- Molina Healthcare (Bellevue, WA)
- …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
- Elevance Health (Seattle, WA)
- **Behavioral Health Nurse Medical Mgmt I - Washington** Location: **This position is primarily a Virtual/Remote role. Ideal candidates** **Must live within 50 ... more
- Molina Healthcare (Bellevue, WA)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- Molina Healthcare (Bellevue, WA)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- Elevance Health (Seattle, WA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... more