Remote Field Reimbursement Manager ValerisRemote Field Reimbursement ManagerPhoenix, ArizonaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Provide Reimbursement Expertise: Educate HCPs and their office support on the local payer landscape through virtual education engagements, including national and regional payer policies, prior authorization criteria including letter of medical necessity and appeals templates, quantity limits, stocking information, and appropriate access pathways and processes for payers and PBMs.
Senior Manager, Medicare Product Implementation CVS Health CorpSenior Manager, Medicare Product ImplementationScottsdale, AZ$67,900–$182,549 / yearFacilitate and lead regular project and implementation meetings to drive cross-functional execution across strategy, compliance, eligibility, claims configuration, member materials, provider contracting, and other internal and external partners - providing updates and performance metrics to leadership and key stakeholders, addressing inquiries and resolving issues, and ensuring alignment, accountability, and timely delivery of project and program milestones. Partner closely with Provider Contracting and Value-Based Care teams to support the design, implementation, and ongoing management of programs tied to value-based provider arrangements, ensuring alignment between benefit intent, design, provider performance, member experience including benefit access while maintaining strong working relationships.
Product Marketing Manager Oscar Health InsuranceProduct Marketing ManagerTempe, AZ$105,818–$138,886 / yearServe as a Strategic Domain Expert: Act as the primary marketing point of contact; proactively identifying market needs and representing the "Voice of the customer" in cross-functional forums to ensure product developments align with member lifestyle goals. This role has a unique position within Insurance Marketing sitting at the intersection of Insurance Plan Design and Tech Innovation, serving as a dedicated expert who works across the lifecycle to champion the customer and drive growth through delivering internally and externally-facing products and experiences to market.
Senior Project Manager - Aviation The Weitz Company LLCSenior Project Manager - AviationPhoenix, AZWhat Youll Do: Provide leadership and management direction to project teams Ensure project teams implement and execute Company policies, procedures and processes Understand and establish contract terms, obligations and budgets; review and enforce prime contract terms and obligations Accept overall responsibility of risk management and mitigation for assigned project(s) Collaborate with project team to execute project goals and build high morale Coordinate with project team to create and manage the project schedule, identify and address long lead items, update or amend project plan as needed; review and assign scopes of work Ensure contracts, insurances, bonds and change orders are intact prior to scope execution Oversee project safety plan and lead site compliance Oversee and review inspections, compliance audits and the non-conformance log Ensure project team tracks material and equipment delivery status, notify project team of any schedule or cost impacts and tracks requests for change Partner with project team during the buyout process and preconstruction efforts (i.e. create preliminary schedule, determine bid strategy and solicitation, detect potential constructability issues, ensure seamless transition to operations, draft subcontracts) Negotiate and execute change orders, subcontracts and purchase orders, within delegated authority Ensure timely and accurate completion of monthly project status reports (MPSR), owner billings and financial risk assessments Ensure assigned project(s) achieve gross profit goals and finish on time or ahead of schedule Manage subcontractor requests for change; solicit pricing and execute change orders, within delegated authority Manage the discharge process for subcontractor and owner claims Participate in marketing and business development initiatives, including support of project proposals and presentations Lead regular project meetings Ensure project closeout process is completed on time Resolve disputes among subcontractors, vendors, architects and owners Initiate and encourage value engineering and scope reduction opportunities Create and foster working relationships with all personnel involved in the construction process; initiate long term third party relationships Develop and mentor team members, including delegation of tasks/responsibilities for development; recommend disciplinary action when necessary; delegate job assignments; establish team member goals; recommend promotions. The Weitz Companys Phoenix, Arizona business unit is currently seeking a Senior Project Manager with experience in Aviation projects to join our team.
Senior Construction Project Manager NTT Global Data CentersSenior Construction Project ManagerMesa, ArizonaDirect and support project teams in the preparation and execution of tasks throughout all phases of the project process; includes identifying scopes of work, resource requirements, cost estimates and budgets, work plan schedule and milestones, quality control, and risk mitigation. The Senior Construction Project Manager is responsible for overall project success, including project oversight, direction, and strategy over multiple $100+ Million data center construction projects, particularly relating to safety, schedule, scope, budget, and quality.
Sr. Construction Project Manager NTT Global Data CentersSr. Construction Project ManagerMesa, ArizonaThe Senior Construction Project Manager is responsible for overall project success, including project oversight, direction, and strategy over multiple $100+ Million data center construction projects, particularly relating to safety, schedule, scope, budget, and quality. Direct and support project teams in the preparation and execution of tasks throughout all phases of the project process; includes identifying scopes of work, resource requirements, cost estimates and budgets, work plan schedule and milestones, quality control, and risk mitigation.
Benefits Manager Rise Services IncBenefits ManagerMesa, AZAs we continue expanding services in a fast‑paced and evolving environment, we're seeking a skilled Benefits Manager to lead the planning, administration, and continuous improvement of our employee benefit programs. You will also manage and develop benefits team members, ensuring strong performance, clear communication, and consistent service delivery across all benefit functions.
Government Healthcare Data Manager Marsh McLennanGovernment Healthcare Data ManagerPhoenix, ArizonaThe Government Healthcare Data Manager will serve as a data team leader, working directly with actuarial, financial and data analysts, clinicians and health policy consultants, on large, complex projects. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.
NewBenefits Manager Rise Services, Inc.Benefits ManagerMesa, AZAs we continue expanding services in a fast‑paced and evolving environment, we're seeking a skilled Benefits Manager to lead the planning, administration, and continuous improvement of our employee benefit programs. You will also manage and develop benefits team members, ensuring strong performance, clear communication, and consistent service delivery across all benefit functions.
Clinical/Quality Risk Manager, New Inpatient Hospital (1506) Brooks Rehabilitation HospitalClinical/Quality Risk Manager, New Inpatient Hospital (1506)Phoenix, AZWorks with Patient Financial Services (PFS) team regarding billing procedures on pertinent patient incidents to write-off or discount charges deemed necessary to proactively mitigate claim potential. At the direction of the System Director of Risk Management, will collaborate with Legal Counsel, and others to respond to and achieve resolution of critical incidents and/or other legal/regulatory clinical queries by Florida's Agency for Health Care Administration.
NewManager, Special Investigations Unit CVS Health CorpManager, Special Investigations UnitAZ$54,300–$159,120 / yearThis leader plays an important role in translating investigative priorities into clear team direction, monitoring case progress, identifying risks, and elevating significant findings to leadership and stakeholders as appropriate. The Manager of the Special Investigations Unit is responsible for leading investigative work related to potential fraud, waste, and abuse across health care claims, provider activity, and related operational and/or compliance concerns.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsAZ$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Physician (Multiple Specialties) US Department of Health and Human ServicesPhysician (Multiple Specialties)AZ$200,000–$400,000 / yearPhysician Specialties: Anatomic & Clinical Pathology, Anesthesiology, Cardiology, Dermatology, Emergency Medicine, Family Practice, General Surgery, Hospitalist, Informatics, Internal Medicine, Neurology, Obstetrics & Gynecology, Ophthalmology, Oral Surgery, Orthopedic Surgery, Otolaryngology, Pathology, Palliative, Pediatrics, Preventive Medicine, Primary Care, Psychiatry, Radiology, Tele-Psychiatry. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.
Workers'''' Compensation Claim Team Leader The Hartford Insurance Group IncWorkers'''' Compensation Claim Team LeaderScottsdale, AZ$86,400–$129,600 / yearQUALIFICATIONS: • Bachelor's Degree preferred • Minimum 3 years of Workers Compensation Claims Plus experience strongly preferred • California Workers Compensation experience preferred • Strong leadership skills in terms of teaching, guiding, coaching and developing staff • Strong communication skills, both verbal and written regardless of audience demographic • Knowledge of medical terms is strongly preferred • Possess analytical and critical thinking skills • Demonstrated track record of consistent and timely follow through for customer needs • Strong understanding of reserve accuracy relative to claim exposures both property damage and bodily injury • Extensive knowledge of customer service drivers and the ability to resolve customer issues, needs and concerns independently • Strong understanding of financial and operational reports for analysis and action planning. The Workers Compensation Claims Plus Team Leader will manage and direct claim investigation, compensability determination, disposition, and settlement, in compliance with corporate claim settlement policies and procedures.
Safety and Training Manager MV Transportation IncSafety and Training ManagerPhoenix, AZEnsures a consistent safety culture throughout the locations that incorporate operations, safety and maintenance departments and emphasizes the team approach and individual responsibility of all employees to achieve common goals. The Safety and Training Manager will be a hands-on manager helping implement programs and procedures in compliance with State and Federal regulations and corporate and client policies and be accountable for the leadership of OSHA/CDL at the division level.
Pharmacy Technician US Department of Health and Human ServicesPharmacy TechnicianPhoenix, AZ$55,678–$80,685 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Claim Consultant - Complex Liability Solutions The Hartford Insurance Group IncClaim Consultant - Complex Liability SolutionsScottsdale, AZ$84,800–$127,200 / yearWork closely with TPAs to address time limit demands, evaluate extra contractual exposure evaluations and other issues of complexity; Partnering with CLS underwriters to effectively communicate the value of the CLS claims model to prospective insureds, agents and brokers; Providing support to the CLS business unit to explain, evaluate and address claim trends and developments for both prospective and current insureds; and. As a Claim Consultant for Complex Liability Solutions in the Hartford Global Specialty (HGS) Liability Major Case Unit, you will be responsible for handling a caseload of bodily injury and non-bodily injury claims at varying levels of complexity.
Claims Consultant - Accountants and Professional Liability The Hartford Insurance Group IncClaims Consultant - Accountants and Professional LiabilityScottsdale, AZ$122,400–$183,600 / yearFor full-time, occasional, part-time, or remote positions: (1) high speed broadband internet service is required, we do not recommend or support DSL, wireless, MiFi, Hotspots, Fiber without a modem and Satellite; (2) Internet provider supplied modem/router/gateway is hardwired to the Hartford issued computer with an ethernet cable; and (3) minimum upload/download speeds of 5Mbps/30Mbps will be required. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party Accountants and Miscellaneous Professional Liability claims, from inception to final disposition.
Optometrist US Department of Health and Human ServicesOptometristAZ$119,297–$185,885 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provided primary eye care services by performing comprehensive ocular examinations.
X-Ray Technologist US Department of Health and Human ServicesX-Ray TechnologistAZ$54,307–$84,398 / yearMINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: operating fixed and portable radiographic equipment to perform routine and moderately complex diagnostic examinations; positioning patients and selecting technical factors to produce diagnostic-quality images; assisting with fluoroscopic and contrast procedures under supervision; and maintaining radiology records, examination files, and workload data. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
X-Ray Technologist (CT) US Department of Health and Human ServicesX-Ray Technologist (CT)AZ$64,924–$93,227 / yearNote: Certain exceptions may apply: 1) Individuals employed by the Federal Government as radiologic personnel before January 13, 1986, may qualify based on evidence of current or satisfactory performance, or certification from a licensed practitioner authorized to prescribe radiologic procedures (such as a physician, osteopath, dentist, podiatrist, or chiropractor). Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Senior Claims Specialist CorVel Enterprise Claims, Inc.Senior Claims SpecialistPhoenix, AZ$61,053–$98,334 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Mission Critical Safety Manager Gcon, Inc.Mission Critical Safety ManagerPhoenix, AZThe Safety Manager serves as a key point of contact for jobsite safety concerns and regulatory inspections, supporting the Senior Safety Manager or Safety Director on strategic safety objectives, and coordinating with the client's safety department on safety-related matters. Ability to walk/access all areas of an active construction site, including areas with uneven footing, working at heights, and working in varying climate conditions.
Workers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorPhoenix, Arizona$90,000–$98,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. This position serves as the dedicated claim supervisor for a single municipal account, providing leadership, oversight, and strategic direction to a team of approximately 4–5 claims professionals supporting the account.
Claim Manager CCMSIClaim ManagerScottsdale, Arizona$105,000–$125,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Claims Oversight & Compliance Manager Arizona Priority CareClaims Oversight & Compliance ManagerChandler, ArizonaArizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.
NewSafety Coordinator NucorSafety CoordinatorPhoenix, AZResponsible for conducting field, shop, and office safety training, performing field and shop safety audits, investigating safety issues at job sites, ensuring compliance with IIPP and other safety initiatives, contractor’s safety programs and all applicable federal and state regulations applicable to safety. Assist Superintendents and Branch Managers in conducting accident, incident, and injury reviews and in conducting root cause investigations, including taking photographs and witness statements.
Director, Claims Training and Development W. R. Berkley CorpDirector, Claims Training and DevelopmentScottsdale, AZThe Director will collaborate with Claims Leadership on strategies that support the organization's current and long-term talent development objectives, address capability gaps, and create consistent, repeatable learning solutions for Claims personnel including new hire onboarding. The Director also leads the Claims Training Program from recruitment through graduation of new trainees, including direct personnel management and oversight of their low severity claim handling, integral to their training.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWPhoenix, AZRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Claims Customer Service Supervisor Arizona Priority CareClaims Customer Service SupervisorChandler, ArizonaAs a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers.
Claims Analyst II Sprouts Farmers MarketClaims Analyst IIPhoenix, ArizonaFull timeThe Analyst II serves as a key liaison between injured Team Members, internal stakeholders, and third‑party administrators (TPAs), ensuring claims are handled efficiently, compliantly, and with a focus on timely resolution, cost containment, and positive Team Member outcomes. With a focus on customer service, our neighborhood grocery stores offer high-quality, farm fresh produce, natural meats, plenty of scoop-your-own bulk goods and much more in a fun, friendly, old-fashioned farmer’s market setting.
NewSafety & Security Manager Department Head Marriott Vacations WorldwideSafety & Security Manager Department HeadScottsdale, AZCommunicates the importance of safety procedures, detailing procedure codes, ensuring associates understanding of safety codes, monitoring processes and procedures related to safety. 2-year degree from an accredited university in Criminal Justice or related major; 2 years' experience in the security/loss prevention or related professional area.
Claims Specialist, Design Professional AXA SAClaims Specialist, Design ProfessionalAZ$88,500–$154,900 / yearEnsuring all documentation is present in the claim file and ensuring that Claims Handler Guidelines and protocols are followed Maintaining high-quality relationships with insureds and brokers through frequent contact and responsiveness to their needs, including promptly reviewing contracts for insurability when requested. Proactively managing Design Professional liability claims across multiple jurisdictions, including initial review, coverage evaluation, developing resolution strategies, and ensuring ongoing communication with stakeholders and claims management to achieve the best outcome for the insured and AXA XL.
Employment Practices Liability Claims Analyst The Hartford Insurance Group IncEmployment Practices Liability Claims AnalystScottsdale, AZ$82,800–$124,200 / yearCandidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.
Transportation Claims Representative Amtrust Financial Services IncTransportation Claims RepresentativeScottsdale, AZInvestigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Depending on the type of claim may: Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers on the development and authorization of appropriate treatment plans as well as accurate billing.
Claims Representative Auto-Owners Insurance CoClaims RepresentativeMesa, AZAbility to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.
Claims Specialist - Latent Bodily Injury The Hartford Insurance Group IncClaims Specialist - Latent Bodily InjuryScottsdale, AZ$107,600–$161,400 / yearREQUIRED QUALIFICATIONS: 5+ years latent bodily injury claims experience; Experience in handling affirmative/defensive risk transfer; including additional insured tenders; Excellent verbal and written communication skills; Excellent analytical and critical thinking ability; Ability to present in a roundtable setting with a well-reasoned and analytical evaluation; Experience in the creation and delivering of presentations; Superior customer service skills and active listening skills; Proven track record of prioritizing and managing multiple responsibilities; Proven track record of effective negotiations/settlement of high-value general liability claims; Demonstrated negotiation and conflict resolution skills; Proficiency with MS Office, especially Word and Excel; Active Property & Casualty State Insurance Adjuster license. RESPONSIBILITIES: The Claim Specialist must demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims while exhibiting a detailed knowledge of the claim, a well-reasoned analytical focus and a clear strategy for resolution.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistScottsdale, ArizonaSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Subrogation Claim Representative I CCMSISubrogation Claim Representative IPhoenix, Arizona$60,000–$75,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MO Farmers Group, Inc.Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MOPhoenix, AZUtilizes working knowledge and skills developed through formal training to investigate, confirm coverage, determine liability, establish damages, and negotiate settlements of auto claims, which includes single and multi-vehicle losses with basic coverage and moderate complexity of liability. Proactively investigates and determines coverage for Auto policy claims with coverage issues requiring in-depth investigation including but not limited to if the policy is out of force for the date of loss, unlisted or permissive drivers, excluded drivers, vehicles not on the policy, rideshare involvement, material misrepresentation issues, and new business investigations.
Program Manager - Mine Closure AECOMProgram Manager - Mine ClosurePhoenix, AZThe Program Manager will serve as the primary interface with the client, subcontractors, internal technical teams and potentially regulatory agencies; while leading multidisciplinary project managers, engineers, scientists, construction managers, and field personnel. We invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world.
Safety Manager Albertsons Companies IncSafety ManagerAZLocally great and nationally strong, Albertsons Companies (NYSE: ACI) is a leading food and drug retailer in the U.S. We operate over 2,200 stores, 1,732 pharmacies, 405 fuel centers, 22 distribution facilities, and 19 manufacturing plants across 34 states and the District of Columbia. Manages the employee return-to-work programs, modified duty programs, and medical case management programs through coordination with the claims adjuster, claims oversight manager and Director of Managed Care.
Fraud & Claims Operations Representative- Bilingual TFS/PCC Wells Fargo & CoFraud & Claims Operations Representative- Bilingual TFS/PCCChandler, AZThey are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. In this role, you will: Support fraud and claims functional area by proactively identifying opportunities to improve customer experience, and offer ideas to mitigate risks through effective authentication of customers in order to prevent fraudulent activity.
NewAccount Manager- People Solutions Lockton IncAccount Manager- People SolutionsPhoenix, AZSchedules necessary Client meetings and generates materials for Client presentations and meetings, including all material and on-site meetings involved with the benefit enrollment life cycle. The Account Manager provides the highest level of customer service in servicing, supporting, and coordinating Clients' accounts across our People Solutions team.
NewEnterprise Architect - Hybrid Blue Cross Blue Shield of ArizonaEnterprise Architect - HybridPhoenix, ArizonaProvide technical expertise to propose level of effort projections, work breakdown structures and technical resource planning for proposed and current work to support the Project Management Office (PMO) and Project Review Board (PRB) Processes. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Data Engineer (Business Intelligence) - Hybrid Blue Cross Blue Shield of ArizonaData Engineer (Business Intelligence) - HybridPhoenix, ArizonaThe Data Engineer contributes to the design and build-out of future-state data architecture and serves as a key technical resource supporting the Senior Manager of Data & Platform and the Business Intelligence organization. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsAZ$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
NewProgrammer II - Hybrid Blue Cross Blue Shield of ArizonaProgrammer II - HybridPhoenix, ArizonaIn this full-time role, you will maintain and develop systems and programs, participate in the Systems Development Life Cycle, support documentation, create reports, troubleshoot processing issues, and partner with stakeholders across IT and business areas. Blue Cross Blue Shield of Arizona (AZ Blue) is looking for Developers – Medicaid Core Applications to perform programming, maintenance, documentation, and systems support based on customer business requirements.
NewSoftware Developer - Hybrid Blue Cross Blue Shield of ArizonaSoftware Developer - HybridPhoenix, ArizonaAt senior and lead levels, independently develop complex systems, mentor junior programmers, support technology planning, and help implement new procedures, workflows, manuals, and training materials. In this full-time role, you will maintain and develop systems and programs, participate in the Systems Development Life Cycle, create documentation and reports, troubleshoot processing issues, and support internal customer requests.
NewCGL Senior Litigation Specialist The Jonus GroupCGL Senior Litigation SpecialistScottsdale, AZThe ideal candidate will have extensive experience in handling complex claims and litigation, with reserve authority in the $200K range, and a strong background in the carrier and E&S markets. Licenses:Active adjuster licenses in Florida and Texas (additional states preferred).Nationwide exposure is highly desirable.