Health Underwriter, Sr. jobs in Yakima, WA

Health Underwriter, Sr. reviews applications for coverage, gathers data and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Being a Health Underwriter, Sr. performs group and/or individual underwriting. Requires a bachelor's degree. Additionally, Health Underwriter, Sr. typically reports to supervisor or manager. The Health Underwriter, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Health Underwriter, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Medical Policy Implementation Analyst Sr
  • Cambia Health
  • Yakima, WA FULL_TIME
  • Medical Policy Implementation Analyst SrRemote in ID, OR, WA, UTPrimary Job PurposeThe Medical Policy Implementation Analyst Sr identifies, recommends, and publishes clinical policy criteria for all lines of business.

    Organizes and maintains policies so they are accessible to internal and external customers. Consults with Medical Directors and other internal staff on policy development and implementation as well as system application.

    General Functions and Outcomes* Effectively drafts, interprets, and applies medical policies and assists in the workload distribution of the medical policy team.

    Present policy criteria recommendations to Medical Directors and other internal staff for approval.* Appropriately applies procedural and diagnostic coding (CPT, HCPCS, and ICD) to policy criteria with an understanding of the impact on policy implementation.

    • Implements, maintains, and publishes on the web a library of clinical criteria that is accessible to internal and external customers.
    • Works with system users and databases to ensure consistent application and implementation of policies.* Develops and maintains related department procedures.
    • Ability to manage project tasks, set objectives, goals, and develop schedules while meeting deadlines and documentation requirements for accreditation standards with minimal supervision.
    • Interprets the policy criteria for entry into CWQI Guideline Modification Module for clinical review.* Advise and communicate with internal and external stakeholders regarding policy questions, decisions, outcomes.

    Minimum Requirements* In-depth knowledge of anatomy and physiology, disease processes, medical and CMS policies, MCG criteria, clinical utilization management, case management or behavioral health management.

    • Competency interpreting and applying CPT, ICD, and HCPCS coding for medical technologies, procedures, and services.* Familiarity with utilization review and clinical claim review process.
    • Demonstrated analytical ability to identify problems, develop solutions, and implement a chosen course of action with internal and external medical professionals and other experts.
    • Strong organization skills, independent worker, and proficiency in Microsoft Office and various Web-based internet applications.
    • Ability to communicate effectively, verbally and in writing.* Ability to appraise, summarize, and present research and clinical practice guideline recommendations to inform policy criteria.
    • Demonstrated success with project management and ability to serve as key member of project team.Normally to be proficient in the competencies listed aboveMedical Policy Implementation Analyst Sr would have a Bachelor's degree in health science or related field (e.

    g., nursing, public health) and 5 years of experience in working with medical policies and 3 years of direct clinical experience or equivalent combination of education and experience.

    Required Licenses, Certifications, Registration, Etc.* Certified Professional Coder (CPC) preferred. If no CPC currently, employee must attain CPC within 6 months of hire.

    Register Nurse (RN) license (must have a current unrestricted RN license)#LI-RemoteThe expected hiring range for a Medical Policy Implementation Analyst Sr is $82,500 - $111,600 depending on skills, experience, education, and training;

    relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10% .

    The current full salary range for this role is $77,000 - $127,000.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits.

    In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current.

    Some highlights : * medical, dental, and vision coverage for employees and their eligible family members* annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)* paid time off varying by role and tenure in addition to 10 company holidays* up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)* up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)* one-time furniture and equipment allowance for employees working from home* up to $225 in Amazon gift cards for participating in various well-being activities.

    for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace.

    All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law.

    A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.

    com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

    As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

    6 hours ago
  • 3 Days Ago

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Field Underwriter
  • The WRS Group - Symmetry Financial
  • Las Vegas, NV CONTRACTOR
  • We are looking for highly motivated, hard working, self starting individuals to join our sales force. Who are we? We are a Financial Services Agency partnered with Symmetry Financial Group. We provide...
  • 17 Days Ago

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Employee Health Registered Nurse
  • Confluence Health
  • Wenatchee, WA FULL_TIME
  • Salary Range: $36.72 - $58.60 Overview: Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, ...
  • 1 Month Ago

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Sr Maintenance Supervisor
  • QUANTUM RESIDENTIAL
  • Sunnyside, WA OTHER
  • Job Details Job Location: Sunnyside, WA Position Type: Full Time Salary Range: Undisclosed Job Shift: Day Job Category: Skilled Labor - Trades DescriptionJOB SUMMARY: General apartment maintenance exp...
  • 23 Days Ago

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Behavioral Health Consultant (FT)
  • Community Health of Central Washington
  • Ellensburg, WA FULL_TIME
  • Behavioral Health Consultant - WA.Join a cohesive BHC team for our PCBH program providing collaborative care at our clinics and training PCPs.Welcome to Community Health of Central WA, where we all wo...
  • 21 Days Ago

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Behavioral Health SUDP
  • Yakima Neighborhood Health Services
  • Yakima, WA FULL_TIME
  • This job requires that you be fully vaccinated against COVID-19.Who We Are:Established in 1975, Non-Profit Yakima Neighborhood Health Services serves patients in the areas of Behavioral Health, Family...
  • 24 Days Ago

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0 Health Underwriter, Sr. jobs found in Yakima, WA area

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Independent Insurance Claims Adjuster in Ellensburg, Washington
  • MileHigh Adjusters Houston Inc
  • Ellensburg, WA
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/29/2024 12:00:00 AM

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Lawn Technician / Applications Technician
  • Senske Services
  • Yakima, WA
  • At Senske Services, we make the neighbors green with envy for our beautiful lawns! Come join a winning team where the gr...
  • 3/29/2024 12:00:00 AM

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Irrigation Technician
  • Senske Services
  • Yakima, WA
  • Have you always imagined working for a passionate team of professionals, installing irrigation systems, but considered i...
  • 3/29/2024 12:00:00 AM

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Life Insurance Advisor Yakima, WA
  • American Income Life AO - Bruce Viaje
  • Yakima, WA
  • Are you ready to join an exceptional company that offers comprehensive training, benefits, and flexible working hours al...
  • 3/27/2024 12:00:00 AM

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Wealth Management Associate
  • Equitable Advisors
  • Yakima, WA
  • Responsibilities Our team of wealth management associates strive to provide knowledgeable, objective financial guidance ...
  • 3/26/2024 12:00:00 AM

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Work from Home-Mortgage Protection Insurance Agents
  • Shonda Crawford Insurance
  • Yakima, WA
  • Crawford Agency needs the right agents to help our growing clientele build an asset and not a liability. Our agents part...
  • 3/26/2024 12:00:00 AM

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Work from Home-Mortgage Protection Insurance Agents
  • Shonda Crawford Insurance
  • Yakima, WA
  • Crawford Agency needs the right agents to help our growing clientele build an asset and not a liability. Our agents part...
  • 3/26/2024 12:00:00 AM

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Loss Prevention Officer
  • Ace Hardware
  • Moxee, WA
  • Compensation Details: $18.00-$23.00 Why should you join our team? We live our values - W.E.L.I.G.H.T (Winning, Excellenc...
  • 3/18/2024 12:00:00 AM

Yakima (/ˈjækɪmɑː/ or /ˈjækɪmə/) is a city in and the county seat of Yakima County, Washington, and the state's eleventh-largest city by population. As of the 2010 census, the city had a total population of 91,067 and a metropolitan population of 243,231. The unincorporated suburban areas of West Valley and Terrace Heights are considered a part of greater Yakima. Yakima is about 60 miles (100 kilometers) southeast of Mount Rainier in Washington. It is situated in the Yakima Valley, a productive agricultural region noted for apple, wine and hop production. As of 2011, the Yakima Valley produc...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Underwriter, Sr. jobs
$86,580 to $108,706
Yakima, Washington area prices
were up 2.9% from a year ago