- Premera Blue Cross (Mountlake Terrace, WA)
- …our Healthsource blog: https://healthsource.premera.com/ . We are seeking an experienced and dynamic ** Claims Operations Director ** to join our team and ... expertise will play a crucial role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a strong claims team, drive… more
- Molina Healthcare (Bellevue, WA)
- **Job Summary** Acts as liaison between Special Investigations Unit (SIU) operations and health plans and internal functional teams to assure a smooth workflow ... achieved. Coordinates with Associate Vice President, Special Investigations Unit, Regulatory Operations (AVP- SIU) within to oversee the special investigations unit… more
- Olson Kundig (Seattle, WA)
- …worship, creative production, urban design, and interior design. Currently, we are seeking a Director of Legal Affairs to join and lead the legal and contracts team ... of work coming from Olson Kundig. Primary Responsibilities: The Director of Legal Affairs plans and directs all aspects...in safeguarding the firm's legal interests and upholding its operations with integrity and stewardship. + Leads all matters… more
- The Cigna Group (Seattle, WA)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... The ** Director , Provider Contracting** serves as an integral member...**Demonstrated experience with analytics tools and involving review of claims /historical data to identify rate reimbursements.** + Team player… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …our Healthsource blog: https://healthsource.premera.com/ . We are seeking a talented ** Director , Enterprise Risk Management** to direct and provide oversight of risk ... programs. + Oversee multiple comprehensive, commercial insurance programs. + Manage day-to-day operations for a captive insurance company. **What you will do:** +… more
- Molina Healthcare (Bellevue, WA)
- …* Under the leadership of the AVP, Provider Network Management & Operations , oversees development and implementation of provider network and contract strategies, ... analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …risk transfer mechanisms in partnership with the ERM (Enterprise Risk Management) Director , ERM Executive Committee, and commercial insurance brokers. This is a ... and retained losses, as well as the primary interface supporting captive insurer operations and affiliated reporting needs. **This position is open to either hybrid… more
- University of Washington (Seattle, WA)
- …risk management functions, including: + Compliance Services + Risk Management + Claims Services + Risk Financing & Consulting + Office of Public RecordsThe ... the UW does business or provides learning opportunities.Under the direction of the Director for Investigations & Support and Deputy Title IX Coordinator, the Manager… more
- Nordstrom (Seattle, WA)
- …downstream integration. This role sits on the Supplier Operations Team in Inventory Operations and reports to the Director , Inbound Integration. A Day in the ... you obsessed with complex data and processes in Retail Operations ? Do you want to be part of a...best fashion retailer in a digitally connected world. Inventory Operations is a pivotal capability in leading this transformation.… more
- Intra-Cellular Therapies, Inc (Seattle, WA)
- …product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related ... trade-off decisions across customers and representatives. Works with Regional Sales Director when appropriate to make trade-offs within a larger geography. +… more
- Marriott (Seattle, WA)
- …or related professional area. **CORE WORK ACTIVITIES** **Managing Security/Loss Prevention Operations ** * Assists the Director of Engineering in administering ... of guests and employees. * Oversees all loss prevention operations to include but not limited to patrol process,...aid program for guests and employees. * Oversees the claims process and protects company assets by closely monitoring… more