• Health Care Consulting Manager - Internal…

    Moss Adams LLP (Tacoma, WA)
    **Health Care Consulting Manager - Internal Audit ** **Description** At Moss Adams, we champion authenticity. For us, that means fostering a culture of talented ... interesting business challenges. **Introduction to the team** We are currently seeking a manager focusing on internal audit to join our Health Care Compliance… more
    Moss Adams LLP (02/08/25)
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  • Manager , Healthcare Services…

    Molina Healthcare (Tacoma, WA)
    …the severity of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification… more
    Molina Healthcare (03/07/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Vancouver, 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 (01/25/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (WA)
    …Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in ... Healthcare Quality + other healthcare certification To all current Molina employees: If you...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
    Molina Healthcare (02/09/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Bellevue, WA)
    …Mgr, HCS Clinical Policy provides operational management and oversight to integrated Healthcare Services (HCS) teams responsible for providing Molina Healthcare ... collaboration to enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical policy to drive… more
    Molina Healthcare (02/14/25)
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  • Risk & Quality Performance Manager (Remote)

    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 ... 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 (03/04/25)
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  • Manager , HCS Operations Support Remote…

    Molina Healthcare (Tacoma, WA)
    **Job Description** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... of care and quality of Molina services provided. + Functions as hands-on manager responsible for supervision and coordination of daily activities. + Ensures adequate… more
    Molina Healthcare (03/13/25)
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  • Manager , Clinical Policy HCS (Remote)

    Molina Healthcare (WA)
    …Coordinates policy and procedural requirements between Medical Management and Healthcare Services departments, vendors, and delegated entities responsible for ... providing Molina Healthcare members with the right care at the right...to prepare data and documentation in response to external audit requirements; participates in external audits representing clinical teams.… more
    Molina Healthcare (03/04/25)
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  • Delegation Oversight Nurse (Must Reside in AZ)

    Molina Healthcare (Tacoma, WA)
    …+ Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional ... The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare 's UM delegates are compliant all applicable State, CMS, and NCQA… more
    Molina Healthcare (03/06/25)
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  • Lead Overreader, HEDIS Abstraction / Quality…

    Molina Healthcare (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 (02/08/25)
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  • Lead Overreader, HEDIS/Quality Improvement…

    Molina Healthcare (Vancouver, 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 (01/21/25)
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  • Clinical Nurse Manager (O-6 Billet)…

    Immigration and Customs Enforcement (Tacoma, WA)
    …and quality of work performed or to protect the quality of life or healthcare services. Applying a range and depth of knowledge acquired specifically through an ... to unexplored areas and phenomena. Nurses collaborate with physicians and other healthcare professionals to develop the nursing care patient plan and determine how… more
    Immigration and Customs Enforcement (01/01/25)
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  • Associate Manager , Indirect Tax Audits

    DoorDash (Seattle, WA)
    About the Team DoorDash is looking for an experienced Associate Manager , Indirect Tax Audits to join our growing Tax Team. You will play a key role in managing ... will make recommendations for improving our processes to enable us to create audit -ready data and documentation. You will have responsibility for a portfolio of… more
    DoorDash (03/04/25)
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  • Pharmacy Operations Manager

    Walgreens (Port Orchard, 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
    Walgreens (03/14/25)
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  • Medical Records Collector (Must reside in NYC…

    Molina Healthcare (Seattle, WA)
    …and/or regional lead, the Medical Records Collector supports the annual HEDIS audit and other HEDIS like audits, by organizing provider outreach, pursuit, ... records and other data in collaboration with other HEDIS staff. * Assists the Manager and Supervisor(s) and / or performs the coordination and preparation of the… more
    Molina Healthcare (02/14/25)
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  • Patient Education Manager (PEM) - Neurology…

    Sanofi Group (Seattle, WA)
    **Job Title:** Patient Education Manager (PEM) - Neurology - North West, WA, OR, CA, NV, UT, ID, MT, WY **Location** : Remote USA, North West, WA, OR, CA, NV, UT, ... and HCPs both pre and postscript. They will be accountable to support healthcare providers and staff throughout the patient onboarding process. Doing so will support… more
    Sanofi Group (02/19/25)
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  • CMO Office Project Manager

    University of Washington (Seattle, WA)
    …Officer and Vice President of Medical Affairs (CMO/VP) the CMO Office Project Manager (Project Manager ) plays a critical role in supporting, managing, and ... high visibility projects and initiatives across the UW Medicine enterprise. The Project Manager has dotted line reporting to the Executive Assistant to the CMO and… more
    University of Washington (03/04/25)
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  • Manager of Compliance & Security

    Wondr Health (Olympia, WA)
    …**DEPARTMENT** **:** **Technology** **: IT** **& Security** **POSITION** **:** ** Manager ** **of Compliance and Security** **REPORTS TO:** **S** **VP, Information ... conditions. To learn more, visit www.wondrhealth.com . **PURPOSE** : The Manager of Compliance and Security ensures compliance with governmental requirements (HIPAA,… more
    Wondr Health (01/29/25)
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  • District Manager in Training

    Savers | Value Village (Woodinville, WA)
    **Job Title: District Manager in Training** **Salaried Pay Range:** **$100,000 to $121,000 (Will vary based upon strategic talent planning needs)** Must have ... **Savers Benefits** Geographic & job eligibility rules may apply ** Healthcare Plans** Comprehensive coverage (medical/dental/vision) at a reasonable cost Specialized… more
    Savers | Value Village (03/13/25)
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  • Sr. Health Privacy Manager , Amazon

    Amazon (Seattle, WA)
    Description The Amazon Health Services (AHS) Privacy team is seeking a talented Sr. Privacy Manager to support the AHS Privacy program. As a Sr. Privacy Manager , ... coordination with the application teams. This may include the resolution of audit findings and the execution of projects originated from internal assessments. Basic… more
    Amazon (03/06/25)
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