• Medicaid Provider Customer

    CVS Health (Olympia, WA)
    …benefit plan details, provider self- service tools, etc. + Use customer service threshold framework to make financial decisions to resolve provider ... rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid more
    CVS Health (08/16/25)
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  • Senior Representative, Provider Relations…

    Molina Healthcare (Vancouver, WA)
    …healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 3 - 5 years customer service , provider service , or claims experience in ... with Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point… more
    Molina Healthcare (08/02/25)
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  • Representative, Provider Relations HP (Must…

    Molina Healthcare (WA)
    …healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in ... with Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point… more
    Molina Healthcare (08/02/25)
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  • Senior Representative, Provider Services

    Molina Healthcare (WA)
    …management experience in a managed healthcare setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in ... healthcare policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible… more
    Molina Healthcare (08/28/25)
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  • Medicare Customer Service Specialist…

    Molina Healthcare (Tacoma, WA)
    …requirements are be computer-savvy and have a high level of customer service . Previous experience in Medicare, Medicaid , and/or Managed Care is very helpful. ... + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and...High School diploma **REQUIRED EXPERIENCE:** 2 years experience in customer service , consumer advocacy, and/or health care… more
    Molina Healthcare (08/31/25)
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  • Representative, Customer Experience

    Molina Healthcare (WA)
    …opportunities to improve our member and provider experiences. **Job Duties** * Provide service support to members and/or providers using one or more contact ... phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Conduct varies surveys...EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced,… more
    Molina Healthcare (09/07/25)
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  • Senior Professional Business Intelligence Engineer

    Humana (Olympia, WA)
    …integrate, analyze, and present data for enhanced benefits and In Lieu of Service (ILOS) utilization across all Medicaid programs. This role involves identifying ... **Culture and Approach** + Champions a self-starter mindset and customer centric way of working across the Medicaid...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (09/10/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Olympia, WA)
    … DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality, ... is responsible for key strategic initiatives for the Markets and Provider Transformation Organization supporting the matrixed teams that engage providers enrolled… more
    Highmark Health (08/20/25)
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  • Stars Program Delivery Lead - HEDIS Controlling…

    Humana (Olympia, WA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
    Humana (09/03/25)
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  • Stars Program Delivery Senior Professional - HEDIS…

    Humana (Olympia, WA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to...quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system… more
    Humana (09/03/25)
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