Top 204 Senior medical Jobs in Washington State

Senior Representative, Health Plan Provider Relations (Must Reside in WA)
Molina Healthcare —Washington State
- $83,252 - $111,967 a year
- Full-time
- Medical office experience
- Contracts
- Senior level
- Health insurance
7d
Healthcare Encounter Senior Analyst
CVS Health —Washington State
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
7d
Senior Program Officer, SmileMobile
Delta Dental of Washington —Seattle, WA
- $92,900 - $145,700 a year
- Hybrid work
- CPR Certification
- Writing skills
- HIPAA
- Dental insurance
- Tuition reimbursement
14d
Senior Perfusionist
Swedish Health Services —Seattle, WA
- $92.79 - $148.35 an hour
- Full-time
- Surgery
- 3 years
- Bachelor's degree
- Paid parental leave
- Paid holidays
Senior Director, West Coast Field Operations
Affordable Care, LLC —Washington State
- $165,000 - $185,000 a year
- Full-time
- Remote
- 5 years
- Master's degree
- Bachelor's degree
Quick Apply
Senior Writer, UW Medical Center - UW Medicine, Strategic Communications
University of Washington —Seattle, WA
- $92,004 - $102,816 a year
- Full-time
- Hybrid work
- 5 years
- Computer literacy
- University
Senior Medical Science Outcomes Liaison - Northern California
Akebia Therapeutics —Spokane, WA
- $174,680 - $215,781 a year
- Remote
- 5 years
- Office
- Project management
Senior Manager, Medical Economics
CVS Health —Olympia, WA
- $67,900 - $199,144 a year
- Full-time
- 5 years
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
6d
Quality Improvement Consultant /Sr. QI Consultant
Overlake Medical Center and Clinics —Bellevue, WA
- $85,509 - $174,533 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
- Tuition reimbursement
- Employee assistance program
Senior Medical Science Liaison, Rare Disease - PNW
Acadia Pharmaceuticals Inc. —Seattle, WA
- $181,300 - $226,600 a year
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Employee stock purchase plan
8d
Social Worker, Senior
University of Washington —Seattle, WA
- $43.41 - $67.93 an hour
- 8 hour shift
- Acute care
- Master of Social Work
- Inpatient
7d
Project Implementation Leader Senior – Healthcare Services (Remote: OR, WA, ID, UT, ND)
Motus Recruiting and Staffing —Seattle, WA
- $60.00 - $64.45 an hour
- Full-time
- Hybrid work
- 5 years
- Bachelor's degree
- Business Administration
- Health insurance
- Dental insurance
Quick Apply
11d
CNA Senior Living PT Weekends
Patriots Landing —DuPont, WA
- $18 - $26 an hour
- Part-time
- Vital signs
- English
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
8d
Senior Nutrition Assistant Director
Senior Services for South Sound —Olympia, WA
- $26 - $28 an hour
- 8 hour shift
- Background check
- CPR Certification
- ServSafe
- Paid holidays
- Health insurance
Quick Apply
Senior Medical Assistant - OPA MSO
SCA Health —Seattle, WA
- $26 - $29 an hour
- Full-time
- Spanish
- Vital signs
- HIPAA
- Disability insurance
- Health insurance
Senior Ultrasound Technologist Specialty SEIU - Ultrasound
Swedish Health Services —Renton, WA
- $60.96 - $93.37 an hour
- Part-time
- Hospital
- BLS Certification
- Mid-level
- Paid parental leave
- Paid holidays
Senior Ultrasound Technologist - 1.0 Days
Providence —Bothell, WA
- $55.82 - $90.66 an hour
- Full-time
- Hospital
- BLS Certification
- Mid-level
- Paid parental leave
- Paid holidays
Senior Ultrasound Technologist Specialty SEIU - Ultrasound
Swedish Health Services —Kirkland, WA
- $60.96 - $93.37 an hour
- Part-time
- Hospital
- BLS Certification
- Mid-level
- Paid parental leave
- Paid holidays
Immunology Senior Research Scientist - Flow Cytometry
Vertex Pharmaceuticals —Seattle, WA
- $124,200 - $186,400 a year
- Full-time
- Master's degree
- Analysis skills
- Bachelor's degree
- Loan repayment program
- Health insurance
Senior Radiology Technologist
Swedish Health Services —Seattle, WA
- $47.41 - $72.69 an hour
- Full-time
- Hospital
- BLS Certification
- Fair chance
- Paid parental leave
- Paid holidays

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senior medical jobs near washington state

Senior Representative, Health Plan Provider Relations (Must Reside in WA)

Molina Healthcare -
Washington State

Apply Now

Job Details

Full-time
$83,252 - $111,967 a year
7 days ago

Benefits

Health insurance

Qualifications

Customer training
Medicare
Managed care organization experience
Medical office experience
Educational talks
Schedule management
Corporate training teaching experience
Health insurance knowledge
Medicare regulations
Medicaid regulations
Medicaid
Productivity software
Cross-functional collaboration
Cross-functional communication
Staff development

Full Job Description

JOB DESCRIPTION Job Summary

Provides senior level support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between the business and contracted providers within the Molina network. Responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina policies and procedures.

Essential Job Duties

Successfully engages the plan's highest priority, high-volume and strategic complex community providers to ensure provider satisfaction, facilitate education on key Molina initiatives, and improve coordination and partnership between the health plan and contracted providers.
Serves as the primary point of contact between Molina health plan and the complex provider community that services Molina members, including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Collaborates directly with the plan’s external providers to educate, advocate and engage as valuable partners - ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service; effectively drives timely issue resolution, electronic medical record (EMR) connectivity, and provider portal adoption.
Resolves complex provider issues that may cross departmental lines and involve senior leadership.
Conducts regular provider site visits within assigned region/service area; determines daily or weekly schedule, to meet or exceed the plan's monthly site visit goals. Proactively engages with the provider and staff to determine; for example, non-compliance with Molina policies/procedures or Centers for Medicare and Medicaid Services (CMS) guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
Provides on-the-spot training and education as needed, including counseling providers diplomatically, while retaining a positive working relationship.
Independently troubleshoots provider problems as they arise, and takes initiative in preventing and resolving issues between the provider and the plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians (examples include: issues related to utilization management, pharmacy, quality of care, and correct coding).
Independently delivers training and presentations to assigned providers and their staff - answering questions that come up on behalf of the health plan; may also deliver training and presentations to larger groups, such as leaders and management of provider offices, including large multispecialty groups or health systems, executive level decision makers, association meetings, and joint operating committees (JOCs).
Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives; examples of such initiatives include: administrative cost-effectiveness, member satisfaction - Consumer Assessment of Healthcare Providers and Systems (CAHPS), regulatory-related, Molina quality programs, and taking advantage of electronic solutions (electronic data interchange (EDI), EMR, provider portal, provider website, etc.).
Serves as a subject matter expert for the provider relations function.
Provides training and support to new and existing provider relations team members.
Role requires 10% same-day or overnight travel (extent of same-day or overnight travel will depend on the specific health plan service area).

Required Qualifications

At least 3 years of customer service, provider services, or claims experience in a managed care or medical office setting, or equivalent combination of relevant education and experience.
Understanding of the health care delivery system, including government-sponsored health plans.
Understanding of various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service (FFS), capitation and various forms of risk, ASO, etc.
Experience delivering training and facilitating educational presentations.
Organizational skills and attention to detail.
Ability to manage multiple tasks and deadlines effectively.
Interpersonal skills, including ability to interface with providers and medical office staff.
Ability to work in a cross-functional highly matrixed organization.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Experience in provider services, operations, and/or contract negotiations in a Medicaid, Medicare, and/or Marketplace managed health care setting - ideally with different provider types (i.e. physician, group, hospital).

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $83,252 - $111,967 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

senior medical jobs in washington state

Senior Representative, Health Plan Provider Relations (Must Reside in WA)

Healthcare Encounter Senior Analyst

Senior Program Officer, SmileMobile

Senior Perfusionist

Senior Director, West Coast Field Operations

Senior Writer, UW Medical Center - UW Medicine, Strategic Communications

Senior Medical Science Outcomes Liaison - Northern California

Senior Manager, Medical Economics

Quality Improvement Consultant /Sr. QI Consultant

Senior Medical Science Liaison, Rare Disease - PNW

Social Worker, Senior

Project Implementation Leader Senior – Healthcare Services (Remote: OR, WA, ID, UT, ND)

CNA Senior Living PT Weekends

Senior Nutrition Assistant Director

Senior Medical Assistant - OPA MSO

Senior Ultrasound Technologist Specialty SEIU - Ultrasound

Senior Ultrasound Technologist - 1.0 Days

Senior Ultrasound Technologist Specialty SEIU - Ultrasound

Immunology Senior Research Scientist - Flow Cytometry

Senior Radiology Technologist

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