- Molina Healthcare (WA)
- …supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It… more
- Highmark Health (Olympia, WA)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** This Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on evaluating ... stakeholders and providing valuable input to the business. The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Actuarial Analyst 1 provides actuarial support across a broad range of actuarial and business needs ... for specific product lines. The Actuarial Analyst 1, General work assignments are often straightforward and of moderate complexity. The Actuarial Analyst 1 may… more
- University of Washington (Seattle, WA)
- …clinical researchers, bringing important new therapies to our patients in compliance with evolving regulatory requirements. **POSITION SUMMARY** The Clinical Trials ... has an outstanding opportunity for a Clinical Research Budget Analyst (Budget Analyst ). Reporting to the CTO...Trials Office is a central clinical research operation with compliance responsibilities and services across the vast portfolio of… more
- Public Consulting Group (Olympia, WA)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... support through review and updating reference data, contractual metrics, and compliance metrics. Ensures accurate RMC support through internal claim errors and… more
- Molina Healthcare (Everett, WA)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance, and support… more
- Humana (Olympia, WA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions +… more
- Molina Healthcare (Spokane, WA)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. *Provides subject matter expertise and reviews… more
- Molina Healthcare (Spokane, WA)
- …internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures ... external auditors for all formal Core Operations audits that are not compliance related. + Coordinate, facilitate and document audit walkthroughs. + Research,… more
- Molina Healthcare (Vancouver, WA)
- …+ Engages with operations leadership and Plan Support functions to review compliance -based issues for benefit planning purposes. **Recoveries & Disputes** + Review ... + Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). +… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …teams harmoniously monitor, manage, and protect life. The Accounts Receivable (AR) Payor Analyst plays a critical role in the healthcare revenue cycle by serving as ... role provides expert-level guidance, analysis, and support to AR teams, ensuring compliance with payor requirements and maximizing reimbursement. The SME serves as a… more
- Banner Health (WA)
- …treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code ... assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state… more