- Evolent (Olympia, WA)
- …working seamlessly with diverse teams and stakeholders. + Deep understanding of prior authorization processes, reporting, and key performance indicators (eg, ... leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. **Technical Requirements:** We require… more
- Copeland (Olympia, WA)
- …ensuring they meet employee needs and regulatory requirements.** **Vendor Relationship Management :** **Oversee and manage relationships with plan vendors, such as ... investment advisors and administrators, including sourcing, selection, and ongoing management of vendor partnerships.** **Retirement Investment Committee Support:** **Serve… more
- Molina Healthcare (Everett, WA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes… more
- University of Washington (Seattle, WA)
- …medical institution, ideally with demonstrated commitment to well-being work. * Prior experience in project management . **Application Process:** The application ... to develop and implement a plan to increase awareness and utilization of well-being programming across UW Medicine. **Administrative Leadership & Support… more
- University of Washington (Seattle, WA)
- …feasibility studies, and various aspects of educational facilities programming and utilization ; participates in preparation, management and review of planning ... Req #: 245341 Department: UW FACILITIES: ASSET MANAGEMENT Appointing Department Web Address: https://facilities.uw.edu/unit/architecture-planning Posting Date:… more
- Cardinal Health (Olympia, WA)
- …intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up ... guidance on the appeals process if needed. + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes. + Demonstrate expertise in… more
- Molina Healthcare (Seattle, WA)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... and state laws. Jobs in this family include those involved in formulary management (such as, reviewing drug/provider utilization patterns and pharmacy costs … more
- American Express Global Business Travel (Olympia, WA)
- …team members and suppliers of program status. + Review all supplier contracts prior to finalization, ensure both program specific and generic terms and conditions ... and the client, including attrition dates, cancellation policies, etc. Use appropriate authorization and addendum form to ensure consistency and accuracy. + Conduct… more
- Humana (Olympia, WA)
- …and/or experience with medical terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a ... health first** The UM Administration Coordinator 2 contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied… more
- Philips (Bothell, WA)
- …required. + You have demonstrated knowledge and expertise in Clinical Research/Analysis, Study Management and Medical Affairs, with prior experience as a Medical ... + Proactively and reactively engages in discussions around safety of device/system utilization as part of post market surveillance and formally shares insights with… more