- Providence (Renton, WA)
- …communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists **Maintain complete documentation for each ... **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... well as a focus on collaborative business relationships, value-based care, population health , or disease or care management. Medical Directors support Humana values… more
- Sedgwick (Olympia, WA)
- …Fortune Best Workplaces in Financial Services & Insurance Account Consultant- Remote Opportunity- Flood Experience Required **PRIMARY PURPOSE** **:** To manage claim ... caseload of basic to highly complex claims within granted authority level including related financial implications, along with financial implications and to mentor… more
- Banner Health (WA)
- …with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition ... Find out how we're constantly improving to make Banner Health the best place to work and receive care....A typical day would include overseeing RN denials mgt specialists and Audit team, posting bill reviews, and managing… more
- Molina Healthcare (Vancouver, WA)
- …Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to ... work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience,… more
- Lincoln Financial (Olympia, WA)
- **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance to an office location. ... be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for… more
- Molina Healthcare (Seattle, WA)
- **_ Remote and must live in Washington _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Humana (Olympia, WA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on ... Qualifications** + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient… more
- Humana (Olympia, WA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... as a focus on collaborative business relationships, value based care, population health , or disease or care management. Medical Directors support Humana values, and… more
- Humana (Olympia, WA)
- …health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex ... management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred… more