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Claims Operations Analyst Duties: Under the general direction ... records needed particularly in the healthcare claims/litigation process. Will provide additional ... regulatory, and policy requirements of healthcare and other complex..
Business Operations Analyst','Full-time','Provider Network','Days','Days','80','80','None','None','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!Summary This position supports health plan operations on a national, regional and market level. May provide support to other health plan functions based on business ..
Claims Operations Analyst','Full-time','Administrative and Clerical','Days','Days','80','80','None','None','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!SummaryPrimary ... system is required.• Knowledge of healthcare administrative functions, including claims processing, ... experience preferred.• Current and progressive healthcare experience in both..
Job Information Humana Informaticist - Remote in Seattle Washington Description The Informaticist coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from ..
Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..
Description The Senior Business Intelligence Engineer (Claims Strategy) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer ..
3201 S 323rd St,Federal Way,Washington,98001-5023,United States of America We are seeking a revenue operations specialist to work closely with practices and leaders to investigate and design strategic initiatives in order to ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Clinical Operations Analyst (Pharmacy)','Full-time','Professional Non-Clinical','Days','Days','80','80','None','None','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!SummaryThe Medicare Clinical Operations Analyst is responsible to support the Medicare Pharmacy Services team in compliance operational processes with Medicare Part D guidelines through ..
Risk Management Specialist','201053','Risk Management','Washington-Seattle','Days','40 hours per week','40 hours per week','Days','Days','Monday - Friday','Monday - Friday','','','!*!Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health care. ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
Customer Service Supervisor','Full-time','Administrative/Clerical','Days','Days','80','80','Occasional','Occasional','WASHINGTON-FEDERAL WAY-FEDERAL WAY-HERON BLDG','','!*!Summary The Customer Service Supervisor provides leadership under the supervision of the Health Plan and National Member Services Leaders for all Customer Service activities, including hiring, ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description The Business Intelligence 2 - Provider Intelligence and Claims Analytics (PICA) solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The ..
Job Information Humana Senior Financial Analyst - Remote in Seattle Washington ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..
Job Information Humana Provider Reimbursement Professional 2-Remote in US in Seattle Washington Description The Medical/Financial Risk Evaluation Professional 2 is responsible for supporting the development, implementation and monitoring of medical/financial risk. ..
... dispute resolution. Substantive experience with healthcare laws such as the False ... legal research and analysis on healthcare laws and regulations.Participate in alternative ... legal advice and counsel to..
