- 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
- Towne Park (Spokane Valley, WA)
- …career with us is rewarding in more ways than one. As a hospitality services company, our commitment is to create smiles by delivering exceptional experiences. When ... visitors and guests we proudly serve. Whether providing compassionate service that eases the anxiety of a patient and...and may be subject to a specific plan or program terms. **Job Summary** The Screening Compliance Specialist works… more
- Molina Healthcare (Spokane, WA)
- …Design. 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)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… 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
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …programs. Ability to understand the operational professional engineering needs of clinical services in the healthcare system. Ability to prepare material on ... regulations, requirements, guides, policies, procedures, directives, standards and general medical program requirements as they relate to healthcare engineering.… 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)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… 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
- Molina Healthcare (Spokane, WA)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… 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
- Providence (Spokane, WA)
- …Care Manager provides professional, comprehensive patient centric care management services for at risk patients in an acute care environment. Accountabilities ... Care Manager provides professional, comprehensive patient centric care management services for at risk patients in an acute care environment. Responsibilities… more
- Stryker (Spokane, WA)
- …critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation ... at nothing to live out Stryker's mission to make healthcare better. **What you will do:** As a Surgical...you will do:** As a Surgical Technologies Regional Sales Manager , you will strategically plan, direct and coordinate the… more
- Molina Healthcare (Spokane, WA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… 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
- 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
