- CVS Health (Spokane Valley, WA)
- …genuine, authentic care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for ... dispensing, counseling, and immunizing practices Taking direction from the Pharmacy Manager and overseeing the pharmacy as their proxy during bench shifts… more
- Molina Healthcare (Spokane, WA)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Spokane, WA)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Post Falls, ID)
- …Medicaid. This position will have a case load and manage members enrolled in this program . We are looking for a Care Manager who have experience working with ... For this position we are seeking a Care Manager who lives in Idaho Care manager...Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary… more
- Molina Healthcare (Spokane, WA)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The BH Care Manager Provides support for care management/care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Spokane, WA)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Medtronic (Spokane, WA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... within region as it relates ablation solutions activities and program . Drive execution of key CAS initiatives to achieve...Works in partnership with account managers and CAS Regional Manager to achieve/ exceed goals + Serves as effective… more
- Walgreens (Spokane Valley, WA)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- CVS Health (Spokane, WA)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Molina Healthcare (Spokane, WA)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- Molina Healthcare (Spokane, WA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Spokane, WA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Spokane, WA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Spokane, WA)
- …oversight support. * Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are ... all other settings. Strives to ensure that best possible services are available to members at time of hospital...Job Duties** * Follows member throughout a 30 day program that starts at hospital admission and continues oversight… more
- Novo Nordisk (Spokane, WA)
- …Influential first-line People Leader within a Region, with District Business Manager responsibility. Effectively and successfully grows and develops the people and ... team's goals, leveraging an in-depth understanding of the health system's structure, services , and patient population to drive sales success within the integrated … more
- Providence (Spokane Valley, WA)
- …infusion/pharmacy services , home medical equipment, hospice and palliative care, Program of All-Inclusive Care for the Elderly (PACE), personal home services ... **Description** Nurse Manager - Home Infusion Pharmacy- Spokane, Washington Schedule- Full...invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person… more
- Turner & Townsend (Spokane, WA)
- …as part of Turner & Townsend. It specializes in project and program management for public sector organizations, with industry-leading experts in corporate, cultural, ... healthcare , justice, sports, K-12 education, higher education, aviation and...education, higher education, aviation and government facilities. Recognized for service excellence by a broad spectrum of professional organizations… more
- Molina Healthcare (Spokane, 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, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more