- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Humana (Olympia, WA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Olympia, WA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Olympia, WA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Humana (Olympia, WA)
- …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
- Evolent (Olympia, WA)
- …**What You'll Be Doing:** Seeking a detail-oriented **Clinical Rules Management, Associate Director ** who will play a critical role in ensuring the accuracy and ... Lead the evaluation of clinical processes in collaboration with other clinical corporate , division, and facility teams to facilitate process redesign and guide… more
- Whidbey General Hospital (Coupeville, WA)
- …issues with other departments as needed. + Ensures completion of admission medical necessity reviews within 24 hours of admission. Completes concurrent inpatient ... medical necessity reviews daily, unless otherwise specified by payer....a minimum of every 12 hours (twice daily). Completes Medicare extended stay reviews, as appropriate. + Identifies and… more
- CenterWell (Olympia, WA)
- …and sales initiatives are adhering to government regulations, along with corporate policies and guidelines. Develops strategies and overall branch business plans, ... various cross functional teams at both the region and corporate level to ensure success of overall of assigned...the assigned area. + May oversee backfill for Branch Director and fill-in when Branch Director role… more
- Humana (Olympia, WA)
- …The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and will lead the development of category ... of commercial protection and to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and… more
- Grifols Shared Services North America, Inc (Seattle, WA)
- …business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR ... and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology… more