- Molina Healthcare (Seattle, WA)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Amazon (Bellevue, WA)
- …The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and experienced ... Senior Risk Manager. The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of success in procurement,… more
- Molina Healthcare (Seattle, WA)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Parker Hannifin Corporation (Kent, WA)
- …with standard business application software and specialized purchasing and/or materials systems (eg electronic data interface (EDI) or manufacturing resource ... Sr . Buyer - Aftermarket Aerospace Location : KENT,...suppliers and company personnel. + Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and… more
- Molina Healthcare (Bellevue, WA)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Seattle, WA)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Providence (Renton, WA)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- Elevance Health (Seattle, WA)
- … data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Walgreens (Renton, WA)
- …with Company policies and procedures. + Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Assists ... and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Mercer Island, WA)
- …by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Amazon (Seattle, WA)
- …algorithms for business application - Experience in building speech recognition , machine translation and natural language processing systems (eg, commercial ... frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing, medical coding). As a leading subject matter expert in… more
- Amazon (Seattle, WA)
- …algorithms for business application - Experience in building speech recognition , machine translation and natural language processing systems (eg, commercial ... frontline workers (eg, customer service agents, clinicians), and back-office staff (eg, claims processing, medical coding). As a leading subject matter expert in… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …corporate financial and membership goals by evaluating and selecting risk and using internal systems , formulas, data , and data sources, in addition to ... external data and data sources. This role offers the opportunity to acquire...rating and underwriting process, including but not limited to systems , claims reporting, and reporting databases. +… more
- Amazon (Seattle, WA)
- …carriers to architect secure, compliant cloud solutions for policy administration, claims processing, underwriting automation, and risk modeling * Drive cloud ... addressing insurance-specific challenges, including regulatory reporting, actuarial computing, and data protection requirements * Guide insurers through modernization of… more
- Bausch Health (Bothell, WA)
- …studies, through collaborations with leading KOLs. Will also drive our data dissemination program through peer-reviewed publications, white papers, and podium ... ensure studies track to budget and schedule to achieve the intended indications/ claims + Integrate scientific knowledge and operational expertise to ensure the… more
- LifeCenter Northwest (Bellevue, WA)
- …vendors, supply, equipment, and other materials management issues, to the Quality Systems Manager. + Is responsible for timely transfer of equipment and materials ... staging areas and LCNW satellite facilities + Collaborates with the Quality Systems Manager to deliver onboarding training for the Materials Management staff.… more