- 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 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… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… 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)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Olympia, WA)
- …adapt and the courage to innovate **Additional Information** Typically reports to a 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)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Molina Healthcare (Everett, WA)
- …the state health plan. Works with direct management, senior leadership/management, Corporate , and staff to develop and implement standardized provider contracts and ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Humana (Olympia, WA)
- …caring community and help us put health first** **Clinical Business Lead, Humana Medicare Advantage** As Regional Clinical Business Lead, you serve as a key member ... clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by ... providing a first-class candidate experience. The Sourcing Recruiter reports to the Director of Talent Acquisition and Development. ESSENTIAL DUTIES + Plan, prepare,… 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
- Virginia Mason Franciscan Health (Tacoma, WA)
- … medical staff leader or medical staff officer * Department chair * Medical staff executive committee member * Corporate board member * Service chief at ... Care Coordination Department; serving as a member of the medical staff; and coordinating with Hospital leadership on matters...Assist with the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed *… more