- Molina Healthcare (Everett, WA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (Bellevue, WA)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Molina Healthcare (Everett, WA)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Everett, WA)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Elevance Health (Seattle, WA)
- … data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- BMO Financial Group (Seattle, WA)
- …and operational support within a large, diverse team including one or more senior executives. + Employs systems (eg customized exception reports, tracking ... This is an onsite Senior Administrative Assistant role that performs a variety...internal/external stakeholders. + Breaks down strategic problems, and analyses data and information to provide insights and recommendations. +… more
- Walgreens (Mukilteo, WA)
- …by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Amazon (Seattle, WA)
- …algorithms for business application - Experience in building speech recognition , machine translation and natural language processing systems (eg, commercial ... frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing, medical coding). As a leading subject matter expert in… more
- EPAM Systems (Seattle, WA)
- …high-impact, large-scale technology projects within the P&C insurance sector. This is a senior leadership role that requires a hybrid skill set: you must be ... platforms, digital transformation, and large-scale technology delivery (eg, cloud, AI, data analytics, automation tools) + Proven track record for building an… more
- Molina Healthcare (Everett, WA)
- …that internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and ... gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM… more
- Amazon (Bellevue, WA)
- …implementation of spare parts management initiatives - Prepare and give detailed data -driven business reviews to senior management - Driving communication from ... improvement projects, such as enhancing the tracking of parts and optimizing the claims process with suppliers in the event of equipment failures. Key job… more
- Amazon (Seattle, WA)
- …carriers to architect secure, compliant cloud solutions for policy administration, claims processing, underwriting automation, and risk modeling * Drive cloud ... addressing insurance-specific challenges, including regulatory reporting, actuarial computing, and data protection requirements * Guide insurers through modernization of… more
- Bausch Health (Bothell, WA)
- …studies, through collaborations with leading KOLs. Will also drive our data dissemination program through peer-reviewed publications, white papers, and podium ... ensure studies track to budget and schedule to achieve the intended indications/ claims + Integrate scientific knowledge and operational expertise to ensure the… more
- LifeCenter Northwest (Bellevue, WA)
- …vendors, supply, equipment, and other materials management issues, to the Quality Systems Manager. + Is responsible for timely transfer of equipment and materials ... staging areas and LCNW satellite facilities + Collaborates with the Quality Systems Manager to deliver onboarding training for the Materials Management staff.… more