- Sharecare (Olympia, WA)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Olympia, WA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Molina Healthcare (Tacoma, WA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Molina Healthcare (Kent, WA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...schedule Monday- Friday 8:00 AM to 5:00 PM PS Remote position with field travel within King County Washington… more
- Molina Healthcare (Lakewood, WA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...schedule Monday- Friday 8:00 AM to 5:00 PM PST Remote position with field travel within Seattle, Olympia, Tacoma,… more
- Sedgwick (Olympia, WA)
- …Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Client Performance Manager | Dedicated Client | Remote **PRIMARY PURPOSE** **:** ... Taking care of people is at the heart of...of everything we do, and we start by taking care of you, our valued colleague. A career at...the right candidate for this or other roles.** **Taking care of people is at the heart of everything… more
- UMB Bank (Olympia, WA)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Molina Healthcare (Tacoma, WA)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... quality strategies and solutions to close quality and risk care gaps. * Identify potential risks and execute mitigation...mastery of the drivers of value in managed health care as well as in-depth knowledge of the healthcare… more
- Molina Healthcare (Tacoma, WA)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Tacoma, WA)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Identify potential risks and execute mitigation strategies. *… more
- Highmark Health (Olympia, WA)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...for additional support. + For assigned case load, create care plans to address members' identified needs, remove barriers… more
- Molina Healthcare (Tacoma, WA)
- …experience. + Operational Process Improvement experience. + 2-3 years of Managed Care experience. + Experience with Microsoft Project, Excel, Teams, PowerPoint and ... : * 5-7 years of Program and/or Project management experience.* Managed Care experience. * Experience working in a cross functional highly matrixed organization.… more
- Molina Healthcare (Tacoma, WA)
- …+ Understanding of complex configuration solutions + Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from ... receipt through encounter submission. + Ability to adopt and utilize work tracking software + Strong business writing skills; proficient user of Microsoft Products including Word, Excel, Outlooks, Teams, SharePoint, PowerPoint, and Visio + Advanced knowledge… more
- Molina Healthcare (Tacoma, WA)
- …Education** Advanced clinical degree or advanced public health or health care administration degree **Preferred Experience** * State QI experience * Medicaid ... and/or Medicare QI + **Databricks** + **Development leading indicators and data visualization** + **Informatics** + **SQL** + **Power BI** **Preferred License, Certification, Association** * Black Belt in Lean/Six-Sigma To all current Molina employees: If you… more
- Sharecare (Olympia, WA)
- …and accurately explains the VBCM program and schedules appointments between member and Care Manager using shared calendar. + Utilizes email to communicate ... individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com… more
- CDM Smith (Tacoma, WA)
- …CDM Smith office, in the US nationwide. We offer in office, hybrid, or remote working environments allowing for flexible work options.** We currently have an opening ... other duties as assigned. **Job Title:** Senior Contract Administrator (fully remote work options) **Group:** FAO - Contracts **Employment Type:** Regular **Minimum… more
- Molina Healthcare (Tacoma, WA)
- …data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Cardinal Health (Olympia, WA)
- **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support ... and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers **_What is expected of you and… more
- Molina Healthcare (Tacoma, WA)
- …data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Sharecare (Olympia, WA)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... integral part of an overall client specific Health and Care Support Team that engages and supports members with...factors. A Certified Health Coach is supervised by a Manager Coaching Operations. **Essential Job Functions:** + Participating in… more