- Humana (Olympia, WA)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Amazon (Seattle, WA)
- …in PBM, health insurance, pharmacy, business development, marketing, managed care, Medicaid , Medicare Part D, and commercial innovation. - Bachelor's degree in ... including Operations, Marketing, Account Services, Tech, Product, Legal, and Compliance . - Demonstrate clear, concise, written and oral communication. Amazon… more
- CenterWell (Olympia, WA)
- …for multiple Medicaid markets. This role is responsible to ensure compliance with client contracts, as well as to identify opportunities and implement program ... us put health first** The Lead - Medicaid Customer Success oversees strategy and operations...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Molina Healthcare (Everett, WA)
- …integration, and a strong understanding of data governance and compliance in healthcare environments. **Knowledge/Skills/Abilities:** * Architect and implement ... Deploy, monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and … more
- CVS Health (Olympia, WA)
- …accreditation from the National Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance , Medicaid Investigations, MCO Medicaid FWA ... Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role...Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and written communication skills.… more
- Molina Healthcare (Everett, WA)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid , Medicare, and ... protocols to support efficient and compliant subrogation operations across Medicaid , Medicare, and Marketplace populations. + Collaborate with legal, claims,… more
- PeaceHealth (Vancouver, WA)
- …+ Ensures compliance with state laws, Center for Medicare and Medicaid Services (CMS), and regulatory bodies governing the emergency management program. Assists ... **Description** **PeaceHealth is seeking a full time Emergency Management Program Manager in Vancouver, Washington ** The Program Manager is responsible for… more
- Walgreens (Redmond, WA)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members with regard to the documentation of patient… more
- WelbeHealth (Olympia, WA)
- …core values and our participant-focus lead the way no matter what. The Accounting Manager , Revenue and Reporting will have a unique opportunity to bridge the gap of ... Fulfillment of the role will also include driving efficiency in compliance reporting/revenue rate filings and leveraging insights to improve financial performance… more
- Molina Healthcare (Tacoma, WA)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... vendor performance involving onshore and offshore resources, monitors regulatory compliance adherence (in conjunction with functional counterparts) and quality… more
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