Customer 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.
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.
Sr. Supervisor, Customer Success - Pharmacy Team - Verity 340B Solutions - Remote The Cigna GroupSr. Supervisor, Customer Success - Pharmacy Team - Verity 340B Solutions - RemoteWashington, WARemote$88,700–$147,900 / 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 guide customer relationship strategy, develop team capability, and use data-driven insights to help customers strengthen program performance, maximize savings, and achieve long-term success.
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.
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.
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.
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.
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.
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.