- Molina Healthcare (WA)
- …regulatory-related, Molina Quality programs, and taking advantage of electronic solutions ( EDI , EFT, EMR, Provider Portal, Provider Website, etc.). * Trains other ... Provider Relations Representatives as appropriate. * Role requires 60%+ same-day or overnight travel. (Extent of same-day or overnight travel will depend on the specific Health Plan and its service area.) **Job Qualifications** **REQUIRED EDUCATION** :… more
- Cognizant (Olympia, WA)
- …: + Review claim system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically ... appropriate and criteria compliance. + Analyze claim and line-item edits, including warning messages, to determine payment eligibility. + Manage all tasks within designated timeline to meet internal and external SLAs. + Other duties as assigned by management.… more
- Chenega Corporation (WA)
- …root cause analysis to provide bug fixes. + Work with integration frameworks including EDI , JSON, XML, REST, SOAP etc. + Merge code between different branches and ... manage revisions using Perforce(P4V). + Participate in client meetings, design sessions, deployments, production support activities and on-call activities. + Provide initial application setup expertise and materials needed to make the product ready for… more
- The Hertz Corporation (Olympia, WA)
- …the ability to improve metrics adherent to traditional HLE success such as EDi conversion, Utilization, RPD, RPT, etcetera. + Ability to conduct high level business ... conversations and negotiate pricing, generate proposals, and conduct follow up measures. + Maximize opportunities to convert new business and growth from existing account base. + Develop and maintain a pipeline of new business leads though sales activity,… more
- Amazon (Bellevue, WA)
- …BTP based integrations * Experience with ABAP Development * Experience with EDI integrations for Supply Chain * Experience with external (Supplier, Vendor, Broker) ... systems, with experience interacting with technical teams, coming up with finalized architecture, architecture security review * Awareness of Integration concepts and work on AWS integration options Amazon is an equal opportunity employer and does not… more
- Molina Healthcare (Bellevue, WA)
- …with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data exchange protocols. Experience with ... SQL. **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions.… more
- NASCO (Olympia, WA)
- …market, regulatory requirements, and industry standards (HIPAA, HITrust, CMS, FHIR, HL7, EDI ) + Hands-on experience with AI/ML model deployment, data governance, and ... responsible AI practices + Proven ability to define and execute a hybrid data strategy and investment plan in a commercial SaaS environment + Effective communication skills, both verbal and written, including the ability to communicate appropriately across all… more
- Zones LLC (Auburn, WA)
- …day-to-day operations, including System Functionality (CRM, ERP), Apple Program Execution, EDI and API efficiency, Finance & Credit, tracking of aged receivables ... and key financial metrics + Develop tools and dashboards to drive sales pipeline, and execute against sales strategies to grow Apple products and Zones Workplace Services throughout vertical markets and sales segments + Become an expert in Zones reporting… more
- Molina Healthcare (Spokane, WA)
- …cloud offering/solutions + ITIL (Information Technology Infrastructure Library) Foundation + EDI (Electronic Data Interchange) - Experience in Healthcare + ETL ... (Extract, Transform and Load) - Strategy and tool experience + TOGAF Foundation + Experience configuring, troubleshooting and Administration of the following tools: + Edifecs Platform + Salesforce Platform + Sitecore Platform + MuleSoft and Apigee + QNXT… more
- Amazon (Seattle, WA)
- …production and delivery lead-times and operational excellence inputs such as EDI adoption, PO confirmations and fulfillment, efficient receive process and inventory ... placement. -Identify opportunities to improve cost structure and profitability and work with partner teams on execution. Basic Qualifications - 5+ years of with Excel experience - Bachelor's degree, or 5+ years of professional or military experience -… more