- Molina Healthcare (Vancouver, WA)
- …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, inpatient ... Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership… more
- Molina Healthcare (Tacoma, WA)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends… more
- Travelers Insurance Company (Olympia, WA)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- Molina Healthcare (Seattle, WA)
- …Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Sanofi Group (Seattle, WA)
- …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... payer policy requirements and billing codes + Provide support in triaging contracting , billing and coding, access and procurement questions and other issues where… more
- Molina Healthcare (Bellevue, WA)
- …request/provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of benefits ... phone, fax, and mail according to Molina operational timeframes. + Contacts physician offices according to Department guidelines to request missing information from… more