- Humana (Olympia, WA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Olympia, WA)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Senior Provider Contracting Professional work assignments involve moderately complex issues where the analysis of… more
- Whidbey General Hospital (Oak Harbor, WA)
- …exceeding clinic external review requirements to maintain operations and reimbursement including Medicare/ Medicaid requirements, JCAHO accreditation, Rural ... + Attends a minimum of 80% of monthly department provider meetings throughout the year. Actively participates in monthly...supporting department functions to meet set goals. + Checks hospital email account a minimum of three (3) times… more
- Regeneron Pharmaceuticals (Seattle, WA)
- **Field Reimbursement Manager (FRM), Ophthalmology - Seattle (PNW)** The Field Reimbursement Manager is a critical front-line member of the Regeneron ... will support physician offices throughout all facets of the reimbursement cycle and work to ensure the lines of...do what is right and seek to fully understand provider business drivers to help develop compliant approaches to… more
- Whidbey General Hospital (Oak Harbor, WA)
- …exceeding clinic external review requirements to maintain operations and reimbursement including Medicare/ Medicaid requirements, JCAHO accreditation, Rural ... skills, and independent decision-making skills. + Must demonstrate ability to provide oversight and support to advanced practice practitioner staff. + Must… more
- Humana (Olympia, WA)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- PeaceHealth (Longview, WA)
- …. An established practice, located inside the hospital has a collaborative group of three Gastroenterologists ... in a Craftsman house within walking distance of the hospital or five to ten minutes away in Columbia...retirement plans, health, dental vision, CME allotment, education loan reimbursement (to those qualified), and more. + We value… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …by the Hospital 's Medical Executive Committee (MEC), are satisfied * Provide feedback to attending and consulting physicians regarding patient status, length of ... our new Physician Advisor position. 1. The Physician Advisor serves the Hospital through collaborating with, advising, and teaching the Care Coordination Department;… more
- Molina Healthcare (Vancouver, WA)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Seattle Children's (Everett, WA)
- …and Standards for Pediatric Nursing Practice, and adheres to Seattle Children's Hospital policies/procedures and guidelines of care. Responsible for the safety of ... the mobile transport team and may be required to provide supervision and delegation to other Registered Nurses, Respiratory...from the start date within the position. Neonatal Resuscitation Provider (NRP). Those without NRP will be required to… more
- Seattle Children's (Seattle, WA)
- …and Standards for Respiratory Care Practice, and adheres to Seattle Children's Hospital policies/procedures and guidelines of care. Responsible for the safety of ... (3) months of start date. Pediatric Advanced Life Support (PALS). Neonatal Resuscitation Provider (NRP). Those without NRP will be required to obtain NRP during the… more
- Gentiva (Pullman, WA)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Oracle (Olympia, WA)
- …focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of ... opportunities to prevent future denials, and ensure maximum appropriate reimbursement . This role is critical for financial recovery and...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- Molina Healthcare (WA)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Tacoma, WA)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (WA)
- …(UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS ... from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions… more
- LifeCenter Northwest (Bellevue, WA)
- …with Association of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Works with the Training ... + Promotes development opportunities through identification of ODCs who can provide subject matter expertise and content delivery with training and onboarding.… more
- PeaceHealth (Sedro Woolley, WA)
- **Description** PeaceHealth is seeking a Hematology/Oncology physician who could provide per diem coverage based in beautiful Sedro-Woolley, Washington located ... with tail coverage. Potential for travel/accommodation stipend and license reimbursement . Please reach out to learn more: ###@peacehealth.org Keith Nussbaum,… more
- Seattle Children's (Seattle, WA)
- …No problem! If you have experience working with adult populations, we will provide training on working with pediatric patients and their families while leveraging ... nurse responds to all Code Blue events in the hospital . As an integral member of the Health Care...of the health care team. May be required to provide supervision and delegation of tasks to Nurse Technicians,… more
- Seattle Children's (Seattle, WA)
- …degree in histotechnology from an accredited college or approved hospital -based histotechnology program, or equivalent combination of education and experience. ... College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for Histology Technician performing moderate or high complex point… more