- Molina Healthcare (Tacoma, 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 (Tacoma, 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
- CenterWell (Olympia, WA)
- …and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy ... community and help us put health first** The National Medical Director for Home-Based Care Programs is...medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care's (and Conviva Senior Primary… more
- Evolent (Olympia, WA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Olympia, WA)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Olympia, WA)
- …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Olympia, WA)
- …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first** The Director , Corporate Communications develops and coordinates lines of communication outside the ... organization. The Director , Corporate Communications requires an in-depth understanding of how organization capabilities interrelate across the function or segment.… more
- Baylor Scott & White Health (Olympia, WA)
- … senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more
- CVS Health (Olympia, WA)
- …And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving ... guide business decisions for national and local providers. The Director will also play a key role in supporting...efforts and adjusting strategies accordingly + Work closely with Medicare Quality team to ensure that reporting highlights areas… more
- Humana (Olympia, WA)
- …join our team as the Head of Talent Acquisition, for our CenterWell Senior Primary Care Organization (PCO). The PCO, including CenterWell and Conviva, delivers care ... to approximately 300,000 patients from many different Medicare Advantage health plans, and is the largest provider...Advantage health plans, and is the largest provider of senior -focused primary care in the country. Across these two… more
- WelbeHealth (Olympia, WA)
- …senior care by providing an all-inclusive care option to our most vulnerable senior population. The Director , Federal Government Affairs will lead a bold ... regulatory affairs function with Congress and the Centers for Medicare and Medicaid Services (CMS) + Develop and implement...uniquely cared for. + 401k + employer match + Medical insurance coverage ( Medical , Dental, Vision) starting… more
- Humana (Olympia, WA)
- …a strategic, data-driven leader to guide that transformation. As Associate Director , Marketing Lifecycle Analytics, you'll lead the development of marketing plans ... trade-offs and strategic options + **Present plans and forecasts to senior stakeholders** , influencing marketing strategy and resource allocation + **Ensure… more
- Molina Healthcare (Tacoma, WA)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Humana (Olympia, WA)
- …senior leadership and improve customer experiences. + . Reporting directly to the Director , the Senior Professional will work in close partnership with the ... Become a part of our caring community As a Senior Associate, NPS, you'll support Humana's efforts to measure...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Olympia, WA)
- …+ Cultivate effective partnerships in a matrix environment of coding educators, medical director , clinical and market operations. + Facilitate, track and ... caring community and help us put health first** The Senior Coding Educator will work closely with providers to...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CVS Health (Olympia, WA)
- …current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains close working ... Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes to the development and delivery of educational… more