Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOOR$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Billing Specialist - AD042 NATIVE AMERICAN REHABILITATION ASSOCIATION INCBilling Specialist - AD042Portland, OR$22.58–$28.35 / hourDay, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples' Day, Veterans Day, Thanksgiving, day after Thanksgiving, December 25th and your birthday! Consistent with NARA NW's sobriety policy, all employees, volunteers, interns, and contractors, as applicable, are required to sign a "Drug-Free/Alcohol-Free Workplace Certification Form" and NARA NW "Modeling Sobriety Policy Form" as a condition of employment to confirm that they are aware of this policy and that they agree to comply with it.
Software Developer / Programmer 3 First Tek, Inc.Software Developer / Programmer 3Vancouver, WAThis Study Automation Group, the ARES Team, is involved in the creation of business process automation and documentation by interpreting design specifications, assisting in technical design, coding software, following test and deployment procedures, complying with project documentation requirements, and working on a development team using a mix of development methodologies, including Agile, as a process automation software developer. BPA Requesting Managers should complete this form and coordinate with BPA Supplemental Labor Office during the procurement process to ensure the CFTE position includes a list of required trainings associated with identified tasks, conditions, and exposures.
NewSenior Patient Scheduler - Per Diem Day Providence Health & ServicesSenior Patient Scheduler - Per Diem DayOregon City, ORRequsition ID: 452771 Company: Providence Jobs Job Category: Patient Access Job Function: Revenue Cycle Job Schedule: Per-Diem Job Shift: Day Career Track: Admin Support Department: 5003 PWFMC DI ADMIN Address: OR Oregon City 1500 Division St Work Location: Providence Willamette Falls Medical Ctr-Oregon City Workplace Type: On-site Pay Range: $22.44 - $34.33 The Imaging Support / Scheduler is accountable for scheduling various complex Imaging and Medical procedures (i.e. Interventional, Nuclear Medicine, Anesthesia, Short Stay and Admitting) by obtaining appropriate exam information, specialized equipment / resources and implant and current/historical medical information (ICD Coding, medical history, including allergies and patient demographic profile).
Temporary Customer Service Professional I Cambia HealthTemporary Customer Service Professional IBeaverton, ORRemote$19–$22.25 / hour6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.
Temporary Customer Service Professional I Cambia Health Solutions IncTemporary Customer Service Professional IPortland, ORRemote$19–$22.25 / hour6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.
ED, Risk Adjustment Strategy & Transformation Kaiser PermanenteED, Risk Adjustment Strategy & TransformationPortland, ORThrough collaborative leadership, shared accountability, and enterprise-wide partnership, the Executive Director will help strengthen member outcomes, enhance provider and patient experiences, improve operational effectiveness, support reimbursement integrity, and advance Kaiser Permanentes long-term clinical and financial performance. Working through established governance structures, including the Care Delivered, Value Captured, Unrivaled Experience (CDVCUE) Board and its cross-functional stakeholders, the Executive Director will facilitate collaboration, support strategic alignment, promote transparency, and help ensure coordinated execution across interconnected initiatives.
NewGovt Prior Auth Coord I Moda HealthGovt Prior Auth Coord IPortland, OR$21.30–$23.96 / hourResponsible for daily administrative functions of the clinical team in Healthcare Services, ensuring deadlines are met to support required processes of the clinical team, members and providers as well as facilitates the timely processing of documentation submitted to the Medical Management department. Interacts with providers and provider offices to gather complete, accurate information to process prior authorizations and referrals and coordinates with providers to ensure consideration is given to unique treatment.
Area Director of Clinical Operations Team Select Home Care LLCArea Director of Clinical OperationsVancouver, WA$120,000–$150,000 / yearDuties/Responsibilities: Responsible for clinical oversight and management of the following: coaching, orienting and developing the clinical team in an assigned area which consists as applicable of Director of Nursing (DON), Clinical Supervisors, Case Managers, and field staff who treat adult and pediatric patients, as applicable. The Area Director of Clinical Operations (ADCO) is responsible for the day-to-day management of clinical operations in assigned Area/States to ensure excellent patient-centered care, efficient use of clinical resources and excellent customer service.
RN Hospital Claims Auditor Moda Partners IncRN Hospital Claims AuditorPortland, OR$78,911.43–$98,639.28 / yearCollaborates with other Moda areas to provide clinical policy representation at meetings to ensure that decisions, which affect claim processing, are appropriate and will result in cost effective, efficient, and accurate claims payment. Communicates claim payment decisions to processing staff and recommends and coordinates processes to review large dollar hospital claims.
Strategy Analyst V, Risk Adjustment- CDI Support Kaiser PermanenteStrategy Analyst V, Risk Adjustment- CDI SupportPortland, ORContributes to the development and execution of business strategy by: developing complex strategic plans based on business case and advanced knowledge in one or more specialty areas of health care marketplace; driving complex problem scoping and the processes and resources needed; developing alternative strategic options, and recommending the best option(s) based on complex problem scoping, external marketplace research, and analysis of organizational and external strategic approaches; selecting challenging business goals and the processes and resources needed to accomplish them; driving alignment around the strategic plan and intended outcomes, and finding opportunities for collaboration and synergy across functions; developing and implementing advanced strategies to mitigate complex barriers, constraints, and risks to execution; and driving strategic direction in response to a changing environment. Effectively manages projects and programs by: driving the development of complex project proposals, including establishing objectives, key stakeholders, milestones, and providing deep technical leadership across programs; driving progress on program deliverables in alignment with greater business strategy and key business outcomes across functions; refining existing methodologies, and identifying and implementing new methodologies to complete initiatives with little support; and driving the execution of project plan, and supporting high-quality outcomes.
Firmware Engineer Microsoft CorpFirmware EngineerHillsboro, OR$102,100–$202,200 / yearDoctorate in Electrical Engineering, Computer Engineering, Computer Science, or related field OR Masters Degree in Electrical Engineering, Computer Engineering, Computer Science, or related field AND 3+ years technical engineering experience with coding OR Bachelors Degree in Electrical Engineering, Computer Engineering, Computer Science, or related field AND 5+ years technical engineering experience with coding OR equivalent experience. To achieve this goal, the Host Services team is instrumental in defining and delivering operational measures of success for hardware manufacturing, improving the planning process, quality, delivery, scale and sustainability related to Microsoft cloud hardware.
NewGovt Prior Auth Coord I Moda Partners IncGovt Prior Auth Coord IPortland, OR$21.30–$23.96 / hourResponsible for daily administrative functions of the clinical team in Healthcare Services, ensuring deadlines are met to support required processes of the clinical team, members and providers as well as facilitates the timely processing of documentation submitted to the Medical Management department. Interacts with providers and provider offices to gather complete, accurate information to process prior authorizations and referrals and coordinates with providers to ensure consideration is given to unique treatment.
NewDirector of Revenue Cycle (Finance) Cascadia HealthDirector of Revenue Cycle (Finance)Portland, OregonIn coordination with our contracted partner, lead continuous improvement initiatives related to billing operational efficiencies, including designing and implementing customers and internal stakeholders’ reporting, analytics and KPIs to ensure the billing is complete, accurate, current and that revenue is optimized and assured. Cascadia’s Mission and Vision : Mission : Cascadia Health delivers whole health care – integrated mental health and addiction services, primary care, and housing – to promote hope and support the well-being of the communities we serve.
Patient Access Representative - Admitting Peace HealthPatient Access Representative - AdmittingVancouver, WAThe worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Details of the Position: Pre-registers/registers patients with accurate patient demographic, financial data.
Patient Access Representative - Nephrology Peace HealthPatient Access Representative - NephrologyVancouver, WA$23.16–$31.26 / hourThe worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Care Delivery Area and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.
NewPatient Access Representative - Family Practice Peace HealthPatient Access Representative - Family PracticeVancouver, WA$23.16–$31.26 / hourThe worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Care Delivery Area and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.
NewPatient Access Representative - Clinical Non Union Float Pool Peace HealthPatient Access Representative - Clinical Non Union Float PoolVancouver, WA$23.16–$31.26 / hourThe worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Care Delivery Area and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.
Senior AEM Lead Pyramid Consulting, IncSenior AEM LeadGresham, OR$70–$75 / hourKey skills; Adobe Experience Manager (AEM), Java, AEM Content Fragments, Apache Sling, OSGi, AEM Dispatcher, REST APIs, GitLab, Jenkins, CI/CD Pipelines . By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Medical CS Rep I (***) Moda HealthMedical CS Rep I (***)Portland, OR$18.39–$20.23 / hourAnswers calls from policyholders, members, agents, providers, hospitals, pharmacists and others regarding a variety a wide variety of issues and questions related to a members health plan. Complete provider searches using available on-line web-based systems to assist members in finding providers that meet their needs and that of that plan.