• Senior Accreditation

    Humana (Olympia, WA)
    …Degree or BSN degree. + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File Review ... 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. + Detailed… more
    Humana (04/10/24)
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  • Physician Clinical Reviewer-Interventional Pain…

    Evolent Health (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
    Evolent Health (05/01/24)
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  • Physician Clinical Reviewer- RBM

    Evolent Health (Olympia, WA)
    …Be Doing:** As a Physician Clinical Reviewer 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
    Evolent Health (05/02/24)
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  • Program Director I - Violence Prevention

    YMCA of Greater Seattle (Seattle, WA)
    …of certified peer outreach case managers and working directly with the Senior Program Director to support contracts, funding, and monitoring the electronic health ... will work closely with the other program directors and senior director of the Violence Prevention programs as well...in assigned areas. 3. Monitor and track staff productivity, utilization , and documentation in Credible (EHR) and schedules as… more
    YMCA of Greater Seattle (04/24/24)
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  • Mid-Level Federal Planner

    WSP USA (Seattle, WA)
    This Opportunity WSP is currently initiating a search for a **Full-Time Senior Federal Planner** with the potential to work out of our **San Diego, CA; Colorado ... programming, climate resiliency planning, zero emission vehicle planning, facility utilization studies, requirements analyses, aviation planning, munitions planning, facility… more
    WSP USA (02/08/24)
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