- Molina Healthcare (Bellevue, WA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Molina Healthcare (Bellevue, WA)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Bellevue, 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
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… 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
- Molina Healthcare (Bellevue, WA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Provider Solutions & Development (Seattle, WA)
- …| Salary is between $550,000 and $670,000 per year_ **Job Summary:** The Medical Director will perform clinical duties as a general Non-Invasive Cardiologist ... care through clinic visits, diagnostic readings, and inpatient coverage. Additionally, the Medical Director will oversee the Cardiology Diagnostic Imaging Center… more
- Provider Solutions & Development (Edmonds, WA)
- Swedish Medical Group is seeking an Executive Medical Director of Acute Care Medicine to join the Swedish Edmonds Administration in Edmonds, Washington. This ... an administrative liaison and partner for the Swedish Edmonds Medical Staff that includes key responsibilities such as: acting...the lives of all they serve. * 0.5 FTE director /leadership role with no clinical responsibilities * Must be… more
- Molina Healthcare (Bellevue, WA)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... (TX) Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by ... care teams harmoniously monitor, manage and protect life. The Director of Service Operations & Returns plans, builds and...policies and practices to ensure the timely return of medical devices from customers. + Oversee a remote contact… more
- Molina Healthcare (Bellevue, 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 improve organ donation systems and processes. + Works in concert with LCNW's Medical Director and Medical Advisors to develop effective referral ... Director , Referral Optimization Job Details Job Location Bellevue...protocols aimed at optimizing donation opportunities, with focus on medical suitability and health care team collaboration. + Routinely… 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 ... Director , Organ Optimization Job Details Job Location Bellevue...with Organ Procurement and Transplantation Network (OPTN), Center for Medicare and Medicaid Services ( CMS), and Association of… 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
- Seattle Children's (Seattle, WA)
- …Seattle Children's and University of Washington Department of Fetal Surgery leadership, Medical Director MFM and OB Services, Perioperative Services, Nursing to ... growth and support the mission of Seattle Children's Hospital. The perinatal director is responsible for the day-to-day clinical nursing functions of the Special… more
- Molina Healthcare (Bellevue, WA)
- …and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and ... recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation… more
- CenterWell (Kent, WA)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… 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
- 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
- University of Washington (Seattle, WA)
- …variety of sources including institutional funding, clinical revenues, gifts, graduate medical education (GME) salary, and grants and contracts. The administrator ... Manage GME finances supporting the residency program, including tracking for Medicare reporting and contractual allocations. + Oversee staff whose responsibilities… more