NewCustomer Service Associate Representative - Cigna Healthcare - Remote The Cigna GroupCustomer Service Associate Representative - Cigna Healthcare - RemoteWARemote$17.75–$19 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
UM BH Registered Nurse HumanaUM BH Registered NurseOlympia, WARemoteUse your skills to make an impact** **Required Qualifications:** + **You must be a transitioning service member eligible to participate in the DOW SkillBridge or a military spouse eligible to participate in the military spouse fellowship** · + Active Registered Nurse, RN, in the state of Kentucky or an enhanced Compact, (eNLC) license without restrictions or disciplinary action.· + **Minimum two, (2) years of clinical behavioral health experience.** + Proficiency in healthcare software and electronic medical records (EMR) systems. **Workstyle:** Remote Work at Home **Location:** Must reside in a state that participates in the enhanced compact license, (eNLC) **Work Schedule:** Weekdays 8:00 AM to 4:30 PM Central Time **Travel:** None **Additional Information** **Work At Home Requirements** + WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office.
NewSenior Creative Strategist HumanaSenior Creative StrategistOlympia, WARemote$86,300–$118,700 / yearWork at Home Requirements 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 part of the Account team within Marketing's Creative and Content organization, the Senior Creative Strategist plays a pivotal role in advancing enterprise creative excellence and driving business value through integrated marketing campaigns.
Medical Director - Inpatient Review HumanaMedical Director - Inpatient ReviewOlympia, WARemote$223,800–$313,100 / yearWork at Home Internet Statement** + 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 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.
IT Customer Support - Senior/Specialist - Supervisor State of WashingtonIT Customer Support - Senior/Specialist - SupervisorOlympia, WARemote$84,120–$113,148 / yearAs 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.
Customer Success Manager, Pharmacy Team - Verity 340B Solutions - Remote The Cigna GroupCustomer Success Manager, Pharmacy Team - Verity 340B Solutions - RemoteWARemote$64,100–$106,900 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. In this role, you will combine data-driven insights, operational expertise, and consultative relationship management to help clients maximize savings, maintain compliance, and achieve long-term success.
Medical Coding Auditor HumanaMedical Coding AuditorOlympia, WARemote$59,300–$80,900 / yearRequired Qualifications - What it takes to Succeed** + CPC, COC, CCS, ROCC, RHIA, or RHIT Certification with a minimum of 3 years post-certification experience + Minimum of 3 years post certification experience Outpatient Specialty Surgeries and Procedures + Strong knowledge of CPT/HCPCS coding + Experience reading & coding from operative reports + Chemotherapy and/or Therapeutic Infusion experience + Demonstrated ability to exercise solid judgment and discretion in handling and disseminating information + Strong attention to detail, can work independently and determine appropriate course of action, & ability to handle multiple priorities + Comfortable working in a production-based work environment + Ability to work independently and manage workload + Strong written and verbal communication skills; strong analytical, organizational and time management skills + Working knowledge of Microsoft Office Programs (Word, Excel) **Preferred Qualifications** + 5+ years prior coding experience + Outpatient facility auditing experience + Experience with coding/auditing Radiology, Gastroenterology, Urinary, Musculoskeletal, Integumentary, Anesthesia, General Surgery, Cardiology, Respiratory, Infusion, Interventional Radiology, Outpatient Itemized Bill reviews + Ambulatory Payment Classification (APC) coding experience + Radiation Oncology coding experience + Experience in prospective payment methodologies + Experience with the Claims Life Cycle including Accounts Receivable + 3M Coder software experience **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. As a Medical Coding Auditor for the Outpatient Facility/APC Coding Team you will: + Verify and ensure the accuracy, completeness, specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding guidelines specific to Ambulatory Payment Classification (APC) and Outpatient Facility coding + Utilize encoders and various coding resources + Perform CPT/HCPCS Procedure reviews + Conduct peer reviews to ensure compliance with coding guidelines and provide reports as needed + Maintain strict patient and physician confidentiality and follow all federal, state and hospital guidelines for release of information + Maintain current working knowledge of ICD-10 and CPT coding guidelines, government regulation and protocols + Complete appropriate system(s) entry regarding claim/encounter information + Support and participate in process and quality improvement initiatives **Use your skills to make an impact** **WORK STYLE:** Remote, work at home.
Associate Actuary, Analytics and Forecasting HumanaAssociate Actuary, Analytics and ForecastingOlympia, WARemote$106,900–$147,000 / yearUse your skills to make an impact** **Required Qualifications** + Bachelor's Degree + Associate of Society of Actuaries (ASA) designation or Fellow of the Society of Actuaries (FSA) designation + Member of the American Academy of Actuaries (MAAA) + Demonstrated ability to articulate ideas effectively in both written and oral forms + Strong technology skills **Preferred Qualifications** + Demonstrated ability to design, build, and continuously improve complex models + Demonstrated self-starter and problem solver + Proficient with SAS/SQL + Experience with Databricks or Power BI + Experience developing and applying predictive models **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.
Senior Data Management Professional HumanaSenior Data Management ProfessionalOlympia, WARemote$78,400–$107,800 / yearMinimum 5 years of experience using Python to analyze complex datasets, resolve common data quality issues, and deliver actionable insights, with a strong focus on advanced analytics and process optimization + Experience in the healthcare industry + Experience working independently while managing multiple priorities and deadlines that require exceptional attention to detail. **Work at Home Requirements** 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.
IT Customer Support - Entry State of WashingtonIT Customer Support - EntryOlympia, WARemote$64,248–$86,436 / yearAs 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.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseWARemote$71,100–$97,800 / yearWork-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. 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.
ACCOUNT SERVICE MANAGER The Hartz Mountain CorporationACCOUNT SERVICE MANAGEROlympia, WARemote$80,000–$85,000 / yearEducation and Experience:** Bachelor's Degree in Business, Marketing, or a related field with 2+ years of e-commerce and category management sales support in a Consumer-Packaged Goods (CPG) environment (or 4+ years related experience in lieu of degree); pet care industry a plus + **Sales and Presentation Skills:** Experience with category management & analysis, fact-based selling techniques (point of sale and syndicated data analysis), with the capacity to create, refine, and present this information compellingly from the ground up + **Data Analysis Skills:** Familiarity with syndicated data platforms (Nielsen, Power BI, Circana preferred) + **Technical Proficiency:** Proficiency with Microsoft Office Suite programs + **Business Travel:** Willingness and ability to travel (4-6 times a year) **If you thrive in a dynamic environment and enjoy supporting and enhancing business operations, this role is perfect for you.** **Join us and play a valuable role in our continued success!** + Translate complex data sets from Circana and internal customer POS portals into actionable insights to monitor promotional effectiveness and inventory health across the account portfolio + Help secure distribution, pricing, promotion, shelf positioning, and margin objectives by item/category within direct territory accounts, ensuring alignment with published brand strategies.
Inpatient Medical Coding Auditor HumanaInpatient Medical Coding AuditorOlympia, WARemote$71,100–$97,800 / yearRequired Qualifications** + RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years) + MS-DRG coding/auditing experience + 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings + Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel + Can work independently and determine appropriate course of action + Excellent communication skills both written and verbal **Preferred Qualifications** + Associate's Degree or higher in Health Information Management (HIM) + Experience in APR DRG coding/auditing + Experience in Financial Recovery + Experience in a fast paced, metric driven operational setting **Additional Information** **Work-At-Home Requirements** + 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 required; wireless, wired cable or DSL connection is suggested. + Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) + Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner.
Business Analytics Senior Analyst - Express Scripts - Remote The Cigna GroupBusiness Analytics Senior Analyst - Express Scripts - RemoteWARemote$68,000–$113,400 / yearSolid analytical, organizational, problem solving, critical thinking and decision-making skills; demonstrated experience to identify and quantify existing and future problems and provide effective solutions, with the ability to collect, organize, analyze, and disseminate significant amounts of information with high attention to detail, accuracy, and ability to meet deadlines. Summary: Responsible for promoting 340B program success across Covered Entity, pharmacy, and gateway programs by providing a wide variety of routine and ad hoc analysis, focusing on maximizing performance through feature leverage, problem investigation, business rationale support, and data management.
Administrative Regulations Analyst 3 (Cannabis Compliance Consultant) State of WashingtonAdministrative Regulations Analyst 3 (Cannabis Compliance Consultant)Federal Way, WARemote$62,880–$84,528 / yearAs 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 and Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network. RCW 69.50.351, no member of the board and no employee of the 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.
Communications Consultant 5 State of WashingtonCommunications Consultant 5Olympia, WARemote$74,748–$100,488 / yearAs 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.
Inpatient Telepharmacist - Part-Time - Remote (WA/OR Pharmacist License) The Cigna GroupInpatient Telepharmacist - Part-Time - Remote (WA/OR Pharmacist License)WARemote$54–$91 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Administrative Regulations Analyst 4 (Cannabis Supervisor) State of WashingtonAdministrative Regulations Analyst 4 (Cannabis Supervisor)WARemote$71,472–$96,144 / yearAs 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.
Client Solution Advisor - Treasury Management Commercial Card Services The PNC Financial Services Group IncClient Solution Advisor - Treasury Management Commercial Card ServicesWARemote$52,500–$87,500 / yearWithin PNC''s Commercial Card Services department in Treasury Management, you will enjoy a high-level of customer contact with a dedicated portfolio of commercial card clients via email and phone filled with both routine and unexpected challenges in a remote environment. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
IT System Administration - Entry State of WashingtonIT System Administration - EntryOlympia, WARemote$74,268–$99,924 / yearPerformance Leadership: Focuses on the result of the work performed and the outcome of our total effort on those we serve; Anticipates problems; develops contingency plan; Leads from the front - is visible; Builds collaborative relationships with customers and employees; Effectively sets priorities; Tends to today's operations while investing and planning for the future; Develops and maintains a knowledge base, including a deep understanding of WSLCB programs, authorities, and resources; Treats the people and the program as special resources that must be safeguarded and nurtured. Research Skills: gather information: Can create data gathering processes; can propose/formulate new processes; able to design new organizational systems; can validate appropriateness of data/information; can logically defend outcomes/results; can analyze and evaluate the accuracy of data; can integrate multiple items of data; contrasts conflicting data; can identify and organize documents and information in ways that make it useful for subsequent applications.
IT Policy & Planning - Journey State of WashingtonIT Policy & Planning - JourneyOlympia, WARemote$70,692–$95,112 / yearAs 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.
IT Application Developer Senior/Specialist State of WashingtonIT Application Developer Senior/SpecialistOlympia, WARemote$97,356–$130,992 / yearAs 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.
NewSenior Compliance Professional HumanaSenior Compliance ProfessionalOlympia, WARemote$86,300–$118,700 / yearTo 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. While working within assigned areas to optimize business results, the Senior Compliance Professional will: Oversee pharmacy compliance for the Centers for Medicare & Medicaid Services (CMS) Program Audit focused areas, including but not limited to Formulary Administration, Coverage Determination, and Organization Determination (Part B drugs) functions.