Primary Care Physician (Internal Medicine or Family Medicine) — Tacoma, Washington Prosperity Placement SolutionsPrimary Care Physician (Internal Medicine or Family Medicine) — Tacoma, WashingtonTacoma, WAProviders are supported by an interdisciplinary care team, including an onsite Health Coach, allowing physicians to focus on delivering comprehensive, whole-person care rather than high-volume patient visits. Located along the shores of Puget Sound, Tacoma provides easy access to Seattle, Mount Rainier National Park, hiking, skiing, waterfront living, and a vibrant arts and dining scene.
Primary Care Nurse Practitioner - Outpatient - Tacoma, WA Prosperity Placement SolutionsPrimary Care Nurse Practitioner - Outpatient - Tacoma, WATacoma, WAProviders are supported by an interdisciplinary care team, including an onsite Health Coach , allowing NPs to focus on delivering comprehensive, whole-person care rather than high-volume patient visits. Located along the shores of Puget Sound, Tacoma provides easy access to Seattle, Mount Rainier National Park, hiking, skiing, waterfront living, and a vibrant arts and dining scene.
Financial Advocacy Associate Valley Medical CenterFinancial Advocacy AssociateRenton, WAJOB OVERVIEW: This position is responsible to provide financial advocacy for patients and Valley Medical Center by exploring payer sources as well as payment options to ensure accounts are financially secure prior to rending services. Ability to research billing questions using EMR and billing systems, payer resources and is able to resolve or refer the customer to the appropriate resource.
NewSenior Data Scientist - Clinical Informatics (Analytics Enablement) CVS Health CorpSenior Data Scientist - Clinical Informatics (Analytics Enablement)WA$83,430–$222,480 / yearExperience designing patient-centric data models, feature stores, and dashboards that aggregate longitudinal data across sources, including demographics, encounters, conditions, medications, labs, utilization, cost, and enrichment attributes. A&BC leverages advanced analytics, clinical informatics, and hypothesis-driven approaches to transform data into actionable, customer-centric insights that drive growth, improve health outcomes, and expand access to healthcare across all CVS Health businesses.
Revenue Assurance Specialist IV - CDM and Epic experience needed Kaiser PermanenteRevenue Assurance Specialist IV - CDM and Epic experience neededRenton, WAPerforms routine review and maintenance of system codes by: performing a regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; conducting pre- and post-implementation assessments of automated and manual charge capture for quality and accuracy; analyzing moderately complex billing issues related to charges/codes and proposing and implementing action plans to resolve charge capture issues; and contributing to the maintenance of all Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes, descriptions, revenue codes, Relative Value Units (RVU) information, and generic codes to assist in the understanding of fee schedule implications. Executes monitoring activities and process improvements by: independently performing tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; recording findings in accordance with relevant policies/procedures to ensure complete and consistent data integrity, partnering with other departments to resolve moderately complex deficiencies and/or compliance issues identified through monitoring activities; communicating results of monitoring activities to senior team members and/or department leaders; and implementing corrective action plans resulting from monitoring activities.
Clinical Data Manager SystimmuneClinical Data ManagerRedmond, WAFull timeIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Clinical Data Manager SystImmune, Inc.Clinical Data ManagerRedmond, WA$100,000–$170,000 / yearIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Clinical Data Manager Systimmune IncClinical Data ManagerRedmond, WA$100,000–$170,000 / yearIndependently develop DM documents including but not limited to Data Management Plans (DMP), Case Report Forms (CRFs), CRF Completion Guidelines, Edit Checks, UAT specifications, centralized monitoring plans, data flow and integrity plans, blinding plans, and data review plans. The Clinical Data Manager (CDM) plays a broad role in interfacing with clinical study teams, external partners, and vendors to design, configure, and test clinical database systems, conduct data review, and support company deliverables.
Referral Specialist TriWest Healthcare AllianceReferral SpecialistSeattle, WARemoteFull timeEnsures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthWA$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Investigator III Premera Blue CrossInvestigator IIIMountlake Terrace, WashingtonDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Senior Software Engineer Microsoft CorpSenior Software EngineerRedmond, WA$119,800–$234,700 / yearDesign, build, and operate distributed services and microservices on Azure (App Service, AKS, Functions, Service Bus, Cosmos DB, Azure SQL) that power catalog, search, purchase, fulfillment, metering, and billing experiences. There is a different range applicable to specific work locations, within the San Francisco Bay area and New York City metropolitan area, and the base pay range for this role in those locations is USD $160,200 - $261,000 per year.
Medical Director - ENT CVS Health CorpMedical Director - ENTWA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewMedical Director - Spine CVS Health CorpMedical Director - SpineWA$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications.
Manufacturing Test Architect - Systems & Infrastructure ProtingentManufacturing Test Architect - Systems & InfrastructureBellevue, WABackend & Data Systems: Architect and maintain the backend infrastructure, including databases and data pipelines, to capture and analyze high-volume manufacturing test data. Manufacturing Line Integration: Develop and deploy sophisticated manufacturing line test equipment and automation frameworks that interface directly with production hardware.
Medical AR Specialist - Insurance Follow-Up & Denials Olympic Sports & SpineMedical AR Specialist - Insurance Follow-Up & DenialsTacoma, WAFull timeMedical Accounts Receivable (AR) Specialist - Insurance Follow-Up & Denials Olympic Sports & Spine (OSS) is seeking an experienced Medical Accounts Receivable (AR) Specialist to join our growing revenue cycle team in Tacoma. This position works closely with insurance carriers, patients, and internal departments to resolve account issues, manage appeals, research denials, and maintain accurate account documentation.
Investigator III Blue Cross and Blue Shield AssociationInvestigator IIIMountlake Terrace, WA$80,200–$118,300 / yearDevelop and maintain collaborative and liaison relationships with Blue Cross Blue Shield Association (BCBSA), Blue Cross Blue Shield (BCBS) Plans, HHS OIG, other carriers' anti-fraud professionals, law enforcement and regulatory agencies. May attend webinars and conferences like BCBSA, National Health Care Anti-Fraud Association (NHCAA), and Association of Certified Fraud Examiners (ACFE) to keep apprised of developments in health care fraud.
Software Engineer - Full Stack/Backend Worldscape TechnologySoftware Engineer - Full Stack/BackendRedmond, WashingtonWith a zero-trust security framework, seamless integration with legacy systems, and robust developer tools, Worldscape empowers rapid deployment of agentic applications that drive resilience and efficiency in sectors like logistics, telecom, defense, and infrastructure. Development distributed systems leveraging cloud platforms (Azure, AWS, or GCP) and containerization (Docker/Kubernetes) for high availability and fault tolerance.
Senior Architect, Data Engineering West Monroe Partners, LLCSenior Architect, Data EngineeringSeattle, WA$199,100–$223,400 / yearThis is an excellent opportunity to work with clients developing Big Data strategy and roadmaps, while gaining exposure to a variety of industries including Healthcare, Financial Services, Insurance, Consumer & Industrial Products, and Energy & Utilities. Proven experience in supporting business development efforts, including identifying client needs, crafting technical solutions, contributing to proposals, and participating in pre-sales activities to drive revenue growth.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOWA$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.