- Molina Healthcare (Bellevue, 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
- Molina Healthcare (Seattle, WA)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Parker Hannifin Corporation (Kent, WA)
- …with standard business application software and specialized purchasing and/or materials systems (eg electronic data interface (EDI) or manufacturing resource ... Sr . Buyer - Aftermarket Aerospace Location : KENT,...suppliers and company personnel. + Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and… more
- Molina Healthcare (Bellevue, WA)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr . Analyst, Network Strategy, Pricing & Analytics guides...(including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future… more
- Molina Healthcare (Bellevue, 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...reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims… more
- Molina Healthcare (Bellevue, 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 (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- Providence (Renton, WA)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… 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
- UIC Government Services and the Bowhead Family of Companies (Seattle, WA)
- **Overview** Senior Operational Subject Matter Expert (HSI-2025-22970) Bowhead seeks highly skilled Senior Operational Subject Matter Expert to join our team. ... The ideal candidate will have extensive experience in DoD operations and combat systems , with a strong focus on supporting the United States Navy's COLUMBIA Class… 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
- 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
- Molina Healthcare (Bellevue, WA)
- …or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data , benefits design, medical management as well ... and multiple projects concurrently. Responsible for extracting, analyzing, and synthesizing data from various sources to identify risks and opportunities as well… 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
- Celestica (Seattle, WA)
- …growth plans. + Supports quarterly business reviews with customers, and with senior management at key/strategic suppliers. + Interfaces with cross functional teams ... flexibility and future process changes / improvements. + Supports customer claims related material, including excess & obsolete inventory, premiums and material… 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
- Medtronic (Seattle, WA)
- …Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through ... + Practical and demonstrated knowledge of project/program management practices desired for Senior and Principal Levels with the ability to complete work group… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …the organization by executing holistic ERM assessments and collaborating with senior organizational leadership. + Facilitate high-level meetings and advise both ... divisional leaders to implement strategic risk monitoring and reporting systems . + Build methodology and manage the risk governance...across all areas of the company to gather ERM data , build ERM assessments, and discuss ERM status and… more