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Contract Specialist
4 days ago
Frontier Door + Cabinet Tacoma, United StatesJob Description · Job DescriptionPOSITION SUMMARY · Join Frontier Door and Cabinet as a Contracts Specialist, where you'll play a critical role in managing contracts for construction projects. Your expertise in reviewing, redlining, and adjusting contracts, combined with your kee ...
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contracts specialist 2
4 days ago
State of Washington Lakewood, United StatesCONTRACTS SPECIALIST 2 Camp Murray, WA - Under the supervision of the Contracts and Procurement Administrator, this position is an Assistant Contracts Administrator for Public Works and Environmental Program contracts, responsible for developing, rev Contracts Specialist, Contrac ...
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contracts specialist 2
3 hours ago
State of Washington Lakewood, United StatesCONTRACTS SPECIALIST 2 · Camp Murray, WA · Under the supervision of the Contracts and Procurement Administrator, this position is an Assistant Contracts Administrator for Public Works and Environmental Program contracts, responsible for developing, reviewing and processing comple ...
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Contracts Specialist
1 week ago
Tesla Laboratories, Inc. Olympia, United StatesDuties:Conducts acquisition planning and market research. Together with project team and Small Business · Specialist, determines contract type, and area of solicitation. Considers all possible set-asides inconjunction with local socioeconomic and small business goals. Prepares o ...
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Contracts Specialist
1 week ago
Epic Games Bellevue, United StatesWHAT MAKES US EPIC? · At the core of Epic's success are talented, passionate people. Epic prides itself on creating a collaborative, welcoming, and creative environment. Whether it's building award-winning games or crafting engine technology that enables others to make visually ...
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Contracts Specialist
1 week ago
Borderless Capital Bellevue, United StatesWork with the brightest talent in Web3 across a wide array of industries · At the core of Epic's success are talented, passionate people. Epic prides itself on creating a collaborative, welcoming, and creative environment. Whether it's building award-winning games or crafting eng ...
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contract specialist
1 week ago
Department of the Navy/Assistant for Administration Washington Navy Yard, United StatesSummary You will serve as a CONTRACT SPECIALIST (SPECIAL BUSINESS) in the OFFICE OF SMALL BUSINESS PROGRAMS. Responsibilities You will assist and make recommendations in planning, developing, and managing the overall Small Business program. You will implement new programs and ini ...
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contract specialist
2 weeks ago
Naval Sea Systems Command Washington Navy Yard, United StatesSummary You will serve as a CONTRACT SPECIALIST in the Surface Systems Contracts Division, Contracts Directorate of NAVSEA HQ FIELD SUPPORT. Responsibilities You will be responsible for the procurement of supplies, services, construction, research and development, and major syste ...
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Contracts Specialist
5 days ago
Borderless Capital Bellevue, United StatesWork with the brightest talent in Web3 across a wide array of industriesAt the core of Epics success are talented, passionate people. Epic prides itself on creating a collaborative, welcoming, and creative environment. Whether its building award-winning games or crafting engine t ...
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contract specialist
1 week ago
Naval Sea Systems Command Washington Navy Yard, United StatesSummary You will serve as a CONTRACT SPECIALIST in the Business Directorate of NAVSEA HQ FIELD SUPPORT. Responsibilities You will represent the Government in terminations for convenience or default and in claims and settlements. You will conduct or participate in negotiations on ...
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Contract Specialist
1 week ago
CareFirst BlueCross BlueShield Seattle, United StatesSupports Benefit Contract Management (BCM) by assisting or performing accountabilities/tasks that include but are not limited to: revising/updating contract forms and templates; reviewing contract forms, templates and related marketing materials; preparing electronic filings via ...
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Contracts Specialist
1 week ago
Administrative Office of the Courts, WA Olympia, United StatesSalary : · $74, $98,040.00 Annually · Location : · Olympia, WA · Job Type: · .REGULAR: Full-Time · Remote Employment: · Flexible/Hybrid · Job Number: · Division: · Management Services Division · Department: · Contracts, Procurements & Data Dissemination (M2) · Openin ...
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contract specialist
5 days ago
Knewin Bremerton, United StatesThis is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the 'How to Apply' section of this flyer to be considered. There may or may not be act ...
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Contracts Specialist
1 week ago
Administrative Office Of The Courts Wa Olympia, United StatesSalary : $74, $98,040.00 AnnuallyLocation : Olympia, WAJob Type: .REGULAR: Full-TimeRemote Employment: Flexible/HybridJob Number: Division: Management Services DivisionDepartment: Contracts, Procurements & Data Dissemination (M2)Opening Date: 04/18/2024Closing Date: 4/29/2024 11: ...
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contract specialist
1 day ago
Strategic Systems Programs (Ssp) Washington Navy Yard, United States Full timeYou will serve as a Contract Specialist responsible for procurement requirements generated by the SSP Technical Branches. · You will have direct responsibility for the planning, negotiation, and award of the contracts, many of which are high-dollar, complex procurements. · You wi ...
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contract specialist
1 week ago
Knewin Bremerton, United StatesThis is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may not be act ...
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Phoenix Industries Pierce, United States"We are looking for motivated employees for over 500 different professions, all across Germany. Whether you are an experienced professional or just starting your career, we offer numerous entry and training opportunities. · At the earliest possible date, we are looking for you to ...
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contract specialist
4 days ago
Department Of The Navy Bremerton, United States Full timeSummary · This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply" section of this flyer to be considered. There may or may ...
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contract specialist
1 day ago
Strategic Systems Programs (Ssp) Washington Navy Yard, United States Full timeYou will provide direct oversight, facilitation, maintenance, and management of all e-business and acquisition related systems utilized by the agency, · You will serve as the lead in meetings and working groups at the SSP, DoN, and DoD level representing SPN's interests as an adv ...
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Contracts Administrator Specialist
6 days ago
JobsRUs Kent, United StatesJob Description · Job is seeking to hire a Contracts Administrator Specialist for our client in Kent WA · Benefits Available · Weekly Pay · $90.00/Hour · Description: · 5+ years' experience with contract negotiations, contract amendments, NDA review, draft and support of negot ...
Specialist-Contract - Tacoma, WA, United States - Cambia Health Solutions, Inc
Description
Remote within WA, ID, OR, and UTResponsible for all activities associated with requests for Provider Billing Disputes and Appeals. Includes analysis, preparation, evaluation of prior determinations, coordination of clinical review if needed, decision making, notification, and completion.
Follows guidelines outlined by subscriber or provider contracts, company documents, government mandates, other appeals regulatory requirements and internal policies and procedures.
Provides information and assistance to members, providers, other insurance companies, and attorneys or others regarding benefits and claims.Appeals Specialist I would have a high school diploma or GED and a minimum 4 years' experience in Regence Customer Service, Claims, or Clinical Services or equivalent combination of education and work experience.
Responsible for all activities associated with appeal analysis, decision-making and closure as described below:Appeal Intake - Validate intake determinations regarding timeliness, member benefits, employer group, and provider contract provisions for each appeal.
Document information in appropriate system.Appeal Analysis - Review claim coding and claim processing history, medical policy and reimbursement policies, regulatory and legal requirements, benefit contracts, and/or provider contracts.
Document information in appropriate system. Collaborate effectively with coding specialists, appeal nurses, physician reviewers, and others as necessary to reach timely decisions on appeals.Present complex cases to appeal panels, document decisions, communicate determinations to members, providers or their representatives. Document information in appropriate system(s).
External review process - Oversee set-up of appeals for external review organizations, including document collection and coordination, communication with all parties, and other responsibilities as an intermediary between the provider and the external review organization.
Ensure external review information is documented in appropriate system. Interpersonal and Communication - Provide information, education and assistance to members, providers, and their representatives. Systems and data - Track appeals in appropriate systems and assist in the maintenance of files.Assist with compilation of reports on appeals, including trends, number of cases, decisions, suggestions for process improvement, types of appeals, and compliance with timelines.
Support, apply and promote Provider or Member Appeal Policies & Procedures.Adhere to dependability, customer focus, and all performance criteria as established by the department including: timeliness, production, and quality standards for all work.
Manage a defined caseload within department productivity and quality expectations and provide back up for other appeals staff.May perform as expert witness during any level of appeal, regarding policies, procedures and member or provider appeal rights.
Meet timeliness standards as set forth through department policies and procedures, subscriber summary plan descriptions, performance guarantees, and regulations.
Intermediate computer skills (e.g. Microsoft Word, Excel, Outlook) and experience with Regence systems.Knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs).
Knowledge of Regence claims processing and clinical services operations.
Ability to present complex medical and reimbursement information to others and to be diplomatic and persuasive regarding health plan benefits, claims and eligibility.
Ability to effectively prioritize work to meet strict timelines while maintaining quality and consumer centric focus.Travel may be required, locally or out of state.
May be required to work overtime.
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