You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
**Position is hybrid. Candidate must live in AZ. Prefer candidate residing in Flagstaff/northern AZ. Experience working with tribal organizations, providers, or other tribal entities strongly preferred.**
**Position Purpose:** Act as the liaison regarding the delivery of behavioral health and/or physical health services to Native Americans.
+ Responsible for providing development and training to Native American Tribes.
+ Maintain database inputs and extract monthly reports reflecting trends and patterns in reported incidents.
+ Assist community with prevention and awareness.
+ Make recommendations for investigations, follow -ups and/or corrective actions.
+ Conduct interviews and site visits to discuss cultural needs.
+ Requires extensive travel to rural communities and remote areas.
+ Develop and communicate physical and/or behavioral health programs as applicable to the members of Native American Tribes.
+ Answer general questions regarding applicable policies, procedures, and statutes.
+ Offer assistance and make presentations on new materials.
**Education/Experience:** Bachelor's degree in related field or equivalent experience in Behavioral Health, Public Health, Health Care Administration, Social Work or Nursing. 3+ years of related experience. Experience with and comprehensive knowledge of Native American cultures. Experience communicating with Tribal Leaders and Community Members regarding the needs of Native Americans.
**Position is hybrid. Candidate must live in AZ. Prefer candidate residing in Flagstaff/northern AZ. Experience working with tribal organizations, providers, or other tribal entities strongly preferred.**
Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$56.2k-101k yearly 10d ago
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Contract Negotiator II
Centene Management Company 4.5
Centene Management Company job in Tempe, AZ
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Recruit behavioral health physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation and information are included.
Recruit and develop network for a region and set of providers
Lead assigned recruitments (i.e., physician, hospital and ancillary) and ensure they result in complete and accurate standard contracts that meet objectives
Engage in value-based contracting, including development, negotiation, or management of outcome-based reimbursement models
Facilitate and oversee to the provider set-up and contract configuration to ensure accurate claims adjudication
Initiate contact and identify potential providers by geographic and specialty needs and update database
Coordinate with internal departments and contracted providers to implement and maintain contract compliance
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Finance, related field, or equivalent experience. 2+ years of contracting, contract analysis, provider relations, or provider experience in a hospital or physician's office or group setting. Familiarity with State and/or Federal health care programs preferred (Medicaid, Medicare).
This position is remote within the state of Arizona with the requirement of being onsite for provider and team meetings monthly and on an as needed basis. Team meetings will be held in the Tempe, AZ office.
Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$56.2k-101k yearly Auto-Apply 6d ago
General Cardiology Opportunity with Established Private Practice in Goodyear, Arizona
Tenet Healthcare 4.5
Phoenix, AZ job
Practice Where the Sun Shines Bright
Tenet Healthcare is working with a well-established and fast-growing private cardiology practice to recruit a full-time Non-Invasive Cardiologist in Goodyear, Arizona - one of the most dynamic and desirable communities in the greater Phoenix area.
This is an excellent opportunity to join a collegial group with strong community ties and advanced in-office diagnostics, and a clear partnership track. Enjoy a balanced schedule with majority outpatient care, supported by a skilled team of professionals.
Position Highlights
Full-Time role with partnership track
Schedule: Monday-Friday, 8AM-5PM + 1 weekend/month
Patient Mix:
80% outpatient
20% inpatient rounding and consults
Call: 1:3 (light and shared with group)
Volume:
15-20 patients/day in clinic
5-10 patients/day in hospital
Support Staff: Dedicated MA and NP for inpatient coverage
Onsite Diagnostics & Tools:
Nuclear stress testing
Echocardiogram
Vascular ultrasound
Heart rhythm monitors
Candidate Requirements
MD or DO
Board Eligible or Board Certified in Cardiology
Arizona medical license or eligibility to obtain one
Why Goodyear?
Goodyear, AZ is one of the fastest-growing cities in the Phoenix metro area, offering a perfect blend of suburban comfort, natural beauty, and metropolitan access. Located just 20 minutes west of downtown Phoenix, it's a thriving, family-friendly community with excellent schools, affordable homes, and a laid-back lifestyle.
Area Perks:
Over 300 sunny days per year
Close to hiking, biking, golf, and spring training games
Award-winning master-planned communities
Top-rated public and charter schools
Quick access to Sky Harbor International Airport
Short drive to Scottsdale, Sedona, and Flagstaff
Ranked among the Top 10 Physician-Friendly States
Whether you're raising a family, growing your career, or simply looking for more balance - Goodyear offers the lifestyle you've been searching for.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status
$92k-143k yearly est. 2d ago
Surety Home Office Executive Underwriter
Liberty Mutual 4.5
Phoenix, AZ job
Liberty Mutual Surety, a business unit of Liberty Mutual Insurance, is one of the world's largest global Sureties, including in the United States. Conducting business worldwide through fronting relationships and Liberty-owned subsidiaries, we provide bonds in over 60 countries for construction firms, manufacturers and suppliers, and commercial enterprises on an account and transactional basis. We are committed to building mutually profitable relationships by providing smart business solutions, ease of doing business, and consistent, responsive service. Liberty Mutual Surety is dedicated to the communities we serve and highly values a diverse workforce in more than 16 countries.
Responsibilities:
* Underwrites new and existing subdivision account submissions of virtually all sizes and complexities utilizing underwriting authority granted by Chief Underwriting Officer and adhering to required underwriting guidelines. Makes thorough evaluations and assessments of a developer`s financial, technical, organizational, and management capacities, as well as apply a high level of subjective judgment of character, normally based upon data/insights provided by the field organization only. Incorporates expert level of knowledge regarding accounting, legal and organizational/managerial disciplines.
* With field underwriters and/or Bond Managers, meet with clients to facilitate assessments and/or provide direction for topics to be addressed with agents, principals, and others as necessary.
* Partners with field staff to identify, solicit, and contact significant producers in assigned territory under guidance from Bond Manager and more senior home office underwriting staff.
* Monitors, evaluates, and improves existing books of business from an underwriting standpoint as assigned and ensures compliance with Surety guidelines. Continuously evaluates the qualitative characteristics of new and existing business within assigned field offices. Assesses and identifies changes in all aspects of the business including, but not limited to, work program to financial strength criteria, nature of work performed (inherent risk), accuracy and timeliness of data flow, and exposure analyses. Coordinates and/or surfaces issues to manager and/or field Bond Manager. As directed by more senior staff/manager, monitors marketing, underwriting and/or administrative issues within various offices, as assigned. Prepare, recommend, and/or implement instructions for administering workflows and accounting/billing issues to service unique situations.
* Utilizes various applications and data and analyzes statistical and financial reports, claims data, and other financial exhibits/data to ensure the quality of existing and new business. Communicates issues of concern on new and existing business to the applicable field office product line underwriter and/or Bond Manager, as necessary and inputs data on accounts to complete or modify analyses and maintain lines of credit in a current and accurate matter. Pursues resolution of open issues, documents result and adjusts credit parameters extended to specific accounts based upon such facts and findings. Applies sound reason and business logic to credit recommendations, documenting such logic file and communicate credit recommendations to more senior Home Office and Field underwriting staff, as necessary.
* May directly manage and/or provide underwriting support and direction to less experienced underwriting staff/interns.
* As necessary, collaborates with Claims staff to evaluate and/or resolve claim issues and as appropriate, takes immediate action to restrict credit on affected account. Keeps senior underwriting staff/manager informed of claims issues.
* Represents Liberty Mutual Surety with competitors regarding co-Surety matters and attends industry functions (i.e., Regional NASBP conferences, AGC, and trade conventions). May speak as requested at external industry meetings.
* Leads special projects as requested/assigned.
* Train field staff on the art of subdivision underwriting.
* Review indemnity agreements prepared by the field, and account rates, for errors.
* In some parts of the country, underwrite subdivision business directly with Liberty appointed agents.
Qualifications
* Degree in Business or related field typically required
* A minimum of 7 years expected, typically 10 years or more, of progressive surety underwriting experience and/or other related business experience with progressive responsibility desired
* Advanced analytical ability and decision-making skills to evaluate and judge underwriting risks within scope of responsibility
* Demonstrated ability to make and clearly communicate sound underwriting recommendations that includes complex analyses, both verbal and written, and displays strong interpersonal skills in dealing with internal and external stakeholders
* Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
* California
* Los Angeles Incorporated
* Los Angeles Unincorporated
* Philadelphia
* San Francisco
$67k-85k yearly est. Auto-Apply 13d ago
Warehouse Pick Packer - CuraScript - Onsite
Cigna Group 4.6
Tempe, AZ job
Pick Packer
Hours: Mon-Fri 10:00 am - 06:30 pm
Pick Packer is responsible for pulling, packing, and shipping of pharmaceuticals (both refrigerated and non-refrigerated) and medical supplies. Uses various warehouse equipment, RF units, manual jacks, electric pallet jacks. Performs other warehouse functions including but not limited to: stocking pack stations with packing supplies.
How you'll improve the lives of others:
Pulls order accurately, according to RF unit and order ticket.
Verifies orders before sending to pack station.
Manifest cartons using carrier manifest stations and verifying the carton label to the pick-ticket.
Stack and shrink wrap cartons to specific skids by carrier ship level.
Packs orders according to order ticket paying attention to items needing extra dunnage, ice, and special instructions.
Use warehouse equipment, RF units, manifest machines, cherry picker and computer system.
General housekeeping of warehouse and pack stations.
Restocking pack stations with shipping supplies (boxes, bubble wrap, paper, air pillows, etc.) return totes and carts to proper areas.
Ability to speak English is required for this position due to the need to communicate safety rules on the shop floor
Requirements:
No Experience required but 1+ years of relevant experience highly preferred.
Basic computer skills required
Ability to read, write and type English required
Attention to detail to ensure accuracy required
Ability to lift 50 lbs required
Prior experience using handheld RF units preferred
Prior experience using material handling equipment preferred
Why Choose Us?
Comprehensive Health Coverage from Day One (including medical, dental, vision).
Competitive Holiday, Paid Time Off (PTO), and Overtime Compensation.
Robust 401K Plan with Company Match.
Vibrant and Inclusive Culture: Embrace our engaging and welcoming workplace environment, where authenticity is celebrated.
Join us in shaping the future of pharmacy operations while enjoying a supportive and enriching work environment that fosters professional growth and fulfillment. Apply now to embark on a rewarding career journey with us!
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$28k-33k yearly est. Auto-Apply 13d ago
Risk Engineering Technical Consultant
Liberty Mutual 4.5
Phoenix, AZ job
Provides highly complex consultative services to an assigned group of customers within a specialty segment or territory. Conducts on-site evaluations, evaluates data, and creates/implements service plans to control customer's source of risk, losses and costs. Provides risk assessment services and information to track progress and demonstrate the value of doing business with Liberty Mutual. Serves as a trainer/mentor to less experienced consultants in their specialty area at the discretion of their manager. Enhances the Company's leadership position in the safety field through speaking engagements at conferences and developing key relationships.
Provides an array of expert consultative services to an assigned group of customers within a specialized technical area or territory.
Conducts on-site evaluations, evaluates data, and creates/implements service plans to control customer's source of risk, loss and/or costs.
At the Regional/Division level, provides expert technical support to other risk control employees by advising them about resources available, legislation and applicable regulations, technology, industry trends and effective methods to reduce risk, improve customer satisfaction and demonstrate the value of doing business with Liberty Mutual. Monitors and evaluates the technical quality of risk control services provided by less experienced consultants.
Provides coaching, mentoring and training to enhance their development and effectiveness.
Collaborates with management in developing policies, procedures, service tools, technical resources, techniques and new products in order to support and enhance the delivery of risk control consulting services.
Participates in actively acquiring and retaining profitable business. Identifies new business opportunities for LP services and may design and execute programs that improve results and increase the number and quality of services customers choose to buy.
Enhances Liberty Mutual' s leadership position in the safety field and increases brand awareness through speaking engagements at conferences and developing a network of contacts
Qualifications
Advanced knowledge, skills and experience in a specialized field, service planning and delivery, risk assessment, risk analysis, solutions management and progress measurement.
Fully effective interpersonal, writing and other communication skills required to develop and maintain relationships with customers, peers, and industry contacts.
Demonstrated ability to retrieve and enter information using various proprietary software applications and create/modify documents and complex spreadsheets using Microsoft Office suite.
The knowledge, skills and other capabilities required are typically acquired through a bachelor degree with coursework in math, engineering or related areas (or equivalent) and at least 8 years of directly related consulting experience in risk control or progressive safety/heath field.
Candidates are typically working towards (or obtained) an advanced degree and/or professional certification in one or more of the following areas: CSP, ARM, CRM, CPCU, CIH, or CPE.
Position requires regular travel.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
$77k-99k yearly est. Auto-Apply 14d ago
Warehouse Associate - CuraScript - Onsite
Cigna Group 4.6
Tempe, AZ job
Work Hours: 8am-4:30pm
Warehouse Associate Representative is responsible for performing tasks related to receiving product, stocking and replenishment, and inventory control. This includes, comparing the purchase order to the product received for accuracy, counting quantities of product received and ensuring the quality of the product is at an acceptable level, and removing damaged or non-conforming product using data entry and retrieval devices to record receipt transaction.
ESSENTIAL FUNCTIONS
Unload trucks and process items safely according to receipt priority and condition in comparison to purchase orders
Operate material handling equipment and hand tools such as forklifts, pallet jacks (manual and electric), carts, dollies, box cutters, wire cutters, etc. Safely to unload trucks and stock the warehouse/pharmacy
Transfer materials from receiving area to warehouse or dispensing locations and ensures proper stock rotation utilizing PDAs to update the inventory system
Verify receipts accurately against items listed on enclosed packing list(s)
Enter all required data components into the system via the scanner (PDA) for each receipt
Audit shelf counts for accuracy, reviews inventory for short-dated and expired products
Bin and shelf inventory maintenance and stock rotation-including shelf counts, short shelf life and expired product audits
Participate in actual physical inventories as needed
Assist with picking and quality checks with our Outbound Team when needed
Maintain organization and cleanliness of assigned workstations and areas
Other duties as assigned.
QUALIFICATIONS
1 +years relevant work experience preferred
Ability to accurately compare two sets of data
Basic math, organization, computer, and communication skills
Ability to do repetitive bending, squatting, standing, walking, pushing, pulling and hand motions
Willingness to work a flexible schedule to accommodate heavy work volumes
Ability to walk/stand for full shift
Ability to read and differentiate small print.
Why join us?
Health coverage effective day 1 (including medical, dental, vision)
Holiday, PTO, and OT pay
401K with company match
Tuition reimbursement
Fun, friendly, and unique culture - bring your whole self to work every day!
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$29k-33k yearly est. Auto-Apply 13d ago
Senior Claims Representative
Liberty Mutual 4.5
Phoenix, AZ job
Are you looking for an opportunity to join a claims team with a fast-growing company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available. As a Commercial Insurance Claims Representative, you will review and process simple and straightforward Commercial claims within assigned authority limits consistent with policy and legal requirements. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.
The preference is for the candidates to be located close to a hub and be in the office a minimum of 2 days/week (Hubs: Plano, TX, Suwanee, GA, Westborough, MA, Hoffman Estates, IL, Indianapolis, IN and Eugene. OR, and Phoenix, AZ) although candidates from any location will be considered. Please note this policy is subject to change.
Responsibilities:
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority limits.
Writes simple to moderately complex property damage estimates or review auto damage estimates.
Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed.
Qualifications
Bachelor's Degree preferred. High school diploma or equivalent required.
1-2 years of experience. Claims handling skills preferred.
Strong customer service and technology skills.
Able to navigate multiple systems, strong organizational and communication skills.
License may be required in multiple states by state law.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
$62k-93k yearly est. Auto-Apply 14d ago
Oncology - Gynecological Opportunity with Established Private Practice in the West Valley of Phoenix, Arizona!
Tenet Healthcare 4.5
Phoenix, AZ job
Multispecialty Women's Health Group | Da Vinci Robotics | Work-Life Balance
Tenet Healthcare is partnering with a comprehensive women's health practice in Phoenix, Arizona, seeking a passionate and skilled Gynecologic Oncologist to join a dynamic, patient-centered team. With an integrated model that includes Gyn Onc, Minimally Invasive Gyn Surgery (MIGS), and Ob/Gyn - all under a respected MFM-led organization of 50+ providers - this is a unique opportunity to step into a collaborative, growth-focused environment.
We prioritize exceptional patient care without compromising your work-life balance. If you're looking for a high-volume surgical practice with strong clinical support, teaching or research opportunities, and a team-oriented culture, look no further.
Position Highlights
Balanced Schedule:
2-3 clinic days per week
2-3 OR days per week
Surgical Volume: 15-30 procedures per week
Clinic Census: 10-16 patients per day
Shared Call: Weeknight/weekend call rotation with 3 other Gyn Oncologists
State-of-the-Art Technology:
Da Vinci Surgical System
Hysteroscopy Suite
Robust Support Staff:
Advanced Practice Providers
Medical Assistants
Surgery schedulers
In-house Sonographers
Administrative and billing support
Teaching and/or research opportunities available for interested candidates
What We're Looking For
MD or DO degree
Board Certified or Board Eligible in Gynecologic Oncology
Arizona medical license (or ability to obtain)
Strong commitment to clinical excellence and compassionate care
Team player with a collaborative spirit
Why Phoenix?
Discover life in the Valley of the Sun, where year-round sunshine, affordable living, and unparalleled access to the outdoors make it easy to thrive.
Area Highlights:
300+ days of sunshine and low humidity
Premier hiking, biking, and golf destinations
Affordable and diverse housing options
Excellent public and private schools
A vibrant mix of dining, arts, and cultural venues
Easy weekend escapes to Sedona, Flagstaff, and the Grand Canyon
Ranked a Top 10 Physician-Friendly State
Whether you're just starting out or looking to take the next step in your Gyn Onc career, Phoenix offers the lifestyle, community, and professional growth you're looking for.
Let's Connect!
Ready to join a high-impact, high-reward practice in one of the fastest-growing cities in the U.S.? We'd love to speak with you.
Apply now and see how this opportunity aligns with your career goals.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.
$83k-110k yearly est. 2d ago
Associate Actuary, SPA-Rx
Humana 4.8
Phoenix, AZ job
**Become a part of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
_This a remote nationwide position_
The Associate Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree
+ Associate of Society of Actuaries (ASA) designation
+ MAAA
+ Strong communication skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
**Preferred Qualifications**
+ Prior Part D experience
+ Strong SAS skills
+ Prior Databricks experience
**Our Hiring Process**
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
**Alert:** Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website.
**_Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful._**
\#LI-Remote
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$106,900 - $147,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-29-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$106.9k-147k yearly Easy Apply 28d ago
Primary Care Physician (Bilingual Spanish)
Humana 4.8
Phoenix, AZ job
The Physician serves as a health-care professional and capable of handling a variety of health-related problems. The Physician work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Responsibilities
Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
At CenterWell Senior Primary Care we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.
The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do.
Responsibilities
Evaluates and treats center patients in accordance with standards of care.
Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
Acts as an active participant and key source of medical expertise with the care team through daily huddles.
Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
Follows policy and protocol defined by Clinical Leadership.
Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
Participates in potential growth opportunities for new or existing services within the Center.
Participates in the local primary care “on-call” program of CenterWell as needed.
Assures personal compliance with licensing, certification, and accrediting bodies.
Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
Required Qualifications
Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required.
Graduate of accredited MD or DO program of accredited university.
Excellent verbal and written communication skills
Bilingual English & Spanish Required.
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
Fully engaged in the concept of “Integrated team-based care” model
Willingness and ability to learn/adapt to practice in a value-based care setting.
Superior patient/customer service
Basic computer skills, including email and EMR.
This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Preferred Qualifications
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred.
Active and unrestricted DEA license
Medicare Provider Number
Medicaid Provider Number
Minimum of two to five years directly applicable experience preferred.
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
Knowledge of Medicare guidelines and coverage
Knowledge of HEDIS quality indicators
Additional Information
Guaranteed base salary + quarterly bonus.
Excellent benefit package - health insurance effective on your first day of employment
CME Allowance/Time
Occurrence Based Malpractice Insurance
Relocation
401(k) with Employer Match
Life Insurance/Disability
Paid Time Off/Holidays
Minimal Call
COVID Policy
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If Progressed to Offer, You Will Be Required To
Provide proof of full vaccination or commit to testing protocols OR
Provide proof of applicable exemption including any required supporting documentation
Medical, religious, state and remote-only work exemptions are available.
#physiciancareers
Scheduled Weekly Hours
40
$185k-257k yearly est. 2d ago
Executive Underwriter, Middle Market Technology
Liberty Mutual 4.5
Phoenix, AZ job
We are seeking an experienced Executive Underwriter to underwrite middle market technology accounts focused on Property & Casualty and Technology Errors & Omissions (Tech E&O). This role combines autonomous underwriting authority with commercial development: you will manage a portfolio of brokers and clients, underwrite complex/mid-to-large risk technology accounts, price risk analytically, and shape product and go-to-market strategy for the technology vertical.
Responsibilities:
Risk Selection: Reviews, rates, underwrites, evaluates, or assesses the business applying for insurance by qualifying accounts, identifying, selecting and assessing risks, determining the premium, policy terms and conditions, obtaining approvals, creating/presenting the proposal to the agent/broker, and successfully negotiating deals.
Agent/Broker Relationships: Demonstrates a high level of responsiveness and focus on supporting Agents and Brokers objectives. Establishes, develops, and maintains successful relationships with Agents and Brokers to facilitate marketing of products, through responsive service, site visits, in person renewal meetings or enhanced knowledge of their customers businesses. Develops strong personal brand to build and maintain a long-term quality pipeline with Agents/Brokers.
Portfolio Management: Manages a sizable and complex book of technology business by analyzing the portfolio, identifying areas of opportunity for improved growth, profit and diversification, and executing marketing plans to increase market share by making marketing calls to brokers to market and cross market.
Documenting the Deal: Documents files in a way that reflects a solid thought process and decision making through comprehensive account reviews, sign-offs and referrals that comply with state regulations, letter of authority, and underwriting guidelines.
Leadership: Formally guides, mentors, and coaches underwriters and account analysts in both technical and professional skills. Demonstrates an area of expertise and provides regular updates to other underwriters.
Continuous Improvement: Actively participates in continuous improvement by generating suggestions, participating in problem solving activities and using continuous improvement tools to support the work of the team.
Qualifications
Degree in Business or equivalent typically required
A minimum of 7 years expected, typically 10 years or more, of progressive underwriting experience and/or other related business experience
CPCU or professional insurance designation preferred
Proven analytical ability to evaluate and judge underwriting risks within scope of responsibility
Demonstrated ability to communicate complex analyses and information in understandable written and/or oral directives to other persons in the organization for underwriting or training purposes
Demonstrated effective communication and interpersonal skills in dealing with internal and external stakeholders
Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows to properly manage or administer those issues
Proven track record of developing and underwriting profitable business
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
$33k-51k yearly est. Auto-Apply 14d ago
Surety Home Office Executive Underwriter
Liberty Mutual 4.5
Phoenix, AZ job
Liberty Mutual Surety, a business unit of Liberty Mutual Insurance, is one of the world's largest global Sureties, including in the United States. Conducting business worldwide through fronting relationships and Liberty-owned subsidiaries, we provide bonds in over 60 countries for construction firms, manufacturers and suppliers, and commercial enterprises on an account and transactional basis. We are committed to building mutually profitable relationships by providing smart business solutions, ease of doing business, and consistent, responsive service. Liberty Mutual Surety is dedicated to the communities we serve and highly values a diverse workforce in more than 16 countries.
Responsibilities:
Underwrites new and existing subdivision account submissions of virtually all sizes and complexities utilizing underwriting authority granted by Chief Underwriting Officer and adhering to required underwriting guidelines. Makes thorough evaluations and assessments of a developer`s financial, technical, organizational, and management capacities, as well as apply a high level of subjective judgment of character, normally based upon data/insights provided by the field organization only. Incorporates expert level of knowledge regarding accounting, legal and organizational/managerial disciplines.
With field underwriters and/or Bond Managers, meet with clients to facilitate assessments and/or provide direction for topics to be addressed with agents, principals, and others as necessary.
Partners with field staff to identify, solicit, and contact significant producers in assigned territory under guidance from Bond Manager and more senior home office underwriting staff.
Monitors, evaluates, and improves existing books of business from an underwriting standpoint as assigned and ensures compliance with Surety guidelines. Continuously evaluates the qualitative characteristics of new and existing business within assigned field offices. Assesses and identifies changes in all aspects of the business including, but not limited to, work program to financial strength criteria, nature of work performed (inherent risk), accuracy and timeliness of data flow, and exposure analyses. Coordinates and/or surfaces issues to manager and/or field Bond Manager. As directed by more senior staff/manager, monitors marketing, underwriting and/or administrative issues within various offices, as assigned. Prepare, recommend, and/or implement instructions for administering workflows and accounting/billing issues to service unique situations.
Utilizes various applications and data and analyzes statistical and financial reports, claims data, and other financial exhibits/data to ensure the quality of existing and new business. Communicates issues of concern on new and existing business to the applicable field office product line underwriter and/or Bond Manager, as necessary and inputs data on accounts to complete or modify analyses and maintain lines of credit in a current and accurate matter. Pursues resolution of open issues, documents result and adjusts credit parameters extended to specific accounts based upon such facts and findings. Applies sound reason and business logic to credit recommendations, documenting such logic file and communicate credit recommendations to more senior Home Office and Field underwriting staff, as necessary.
May directly manage and/or provide underwriting support and direction to less experienced underwriting staff/interns.
As necessary, collaborates with Claims staff to evaluate and/or resolve claim issues and as appropriate, takes immediate action to restrict credit on affected account. Keeps senior underwriting staff/manager informed of claims issues.
Represents Liberty Mutual Surety with competitors regarding co-Surety matters and attends industry functions (i.e., Regional NASBP conferences, AGC, and trade conventions). May speak as requested at external industry meetings.
Leads special projects as requested/assigned.
Train field staff on the art of subdivision underwriting.
Review indemnity agreements prepared by the field, and account rates, for errors.
In some parts of the country, underwrite subdivision business directly with Liberty appointed agents.
Qualifications
Degree in Business or related field typically required
A minimum of 7 years expected, typically 10 years or more, of progressive surety underwriting experience and/or other related business experience with progressive responsibility desired
Advanced analytical ability and decision-making skills to evaluate and judge underwriting risks within scope of responsibility
Demonstrated ability to make and clearly communicate sound underwriting recommendations that includes complex analyses, both verbal and written, and displays strong interpersonal skills in dealing with internal and external stakeholders
Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
$39k-63k yearly est. Auto-Apply 13d ago
Clinical Documentation Specialist II FT Days
Tenet Healthcare 4.5
Phoenix, AZ job
Welcome to Abrazo Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine relationships and heartfelt compassion. It's what sets us apart and makes us truly special.
When you join our team, you're not just stepping into a job - you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.
Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Abrazo Health, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.
If you're ready to go above and beyond, to embrace the energy and camaraderie that Abrazo Health offers, then join us on this incredible adventure. Together, we'll embrace a healthier world - one patient at a time. Let your career find its purpose here at Abrazo.
Clinical Documentation Specialist II Full Time Days Position Summary
Intermediate level position for experienced CDS. Demonstrates all skills of CDS I with < 5% error rate
Job Responsibilities
Is an intermediate level position for experienced CDS.
THE CLINICDOCUMENTATION SPECIALIST II FULL TIME DAYS CANDIDATE WILL POSSESS THE FOLLOWING EDUCATION, LICENSE/CERTIFICATIONS, AND EXPERIENCE.
MINIMUM EDUCATION:
Required: Graduate of an accredited school of nursing, AHIMA accredited school, United States or international school of medicine
MINIMUM EXPERIENCE:
Required: 2-5 years CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting; or, MBBS and USMLE in lieu of experience.
REQUIRED CERTIFICATIONS/LICENSURE:
Required: RN, LVN, LPN, RHIA, RHIT, CCS, CIC, MD, DO, PA, NP*
#LI-MB1
$45k-66k yearly est. Auto-Apply 46d ago
Technical Claims Specialist, Workers Compensation - West Region
Liberty Mutual 4.5
Chandler, AZ job
Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics.
Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims.
The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region.
Responsibilities
Investigates claims to determine whether coverage is provided, establish compensability and verify exposure.
Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority.
Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management.
Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols.
Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely.
Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure.
Establishes and maintains accurate reserves on all assigned files.
Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority.
Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
Demonstrates the ability to understand new and unique exposures and coverages.
Demonstrates the ability to understand key data elements and claims related data analysis.
Confers directly with policyholders on coverage and resolution strategy issues.
Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff.
Qualifications
A bachelor's degree or equivalent business experience is required
In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims
Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in
every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive
benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
We can recommend jobs specifically for you! Click here to get started.
$48k-69k yearly est. Auto-Apply 11d ago
Exercise Physiologist FT Days
Tenet Healthcare 4.5
Phoenix, AZ job
Welcome to Abrazo Health Network, where making a real difference in people's lives is at the heart of everything we do. Beyond just medical treatments, we believe in the power of genuine relationships and heartfelt compassion. It's what sets us apart and makes us truly special.
When you join our team, you're not just stepping into a job - you're becoming part of a community that uplifts and supports each other every day. We know that healthcare requires a unique blend of talent and dedication, and we are fully committed to providing an environment that enriches and rewards your journey.
Picture yourself among the brightest healthcare professionals, all united by a common purpose: caring for our community with unwavering commitment. At Abrazo Health, you won't just find colleagues; you'll find awe-inspiring teammates who share your passion for making a meaningful impact.
If you're ready to go above and beyond, to embrace the energy and camaraderie that Abrazo Health offers, then join us on this incredible adventure. Together, we'll embrace a healthier world - one patient at a time. Let your career find its purpose here at Abrazo.
Exercise Physiologist Full Time Days Position Summary
Supervising and monitoring outpatient cardiac rehab Phase 2 and 3 -observation and evaluation of adult chronic cardiovascular disease patients during exercise.
Monitoring and assessing blood pressure and EKG rhythm strips during exercise session
Completing individualized treatment plans including: risk factor assessment, risk factor management, goal setting and exercise prescription.
Processing patient referrals from cardiology offices and hospitals
Solid understanding and the ability to explain cardiac medications, cardiac procedures and the CAD process
Understanding of cardiovascular emergency procedures and cardiac medications
Applies concepts of customer relations and advocacy.
Promotes positive relationships.
Provide weekly outpatient education.
Periodic cardiac inpatient education.
Maintaining national program certification standards including fitness assessment, optimal blood pressure management, smoking cessation management, and psychosocial assessment.
SPECIAL SKILLS: Excellent communication skills. Effective interpersonal skills and ability to work with team members required. Computer skills preferred. Well-defined organizational and time management skills. EKG monitoring and interpretation skills, Vitals assessment, understanding of cardiac medications, pathophysiology and cardiac risk factors, and cardiac exercise programming.
LICENSE/CERTIFICATIONS, AND EXPERIENCE.
MINIMUM EDUCATION: Bachelor's degree in Exercise Physiology or related field required.
PREFERRED EDUCATION:
MINIMUM EXPERIENCE: Cardiac Rehabilitation internship or employment experience required
PREFERRED EXPERIENCE: 2-4 years of Cardiac Rehabilitation experience. Certification or application for, or experience equivalent to those specified for a Certified Exercise Physiologist or Certified Clinical Exercise Physiologist from ACSM (American College of Sports Medicine).
REQUIRED CERTIFICATIONS/LICENSURE: BLS.
REQUIRED COURSE(S) TRAINING: ACLS if required by facility
#LI-AL2
$41k-68k yearly est. Auto-Apply 20d ago
Informaticist
Humana 4.8
Phoenix, AZ job
**Become a part of our caring community and help us put health first** The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher quality, lower cost of care, and improved health outcomes. Provider Analytics develops and applies actionable analytics and insights, which are integral to business needs, to drive informed provider network strategy and is looking for an Informaticist 2 to join their team.
The Informaticist 2:
+ Designs and constructs models to estimate impact of contractual changes tied to ancillary and industry leading innovative care delivery models
+ Collates, models, interprets and analyzes data in order to identify, explain, and influence variances and trends
+ Explains variances and trends and enhances modeling techniques
+ Utilizes multiple data sources such as SQL, Power BI, Excel, etc., to create advanced analytics to facilitate contracting initiatives
+ Uses a consultative approach to collaborate effectively with the markets, and other customers, building productive cross-functional relationships
+ Extracts historical data, performs data mining, develops insights to drive provider contracting strategy and reimbursement terms for National Ancillary Contracting
+ Develops tools and automates processes to model financial implications of ancillary contracted rate changes, including changes in capitated arrangements
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
+ Medical Benefits
+ Dental Benefits
+ Vision Benefits
+ Health Savings Accounts
+ Flex Spending Accounts
+ Life Insurance
+ 401(k)
+ PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
+ And more
**Use your skills to make an impact**
**Required Qualifications**
+ 3+ years of demonstrated healthcare analytical experience
+ 1+ years SQL experience
+ 1+ years' experience in data visualization (ie. Power BI, Tableau, etc.)
+ Experience in compiling, modeling, interpreting and analyzing data in order to identify, explain, influence variances and trends
+ Experience in managing data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
+ Possess a working knowledge and understand department, segment and organizational strategy
**Preferred Qualifications**
+ Bachelor's Degree in analytics or related field
+ Advanced Degree
+ Understanding of healthcare membership, claims, and other data sources used to evaluate cost and other key financial and quality metrics
**Additional Information**
Work at Home/Remote Requirements
**Work-At-Home Requirements**
+ To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended to support Humana applications, per associate.
+ Wireless, Wired Cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if they provide an optimal connection for associates. The use of these methods must be approved by leadership. (See Wireless, Wired Cable or DSL Connection in Exceptions, Section 7.0 in this policy.)
+ Humana will not pay for or reimburse Home or Hybrid Home/Office associates for any portion of the cost of their self-provided internet service, with the exception of associates who live or work from Home in the state of California, Illinois, Montana, or South Dakota. Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**Our Hiring Process**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging, and/or Video Interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone or computer. You should anticipate this interview to take approximately 10-15 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-LM1
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$73,400 - $100,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-21-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$73.4k-100.1k yearly 4d ago
Schedule Specialist
Unitedhealth Group 4.6
Peoria, AZ job
Explore opportunities with At Home Healthcare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
**Primary Responsibilities:**
+ Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
+ Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
+ Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
+ Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in
**Required Qualifications:**
+ High school education or equivalent experience
**Preferred Qualifications:**
+ 1+ years of scheduling experience in a health care setting using an online scheduling system
+ Exceptional organizational, customer service, communication, and decision-making skills
+ Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
$16.2-28.8 hourly 8d ago
EEG Tech
Tenet Healthcare 4.5
Goodyear, AZ job
A non-exempt medical office position that prepares patients for and conducts EEG studies used for diagnosis and treatment.
Education: High school graduation and completion of a training course or on-the-job training.
Certification: Current R. EEGT certification through ABRET per state requirement. CPR Certification through AHA.
Experience: Work requires a level knowledge of patient care methods, procedures and techniques. One year of experience performing EEG experience preferred.
#LI-KK1
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Prepare patient by gathering medical history and necessary information, able to explain testing.
Perform various neurology studies
$51k-84k yearly est. Auto-Apply 6d ago
Contract Negotiator V
Centene Management Company 4.5
Centene Management Company job in Tempe, AZ
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Identify, negotiate and manage high performing provider and vendor partnerships.
Negotiate vendor or provider contracts and manage implementations and ongoing relationships.
Perform market research and analysis as directed.
Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.
Lead, manage, and track ongoing financial and operational success of designated partnership.
Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.
Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.
Education/Experience:
Bachelor's degree in Computer Science, Finance or related field or equivalent experience. 8+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry. Experience negotiating contracts with successful outcomes and measurable financial results. Experience with presenting and communicating negotiation strategies and results at senior levels. Experience with health care provider negotiations for pharmacy benefit management or managed care preferred.
This position is remote with a strong preference for candidates to reside within the state of Arizona. Quarterly meetings in Tempe, AZ office required. Travel up to 10% required.
Pay Range: $105,600.00 - $195,400.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act