- Molina Healthcare (Tacoma, WA)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Molina Healthcare (Vancouver, WA)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are rendered… more
- Molina Healthcare (WA)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Evolent (Olympia, WA)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Humana (Olympia, WA)
- …Deep understanding and experience with healthcare policies and operations in a managed care setting Excellent oral and written communications skills, including ... and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management, Analytics, Pharmacy, etc.) to develop discrete, high-value strategies… more
- Molina Healthcare (Spokane, WA)
- …related field **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 10 years managed care experience with management responsibility including clinical ... members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health, for members… more
- Amazon (Seattle, WA)
- …experience preferably in PBM, health insurance, pharmacy, business development, marketing, managed care , Medicaid, Medicare Part D, and commercial innovation. ... and partner with internal stakeholders to fix - Drive RFP and contracting administration - Strong LP's include: Deep Dive, Customer Obsession (both partner… more
- Stantec (Seattle, WA)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Stantec (Seattle, WA)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... transit systems, water treatment facilities, mines, and wind farms, we've successfully managed thousands of projects. Joining our team, turning visionary ideas into… more
- Molina Healthcare (Everett, WA)
- …supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education** Bachelor's degree ... with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve provider… more