Work From Home Jobs in Olympia, WA
FocusGroupPanel
Lacey, WA
The hiring company conducting the research will rely heavily on employee / contractor participation and feedback in order to make critical business decisions in areas including but not limited to marketing and product development. We expect you to show up on time, listen to and follow instructions carefully and complete each assignment taken.
FocusGroupPanel
Lakewood, WA
The hiring company conducting the research will rely heavily on employee / contractor participation and feedback in order to make critical business decisions in areas including but not limited to marketing and product development. We expect you to show up on time, listen to and follow instructions carefully and complete each assignment taken.
AO Globe Life - Simonne LeBlanc
Tacoma, WA
We’re one of the fastest-growing teams in our industry, dedicated to helping families and developing future leaders. If you’re looking for a remote role that offers uncapped earning potential, flexible hours, and long-term career growth, this could be the right fit for you.
MultiCare Health System
Tacoma, WA
The Coordinator verifies home health appropriateness; processes referrals and prior authorizations; completes pre-registration as required by patient type and anticipated service; submits and monitors pre-authorizations; creates price estimates; communicates Advance Beneficiary Notice (ABN) issues to referring providers, and works with referring providers to resolve pre-service authorization denials. The Intake Coordinator is the functional expert responsible for appropriately receiving and coordinating Home Health referrals from physicians, hospitals, facilities and other community referral sources.
CVS Health
$66575 - $142576
Olympia, WA
Required Qualifications:** -Must have an active and unrestricted RN license in state of residence, preferably compact -RN living in MST, or PST Time Zone -Willingness and ability to obtain additional state licenses upon hire (paid for by the company) -3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning) **Preferred Qualifications:** -Compact RN licensure -1+ years of case management experience -Certified Case Manager (CCM) certification -Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues. -Transgender certification **Education:** -Associates in nursing -BSN **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
CVS Health
$66575 - $142576
Olympia, WA
Required Qualifications:** -Must have an active and unrestricted RN license in state of residence, preferably compact -RN living in MST, or PST Time Zone -Willingness and ability to obtain additional state licenses upon hire (paid for by the company) -3+ years of acute care clinical experience as an RN (general medical, post-surgical, specialty including pediatrics, ICU, case management and discharge planning) **Preferred Qualifications:** -Compact RN licensure -1+ years of case management experience -Certified Case Manager (CCM) certification -Strong customer service skills including attention to customers, sensitivity to certain issues and proactive identification/resolution of issues. -Transgender certification **Education:** -Associates in nursing -BSN **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
American Logistics Authority
$1800 - $3500
Tacoma, WA
You'll play a key role in helping freight move efficiently across the country while building valuable experience in one of the fastest-growing fields in logistics. As a Remote Logistics Coordinator, you'll assist with scheduling, communication, and freight coordination between drivers and clients — all from home.
American Logistics Authority
$800 - $2500
Tacoma, WA
Work From Home Truck Driver Recruiter – Earn $800–$2,000+/Week – Leads & Ad Support Provided. Start earning $800–$2,000+/week while working from home with leads and ad support already in place.
Cambia Health Solutions
Tacoma, WA
Overseas and coordinates team activities to achieve business objectives and ensure the timely processing of member and provider claims and are in alignment with contract provisions, proper coding, policy or regulatory compliance across multiple lines of business, all in service of creating a person-focused health care experience. Develops and maintains desk reference guides on work procedures, ensures new hires complete necessary training, and assesses training needs while playing an active role in staff development.
Washington State Liquor and Cannabis Board
$70692 - $95112
Olympia, WA
As a WSLCB team member, you will have opportunity to join statewide business resource groups (BRGs) such as, Rainbow Alliance and Inclusion Network; Veteran Employee Resource Group; Latino Leadership Network, Blacks United in Leadership and Diversity; Disability Inclusion Network; Washington Immigrant Network; Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network; Supporting our Voices, Empowering Rights, and Engaging Indigenous Governance; and Interagency Committee of State Employed Women. RCW 69.50.351, no member of the state liquor and cannabis board and no employee of the state liquor and cannabis board shall have any interest, directly or indirectly, in the producing, processing, or sale of cannabis, useable cannabis, or cannabis-infused products, or derive any profit or remuneration from the sale of cannabis, useable cannabis, or cannabis-infused products other than the salary or wages payable to him or her in respect of his or her office or position, and shall receive no gratuity from any person in connection with the business.
DaVita
Federal Way, WA
Perform outbound calls to patients, caregivers, and clinics for CHE scheduling, reminders, and rescheduling; schedule telehealth CHEs for patients unable to attend in person. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
DaVita
Federal Way, WA
Perform outbound calls to patients, caregivers, and clinics for CHE scheduling, reminders, and rescheduling; schedule telehealth CHEs for patients unable to attend in person. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
DaVita
Federal Way, WA
Perform outbound calls to patients, caregivers, and clinics for CHE scheduling, reminders, and rescheduling; schedule telehealth CHEs for patients unable to attend in person. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
DaVita
Federal Way, WA
Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.
DaVita
Federal Way, WA
Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.
Cambia Health Solutions
$136000 - $184000
Tacoma, WA
In addition to the registered pharmacist license, successful completion of a pharmacy residency, or advanced degree in health-related field preferred with four years of experience in a clinical ambulatory care/hospital setting, or equivalent experience and at least three years' experience with pharmacy sales, business development or pharmacy benefit management or an equivalent combination of education and experience. Assists the Pharmacy Sales and Account Management Team in planning, developing, and implementing clinical strategies for Pharmacy clients with respect to formulary management, drug utilization management, medication therapy management programs, quality initiatives and drug information and education - all in service of making our members' health journeys easier.
Cambia Health Solutions
Tumwater, WA
As a member of the Stop Loss team, this position adjudicates all stop loss claims by developing policies and procedures to ensure consistent claim practices and adherence to policy and contract terms, appropriate laws and regulations - all in service of creating a person-focused health care experience. The expected hiring range for a Stop Loss Claims Analyst is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.
Washington State Liquor and Cannabis Board
$97356 - $130992
Olympia, WA
As a WSLCB team member, you will have opportunity to join statewide business resource groups (BRGs) such as, Rainbow Alliance and Inclusion Network; Veteran Employee Resource Group; Latino Leadership Network, Blacks United in Leadership and Diversity; Disability Inclusion Network;Washington Immigrant Network; Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network; Supporting our Voices, Empowering Rights, and Engaging Indigenous Governance; and Interagency Committee of State Employed Women. RCW 69.50.351, no member of the state liquor and cannabis board and no employee of the state liquor and cannabis board shall have any interest, directly or indirectly, in the producing, processing, or sale of cannabis, useable cannabis, or cannabis-infused products, or derive any profit or remuneration from the sale of cannabis, useable cannabis, or cannabis-infused products other than the salary or wages payable to him or her in respect of his or her office or position, and shall receive no gratuity from any person in connection with the business.
Cambia Health Solutions
$20.5 - $30.8
Tacoma, WA
To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.\n \nApply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjAxNzMwLjg3NjlAY2FtYmlhaGVhbHRoY29tcC5hcGxpdHJhay5jb20
Stride, Inc.
Olympia, WA
The mission of Insight School of Washington (ISWA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. * Understands that a primary responsibility is to establish and maintain positive rapport with families and regularly communicates with and responds to students and learning coaches/parents in a timely manner.
Stride, Inc.
Olympia, WA
The mission of Insight School of Washington (ISWA) is to provide an exemplary individualized and engaging educational experience for students by incorporating school and community/family partnerships coupled with a rigorous curriculum along with a data-driven and student-centered instructional model. * Understands that a primary responsibility is to establish and maintain positive rapport with families and regularly communicates with and responds to students and learning coaches/parents in a timely manner.
Humana
$71100 - $97800
Olympia, WA
As a Utilization Management RN working on the OneHome/Home Solutions UM Team, you will have the opportunity to use your clinical knowledge, communication skills, and independent critical thinking skills to ensure value-based care for members who desire to heal at home. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
CenterWell
$86300 - $118700
Olympia, WA
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
CenterWell
$115200 - $158400
Olympia, WA
Key Interfaces** - Branch Operational Staff and Leaders - Clinical Operations Leadership (Nursing, Therapy, QA) - Intake and Scheduling Teams - Revenue Cycle Leadership - Billing, Denials, and Appeals Teams - Compliance, Legal, and Audit - IT / Applications (Homecare Homebase) - External Payers and Vendor Partners **Use your skills to make an impact** **Requirements** **Education:** - Bachelor's degree in Healthcare Administration, Business, Nursing, or related field required. **Preferred Certifications:** - Certified Healthcare Access Manager (CHAM) - Certified Revenue Cycle Professional (CRCP) - Nursing license (RN or LPN/LVN) **Additional Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
CenterWell
$94900 - $130500
Olympia, WA
Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance indicators, and people management/development.
Humana
$40000 - $52300
Olympia, WA
Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
CenterWell
$39000 - $49400
Olympia, WA
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Sharecare
Olympia, WA
Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. **_***Candidates must be bilingual, with fluency in both English and Spanish._** **Job Summary:** The Customer Service Representative (CSR) answers inbound calls from members and providers, inputs data, and provides a high level of customer service always extending courtesy and professionalism.
Humana
$71100 - $97800
Olympia, WA
The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Sedgwick
$85000 - $100000
Olympia, WA
Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations.
Cross Borders with Alex
Tacoma, WA
In this 100% work-from-home role, you will assist clients with travel-related questions, provide trip support, and ensure a smooth, stress-free experience from start to finish. This position is ideal for someone who enjoys helping people, is highly organized, and is excited about working remotely in the travel industry.
CenterWell
$71100 - $97800
Olympia, WA
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
CenterWell
$71100 - $97800
Olympia, WA
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
Humana
$40000 - $52300
Olympia, WA
You will request clinical information from providers/facilities + You will create written correspondence + You will create and distribute determination letters + And you will collaborate with multiple roles/departments/providers/team members **Use your skills to make an impact** **Required Qualifications:** + 1+ years' experience working in an administrative support capacity + Prior professional experience of Microsoft Word, Outlook and Excel with the ability to type and enter data + Ability to new systems (proficient to advanced) **Preferred Qualifications:** + Experience with Utilization Review or Prior Authorization within a managed care organization + Proficient using electronic medical record and documentation programs + Experience with medical terminology or ICD-10 codes + Prior member service or customer service telephone experience + Experience with SNF or Home Health + Prior experience with CGX, SRO and HCHB + Prior experience in a metric driven environment + Prior experience in the healthcare industry **Additional Information** **Work-at-Home Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + You will manage NLP's for chart reviews for the nursing team + You will build and pend authorizations for review + You will perform inbound and outbound calls to engage providers and members to verify clinical information/discharge date and admission status throughout the day and will document completed calls and attach clinical information received.
Humana
$78400 - $107800
Olympia, WA
The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.
Humana
$106900 - $147000
Olympia, WA
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. The Senior Genesys Cloud Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Humana
$48300 - $65900
Olympia, WA
Preferred Qualifications** + Bachelor'sDegree + 5 or more years of experience as a Certified Medical Coder + CPMA certification + MS-DRG auditing or APR auditing experience + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + Experience in a production driven environment **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. **Required Qualifications** + Coding Certification required: AAPC CPC (no Apprentice) + Minimum of 3 years' experience as a Certified Medical Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to detail skills with the ability to manage multiple tasks in a fast-paced setting with competing priorities + Intermediate experience with Microsoft Word and Excel, Outlook, and Teams ?
Humana
$115200 - $158400
Olympia, WA
Remote Work at Home Guidance To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Our team employs a rigorous process to set specific business priorities, identifies the greatest sources of value, and leads a multi-disciplinary process to identify discrete opportunities for enhanced clinical outcomes, cost control, quality, and member experience.
Ryder System
Olympia, WA
Work with carrier partners to identify & resolve issues + Provide baseline analysis into client inquiries and work with Parcel Operations Managers to present findings to internal/external stakeholders + Perform weekly analysis of the small parcel business across the parcel network + Support Customer Service Managers on customer requests **Additional Responsibilities** + Performs other duties as assigned **Skills and Abilities** + Strong verbal and written communication skills, Required + Flexibility to operate and self-driven to excel in a fast-paced environment, Required + Detailed oriented with excellent follow-up practices, Required **Qualifications** + Bachelor's degree in business, Finance or related field, Required + 5 years or more in Pricing experience, Required + 2 years or more in Ryder experience, Preferred + 2 years or more in Operational Experience + Knowledge of Excel, DOMO, Required + 2 years or more Python Advanced, Preferred + Technical proficiency in Strategic Analyses Advanced, Required + Proficiency with computer applications and sophisticated PC spreadsheets Advanced, Required + Knowledge of Logistics Intermediate, Preferred **Travel:** 1-10% **DOT Regulated:** No **Job Category:** Financial Analysis **Compensation Information** : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. _ **Job Description** : **Summary** The Senior Strategic Analyst, Insights & Operations, is part of the team responsible for the daily support of Parcel Operations, business development, Ryder clients, finance team, and parcel operations with the analysis and review of pricing new business and analysis of and re-pricing existing business.
Humana
$59300 - $80900
Olympia, WA
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. The Care Manager, Telephonic Behavioral Health 2, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness by guiding members/care givers toward and facilitates interaction with resources appropriate for the care and wellbeing of members.
CenterWell
$117600 - $161700
Olympia, WA
To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions.
Humana
$150000 - $206300
Olympia, WA
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Director, Network Contracting and Support (Director, Contract Tools, Education, Processes) decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance.
Humana
$104000 - $143000
Olympia, WA
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Contract Tools, Education, Processes Lead (Provider Contract Templates Lead) exercises independent judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates.
CenterWell
$94900 - $130500
Olympia, WA
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.
Humana
$65000 - $88600
Olympia, WA
Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. The Payment Integrity Professional work assignments require in-depth research, cross departmental collaboration, independent determination of the appropriate course of action, and involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
Humana
$65000 - $88600
Olympia, WA
Required Qualifications** + At least 3 years of healthcare fraud investigations and/or auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS, Word, Excel, Access) + Strong personal and professional ethics + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + **STRONGLY PREFERRED:** Candidates who reside in Kentucky or bordering states are preferred. + Experience in a corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Cognizant
$19 - $20
Olympia, WA
Basic qualifications:** 1-2 years of Appeals and Grievance 1 Year of medical claims processing experience (Must be with a healthcare plan, not on behalf of provider or provider's office) 2 Years of medical health insurance (Must be with a managed healthcare plan, not on behalf of provider or provider's office), Medicaid/Medicare Insurance Customer Service with managed care plans or directly with CMS Billing and Coding-Medical Insurance Knowledge of Member/Provider Appeals and Grievances, processes, resolutions, compliance TAT Self-resolved troubleshooting ability for various IT issues Knowledge of QNXT Knowledge of PEGA Knowledge of SharePoint Sense of urgency with production and responsiveness to email and MS Teams Ability to create and fax written communication in a professional manner including spelling and grammar. Candidate will also have the desire to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible for the research and resolution of Medicaid provider appeals that will involve research of member benefits, eligibility, provider contracts, billing and coding, Utilization Management and state Medicaid policies.
Humana
$126300 - $173700
Olympia, WA
To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Product Manager will collaborate with cross-functional teams, including engineering, design, data science, strategy, and business stakeholders to drive product strategy, define product vision, and ensure successful delivery of innovative AI and GenAI platforms/solutions.
Humana
$129300 - $177800
Olympia, WA
Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree + FSA or ASA plus relevant advanced degree, recent and relevant work experience, and/or other relevant professional designations + MAAA + Strong technical skills + 7+ years of technical experience + Demonstrated ability to articulate ideas effectively in both written and oral forms + Experience in more than two functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) **Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan benefits + Experience with capitation rate development from either the state agency or payer perspective + Detailed understanding of healthcare claims + 2+ years of project leadership experience **Additional Information** This is a remote position. **Work At Home / Internet Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Humana
$138900 - $191000
Olympia, WA
Minimum of ten plus years of Pharmacy Experience with at least three years' experience in managed care and/or PBM operations + Ability to travel 10% of time + Successful track record in facilitating and consulting across teams and managing projects + Thrives in a fast paced, multi-project work environment while still ensuring attention to detail + Excellent communication skills, both oral and written + Proficiency in Microsoft Word, Excel, & PowerPoint + Expertise in working collaboratively and communicating with staff in different positions and all levels of management position **Preference to candidates who currently live in or in the vicinity of Richmond, VA.** **Preferred Qualifications** + Bachelor's degree (or higher) in public health, Business Administration or a related field + Board Certified Specialty Pharmacist + Experience with Microsoft Access & Microsoft Project + Experience with data analytics **Additional Information:** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. + Facilitates and consults across teams and managing projects working collaboratively and communicating with staff in different positions and all levels of management positions + Manages the Virginia health plan relationship with our internal PBM, Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Virginia Department of Medical Assistance Services (DMAS) + Develops, executes and manages National Medicaid Pharmacy programs as needed.