- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …used to classify patients under the Veterans Equitable Resource Allocation (VERA) program that categorizes all VA patients into specific classes representing their ... coded information for the full spectrum of services provided by the VAMC. Timely compliance with coding changes is crucial to the accuracy of the facility database… more
- Molina Healthcare (Bellevue, WA)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... that drive measurable improvement. + Partners with finance and compliance to develop business cases and support reporting that...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or… more
- Molina Healthcare (Everett, WA)
- …appropriate and correct clinical decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) ... Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical,… more