strong background in HCC coding, risk adjustment, and medical record auditing. The ideal candidate will have experience reviewing medical...

Join to apply for the Director, Clinical Pharmacy role at MOBĒ Join to apply for the Director, Clinical Pharmacy role at MOBĒ MOBE guides people to better health and more happiness. Behind our innovative health solutions is uniquely human philosophy. We believe that person-to-person connections and understanding can make a difference in a world...

Join to apply for the Director, Clinical Pharmacy role at MOBĒ Join to apply for the Director, Clinical Pharmacy role at MOBĒ MOBE guides people to better health and more happiness. Behind our innovative health solutions is uniquely human philosophy. We believe that person-to-person connections and understanding can make a difference in a world...

Join to apply for the Director, Clinical Pharmacy role at MOBĒ 2 weeks ago Be among the first 25 applicants Join to apply for the Director, Clinical Pharmacy role at MOBĒ This range is provided by MOBĒ. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $170,000.00/yr -...

Health Advocate We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. 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...

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare...

Improve the lives of others while Caring. Connecting. Growing together.Job Description - Director of Care Coordination (AZ & NM) (2378535)Director of Care Coordination (AZ & NM) - 2378535Optum is seeking a Director of Care Coordination to join our team in Arizona and New Mexico. Optum is a clinician-led care organization that is changing the way clinicians...

Strategic Advisor - Contractor Contractor - 1099 AZ, US POSITION PURPOSE Adobe Population Health is seeking an experienced Strategic Advisor (Independent Contractor) to serve as a trusted executive advisor and market development partner responsible for expanding the organization's relationships with health plans, managed care organizations (MCOs),...