- Healthfirst (WA)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Molina Healthcare (WA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Molina Healthcare (Seattle, WA)
- …conversion of new and existing health plans. + Must have experience in system configuration . + Monitor claims , create , generate and analyze reports using Excel ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (Vancouver, WA)
- …organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses ... in defect resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure… more
- HealthEdge Software Inc (Olympia, WA)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits… more