- University of Washington (Seattle, WA)
- …+ Proven track record of holding payers accountable for timely and compliant payment for services including successful escalation of payer issues toregulatory or ... Services - Enterprise Revenue Cycle** has an outstanding opportunity for a ** Director ** **WORK SCHEDULE** + 100%FTE + Day Shift **POSITION HIGHLIGHTS** + Directly… more
- CVS Health (Olympia, WA)
- …analytics - working on topics like member experience, digital, claims analytics, payment integrity , condition and clinical analytics, provider performance, risk ... analytics and pharmacy claims + A first principles mindset to drive and lead analytics engagements + Strong understanding and hands on experience with analytic and reporting tools in a big data or cloud environment + Strong knowledge of data and business… more
- Whidbey General Hospital (Coupeville, WA)
- …concurrent inpatient medical necessity reviews daily, unless otherwise specified by payer . Completes Observation medical necessity reviews at a minimum of every ... identification of Avoidable Days and communicates information to executive director of nursing as well as other leadership, as...the end of shift. Maintains a working knowledge of payer contracts and regulatory requirements and UM specific changes… more
- University of Washington (Seattle, WA)
- …UW School of Medicine. The employee will establish and maintain efficient payer and provider relations and liaise between payers, clinics and academic departments ... Health Practitioner Credentialing Committee at each facility. In conjunction with Director of Contracting, develop standards for new provider types as necessary… more