12 Utilization Review Jobs in Phoenix, AZ
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Senior Account Executive Calculated Hire - Phoenix, AZ, United States engagement. · Exhibit thought leadership and deep understanding of the plans landscape, including cost containment strategies, engagement, utilization, client requirements, market drivers, and buying cycles 5 days ago
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Account Manager Pharmacist Clinical Consultant, Medicaid Fee For Service – Remote in Vermont Optum - Phoenix, AZ, United States their market Identify opportunities to increase efficiency Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual 18 days ago
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Actuary CareOregon - Portland, OR / Phoenix, AZ / Astoria, OR / 13 more... . Provide rate setting support through data analysis, policy review and strategy development. Identify any actuarial unsound adjustments to the rates. Provide medical cost and utilization trend $120,000 - $145,200 Yesterday
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Sr Mgr, Specialty Business Financials CVSHealth - Phoenix, AZ application. 3. Support analysts responsible for performing monthly data pulls for specialty guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate 15 days ago
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Tax Analyst (TAG) Internal Revenue Service - Phoenix, Arizona with assigned program to conduct reviews, studies/projects, and coordinate systems and resource utilization of program operations. Experience in recognizing significant tax issues and enforcement changes in order 103409.0-167336.0 17 days ago
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UM Nurse Consultant CVSHealth - Phoenix, AZ of the utilization/benefit management function. Required Qualifications 1 year of varied UM (utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. 5 years 29 days ago
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High Risk Physician Lead - Phoenix, AZ VillageMD - Phoenix, Arizona, United States % of charts for the first month of clinical care. Review all hospitalizations, ED visits, and lead utilization rounds. Be available for APP questions Direct patient care Provide visits in clinic, in the home 30 days ago
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Advanced Medical Support Assistant Veterans Health Administration - Phoenix, Arizona in an interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively 46081.0-59907.0 More than 30 days ago
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Director of Quality and Risk Encompass Health - Mesa, Arizona , Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management activities, including completion of incident reports, notice of potential claims 13 days ago
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Care Manager Assistant - LPN Life Care Center of Scottsdale - Scottsdale, Arizona employment. * One (1) year of clinical experience in post-acute care setting preferred * Prior case management, utilization review, and discharge planning experience preferred Specific Job Requirements 9 days ago
Top locations
- Scottsdale, AZ (14)
- Gilbert, AZ (5)
- Mesa, AZ (5)
- Tempe, AZ (5)
- Chandler, AZ (4)
- Glendale, AZ (4)
- Casa Grande, AZ (3)
- Avondale, AZ (2)
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