• Director , Claims ( Remote )

    Trustmark (Olympia, WA)
    …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
    Trustmark (11/05/24)
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  • Medical Director -- Claims

    Humana (Olympia, WA)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
    Humana (10/29/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Olympia, WA)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote more
    Takeda Pharmaceuticals (10/16/24)
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  • Director , Product Management…

    HealthEdge Software Inc (Olympia, WA)
    **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
    HealthEdge Software Inc (09/21/24)
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  • Executive Director , Learning Design

    Educational Testing Service (Olympia, WA)
    …education and ed tech space as it continues to grow and evolve. The Executive Director of Learning Design will lead the strategy for how ETS develops learning and ... assessment solutions in the K16 Business Unit. The Executive Director will lead a team of learning scientists, instructional designers, user experience research and… more
    Educational Testing Service (11/02/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Olympia, WA)
    …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
    Humana (10/29/24)
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  • Construction Professional Liability Underwriter…

    Zurich NA (Olympia, WA)
    …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
    Zurich NA (10/12/24)
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  • Senior Design/Construction Management Consulting…

    Zurich NA (Olympia, WA)
    …Office, AM - Oregon Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI- DIRECTOR ... prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims...for resume submission. Location(s): AM - Schaumburg, AM - Remote Work (US), AM - Dallas, AM - San… more
    Zurich NA (11/06/24)
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  • Operations Supervisor - Move Management…

    HomeSafe Alliance (Olympia, WA)
    …with GHC pricing requirements and report actual performance monthly to the Director of International Operations (DIOps) + Verify and assess accuracy of transit ... risks of not meeting RDDs as directed by the Director of International Operations, for all shipments that may...International Operations, for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be… more
    HomeSafe Alliance (10/02/24)
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  • Coordinator, Intake Utilization Management

    Evolent Health (Olympia, WA)
    …Opportunities to work collaboratively with other Clinical Operation Leaders including our Director may also be available. **What You Will Be Doing:** + Reviewing ... prior authorization requests and/or relevant health care experience in claims or appeal & grievance is required. + Previous...while balancing a workload and prioritizing assignments in a remote environment. + The ability to connect to router… more
    Evolent Health (11/12/24)
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  • Business Process Analyst

    Trustmark (Olympia, WA)
    …work on-site at our office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*_** Assess current state business processes and ... benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and… more
    Trustmark (11/09/24)
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