- Humana (Olympia, WA)
- …Degree or BSN degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + ... help us put health first** We are seeking a Senior Accreditation Professional who will work in...on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming … more
- University of Washington (Seattle, WA)
- …Psychological and Wellness Services (PAWS) has an outstanding opportunity for a Senior Director of Psychological and Wellness Services to join their team.** The ... health services and health promotion programming for UW Tacoma students. The Senior Director of Psychological and Wellness Services leads a team of clinicians,… more
- Amazon (Bellevue, WA)
- …Registration, Professional Engineer Registration, CEM and/or other building professional accreditation - Experience in building portfolio management and/or ... estate strategies and operations across our global fulfillment network. As a Senior Carbon Modelling Lead within the Global Realty Sustainability & Renewable Energy… more
- Stryker (Redmond, WA)
- Stryker is seeking a Senior Supply Planner to create an overall supply plan for the Redmond site. This individual will interface with site production leads, ... production scheduling, procurement, finance, IBP management and customer service to ensure an integrated approach...will be Supply Plan Attainment, Safety Stock Health, Capacity Utilization , Back order and Lead time. + Responsible for… more
- Molina Healthcare (Bellevue, WA)
- …continuous quality improvement of the provider database, compliance with regulatory/ accreditation requirements, and Network Management business operations. ... improvement initiatives as it pertains to other provider network management areas. **KNOWLEDGE/SKILLS/ABILITIES** + Bridge communication and collaboration between… more
- Evolent (Olympia, WA)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... , you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health ... and communication of medical services and/or benefit administration determinations. The Senior Utilization Management Behavioral Health Professional work… more
- Evolent (Olympia, WA)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
- Evolent (Olympia, WA)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Olympia, WA)
- …Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Centene Corporation (Olympia, WA)
- …such as mental health parity, community services overutilization, prior authorization, and utilization management reform. + Serve as the internal subject matter ... health, providing strategic consultation and guidance to cross-functional partners such as Utilization Management , Care Management , Network, Quality, etc. +… more
- LifeCenter Northwest (Bellevue, WA)
- …organized and analytical and is able to present information to others including senior management in a clear and concise format. BEHAVIORAL REQUIREMENTS The ... available. + In conjunction with LCNW staff, review data regarding organ utilization with designated transplant centers; recommend changes in practice when necessary… more
- University of Washington (Seattle, WA)
- …Dean of Administration and Operations and serves as the business manager and senior administrative support representative for the Department. As such, the Vice Chair ... has a comprehensive range of responsibilities, including: financial planning/ management , budget development, supervision of the Department's classified and exempt… more
- Amazon (Redmond, WA)
- …quality and efficiency. Key job responsibilities - Oversee end-to-end project management for Kuiper network builds, retrofits, and expansions, including scope ... definition, schedule management , and budget oversight. - Lead architectural and engineering...strategy, end to end delivery, and communicating results to senior leadership Preferred Qualifications - Master's degree in architecture,… more
- Evolent (Olympia, WA)
- …members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director. + Appropriately ... policies + Creates adverse determination notifications that meet all accreditation , State, and Federal criteria + Uses Plain Language...identifies potential cases for Care Management programs + Communicates appropriate information to other staff… more
- Sargent & Lundy (Richland, WA)
- …Services Division provides cutting-edge engineering design and consulting support to the management and operating contractors for US Department of Energy (DOE) sites ... and national laboratories. Specifically, we support the DOE Environmental Management Directorate as well as the National Nuclear Security Administration laboratories… more