- Somatus (Seattle, WA)
- …into homes + Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience… more
- Boston Consulting Group (Seattle, WA)
- …BCG; others have gone into work in one of our many Practice Areas; some have managed teams or rotated through a number of other functions. Your career at BCG will be ... close-knit team of 10 reporting to the Administrative Services Manager . The team is very collaborative and enjoys learning...$10 (USD) copays for trips to the doctor, urgent care visits and prescriptions for generic drugs Dental coverage,… more
- Cardinal Health (Olympia, WA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Vancouver, WA. The Customer Service… more
- Molina Healthcare (WA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Deloitte (Seattle, WA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… more
- Palo Alto Networks (Seattle, WA)
- …Career** We are seeking a driven problem solver to join our Unit 42 Managed Detection and Response (MDR) team. Our team is responsible for customers internal ... monitoring, threat hunting, and incident response. As a MDR Manager , we will rely on you to manage a...without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital… more
- Molina Healthcare (Bellevue, WA)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Amazon (Seattle, WA)
- …teams to meet daily business requirements? We are looking for an Sr. Program Manager with a strong delivery record and deep program management experience to own and ... be a great position for you. The Sr. Program Manager combines high-level program management of a network of...an environment that celebrates knowledge sharing and mentorship. We care about your career growth and strive to assign… more
- Elevance Health (Seattle, WA)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Tacoma, WA)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Whidbey General Hospital (Coupeville, WA)
- …the right care at the right time-we'd love to meet you! The RN - Care Manager is a health care professional with experience and background to assure ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an assessment to...throughput and assure that the organization and the patient's care are managed in the most efficient… more
- Molina Healthcare (WA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Highmark Health (Olympia, WA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Elevance Health (Seattle, WA)
- …process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed ... Join us, and together we will drive the future of health care The **Telephonic Nurse Case Manager II** is responsible for care management within the scope… more
- Elevance Health (Seattle, WA)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
- Elevance Health (Seattle, WA)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Seattle, WA)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- Summary The Workplace Violence Prevention Program Manager is responsible for addressing and managing reports of disruptive behaviors. Responsible for the ... and participates in program development, implementation, and evaluation. Program Manager Serves as front line supervisor for disruptive behavior committee… more
- Providence (WA)
- …and work experience + 3 or more years of related experience working in, or with a managed care organization or clinical setting in a managed care ... **Description** **Quality Program Manager - Health Plan Medicare Advantage Stars** **_Remote_**...monitoring plans. + Collaborate with various health plan departments ( care management, customer service, outreach, product, sales, marketing, etc.)… more
