- Providence (WA)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
- Molina Healthcare (Spokane, WA)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Highmark Health (Olympia, WA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Evolent (Olympia, WA)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- Evolent (Olympia, WA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...to mine and manage information from large data sources. ** Preferred Qualifications:** + Proficiency with Power BI and/or Tableau… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with… more
- Evolent (Olympia, WA)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and Preferred :** + Bachelor's degree, ... such as DRGs, Revenue Codes, CPT Codes, RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between… more
- CVS Health (Olympia, WA)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...years of experience writing scripts in SQL and/or SAS. ** Preferred Qualifications** + Experience with any of these a… more