- Wipfli LLP (Spokane, WA)
- …a difference and find a professional home, Wipfli offers a career-defining opportunity. As a Healthcare Audit Manager , you will play a crucial role in ... leading and managing audit engagements for our healthcare clients. Your primary focus will be on delivering high-quality audit services, ensuring compliance… more
- Molina Healthcare (Spokane, WA)
- …Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in ... decision making pertinent to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing… more
- Molina Healthcare (Spokane, WA)
- …for financial and compliance information including regulatory, external, and internal audit review (including Sarbanes-Oxley Act requirements). + Ability to work ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Spokane, WA)
- …or feedback from the HEDIS audit . Makes recommendations based off of the audit and chart review. + Assists Manager and Supervisor(s) in leading the training ... and 2nd overread standards to ensure accuracy of their audit skills, as well as oversee the overread team...and HEDIS review and results. + Works with the Manager to monitor accuracy of abstracted records as required… more
- Molina Healthcare (Spokane, WA)
- …key stakeholders in business domain across Health plans and Corporate Healthcare functions, * Requires highest level understanding of organization's business and ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… more
- Walgreens (Millwood, WA)
- …insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager ... using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery… more
- Molina Healthcare (Spokane, WA)
- …and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, collection ... and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical… more
- Walgreens (Spokane, WA)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . ... other healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and… more
- Walgreens (Spokane Valley, WA)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . ... other healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and… more
- Walgreens (Spokane, WA)
- …preventive healthcare services. + Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and ... well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify...asset protection and inventory management. Reviews KPI's with Pharmacy Manager , Store Manager , and Healthcare … more