- Molina Healthcare (Everett, WA)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Humana (Seattle, WA)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll… more
- Provider Solutions & Development (Seattle, WA)
- …& Vascular Institute | Salary is between $550,000 and $670,000 per year_ The Medical Director will perform clinical duties as a general Non-Invasive Cardiologist ... Program. They will collaborate closely with the echo lab medical director to ensure high-quality standards for...and nuclear imaging required + Participating providers status with Medicare and Medicaid Programs + 3 or more years… more
- Molina Healthcare (Everett, WA)
- …to standardize policies and procedures. + Recruits, hires, trains, mentors, and develops medical director staff and team members as needed. + Ensures ... behavioral health and at least 3 years as a medical director in a managed care setting...management policies across health plans or navigating varied state Medicaid/ Medicare regulations. + Working knowledge of national, state, and… more
- Molina Healthcare (Everett, WA)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the… more
- LifeCenter Northwest (Bellevue, WA)
- …and Qualifications Reporting to the Vice President, Clinical Operations, the Director , Hospital Development (HD) has primary accountability for the successful ... department. Through the planning and execution of strategic priorities, the Director ensures that the HD department effectively and efficiently serves the… more
- LifeCenter Northwest (Bellevue, WA)
- …and improve organ donation systems and processes. + Works in concert with LCNW's Medical Director and Medical Advisors to develop effective donor management ... Salary Position Type Full Time Category General Business Description The Director , Organ Optimization, has primary accountability for optimizing the quantity and… more
- Elevance Health (Seattle, WA)
- **Clinical Pharmacy Account Director - Clinical Account Management** **Location:** This role requires associates to be in-office 3 days per week, fostering ... is granted as required by law. The **Clinical Pharmacy Account Director ** is responsible for building client relationships. This role includes responding… more
- Option Care Health (Everett, WA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Molina Healthcare (Bothell, WA)
- …between Molina Healthcare and contracted provider network. In partnership with Director , manages and coordinates the Provider Services activities for the state ... outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health plan-specific provider… more
- University of Washington (Seattle, WA)
- **Job Description** **UW Medical Center - Northwest - Rehab Therapies** has an outstanding opportunity for a **MANAGER, Inpatient Rehab Therapies** **WORK SCHEDULE** ... improvement, productivity and care coordination. This position reports to the Director of Rehab Therapy Services. Oversees performance evaluation of inpatient rehab… more
- University of Washington (Seattle, WA)
- … Director , Clinical Risk Management, for UWMC, and to the Associate Director , Clinical Risk Manager for Harborview Medical Center for entity-specific ... Senior Clinical Risk Manager works in close collaboration with UW Medical Directors, Chief Nursing Officers, individual health professionals, directors, and managers… more
- Danaher Corporation (Seattle, WA)
- …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... + Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and… more
- Virginia Mason Franciscan Health (Burien, WA)
- …teaching the Care Coordination Department; serving as a member of the medical staff; and coordinating with Hospital leadership on matters regarding progression of ... patient care, medical necessity, compliance with regulatory guidelines, payer relationships; clinical...Assist with the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed *… more
- LifeCenter Northwest (Bellevue, WA)
- …of evidence-based protocols. Communication Responsibilities + Partners with Senior Director , Referral Optimization Leadership, Medical Leadership, Conversion and ... mission through leading a clinical expert team focused on maximizing medical management of organ donors, mentorship and training, allocating donated organs,… more
- LifeCenter Northwest (Bellevue, WA)
- …greatest potential in service of LCNW's mission. + Works with Director , Referral Optimization Organ Optimization Leadership, Medical Leadership, Procurement ... + Complies with Association of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Works with the… more
- Sea Mar Community Health Centers (Seattle, WA)
- …to pay for services. Sea Mar's network of services includes more than 90 medical , dental, and behavioral health clinics and a wide variety of nutritional, social, ... in meetings of professional groups to maintain communications with the medical /home care community. Essential Duties and Responsibilities: + Planning: + Develop… more
- Gentiva (Tukwila, WA)
- …Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery ... based on clinical judgment and priority + T riage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner + L ead or… more