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Managed Care Jobs in Everett

1 - 15 of 27
Search jobs in
1 - 15 of 27
Search Results - Managed Care Jobs in Everett
Prisma Health-Everett-
Overview In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
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Dane Street, LLC-Everett-
and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs...
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UnitedHealth Group-Everett-
Share insights on product design/marketing and collect staff input  •  Fulfill duties to meet department and company goals  •  Maintain knowledge of Medicare regulations, managed care landscape, and legislative context Key requirements  •  Health, Life...
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Abbott-Everett-
Overview As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
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Cooper University Health Care-Everett-
in hospital Revenue Cycle Billing operations with financial/analysis experience; 3–5 years preferred  •  Proficiency with Microsoft Office, Data Warehouse, Tableau, EPIC Healthcare HER  •  Strong knowledge of Managed Care Plans and ability to audit payor contracts...
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UnitedHealth Group-Everett-
field; OR CPQH/CHCQM certification  •  2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health  •  Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF  •  Solid organizational, time...
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SCAN Health Plan-Everett-
and corrective actions  •  Actively support SCAN’s vision and goals  •  Other duties as assigned Key requirements  •  Bachelor's Degree or equivalent experience  •  2+ years in managed care, healthcare, or case management  •  2+ years experience with seniors and remote...
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SCAN Health Plan-Everett-
experience (or 4+ years in Healthcare/Managed Care)  •  Experience with HEDIS and medical claims data preferred  •  Advanced MS Office proficiency; strong MS SQL querying skills  •  Snowflake experience preferred; SQL Server Reporting Services and Integration...
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Merck Sharp & Dohme (MSD)-Everett-
and sustain senior-level relationships to support strategic engagement  •  Align account plans with payer and managed-care considerations for optimal access  •  Deliver regional business results and achieve P&L targets  •  Embed a customer-centric vision across...
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UnitedHealth Group-Everett-
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
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Pennant Group-Everett-
Responsibilities  •  Oversee full-cycle accounts receivable for assigned communities  •  Audit AR functions for accuracy and compliance  •  Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities  •  Prepare AR, Medicaid, and managed care...
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CSpring-Everett-
of experience with Medicaid or public-sector healthcare programs  •  3+ years of experience writing SQL to analyze data in relational databases or data warehouses  •  Understanding of Fee for Service and managed care claim adjudication  •  Basic understanding of CMS...
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Jazz Pharmaceuticals-Everett-
and educational grant processes  •  Provide medical input for promotional material reviews and ensure accuracy of medical presentations  •  Respond to inquiries from healthcare professionals and managed care organizations with clinical and scientific supporting...
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UnitedHealth Group-Everett-
improvement  •  Translate data into business cases and implementation plans for revenue cycle improvements  •  Collaborate with Patient Access, Financial Counseling, Revenue Integrity, Managed Care, and others to streamline reimbursement  •  Facilitate cross...
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UnitedHealth Group-Everett-
in annual sales for employer clients  •  Experience selling to national employer clients and managing deep client relationships  •  Solid knowledge of claims, marketing, and managed care systems (TPAs, HMOs, ACOs, PPOs, etc.)  •  Proficiency in Microsoft Office...
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