- CVS Health (Olympia, WA)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- Providence (Renton, WA)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...+ 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications… more
- Molina Healthcare (Everett, WA)
- …experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including 2 years in a manager role. * Experience ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more
- CVS Health (Olympia, WA)
- …investigation of plan set-up and overapplied accumulators by running reports from the claim processing system and conducting thorough audits. + Identifies and ... and every day. **Position Summary** The **PBM Data Analyst** performs prescription claim and accumulator audits, verifies policy coverage, assesses claim … more
- Amazon (Seattle, WA)
- …and seller experiences across multiple dimensions, including defect reduction, claim avoidance, remediation processes, and cost efficiency. Collaborate with product ... Design innovative solutions such as closed-loop mechanisms for warranty claims and cost-effective concession strategies. * Analytics & Reporting: Establish… more
- Molina Healthcare (Spokane, WA)
- …+ Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. ... including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure… more
- CVS Health (Olympia, WA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical ... cost management, and operational efficiency. Meritain Health's Project Manager for Third Party Client Audits will be responsible for the following: + Manage… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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