- Molina Healthcare (Everett, WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare data, including… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms… more
- Highmark Health (Olympia, WA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3… more
- Highmark Health (Olympia, WA)
- …in strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem identification and resolution ... (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information...and prepare the specifications necessary to identify impacts to claims processing or other business logic. +… more
- Humana (Olympia, WA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience… more
- NTT America, Inc. (Olympia, WA)
- …data protection and privacy laws. + Experience with Medicaid/Medicare systems processing , including Claims , Provider, and Member Eligibility. Managed Care, ... thrive. **Your day at NTT DATA** The Production Control Analyst will contribute to the support of the NJ...using various tools. + Responsible for ensuring overnight batch processing is complete so that Daily Online activities commence… more
- Air National Guard Units (Fairchild AFB, WA)
- …management, and Medical staffing. Oversees medical facility management. Serves as the senior medical administration advisor for the medical group and is the ... contribute substantially to the plans, policies, decisions, and objectives of senior management. Directs all Information Management activities within the Medical… more