• Lead Analyst , Claims/ Regulatory…

    Molina Healthcare (WA)
    …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
    Molina Healthcare (06/18/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Tacoma, WA)
    …coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/14/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Spokane, WA)
    …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (08/14/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (WA)
    …treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
    Banner Health (07/10/25)
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