Senior Insurance Coverage Attorney Kennedys Law LLPSenior Insurance Coverage AttorneySeattle, WA$160,000–$240,000 / yearKennedys, a Legal 500 and Chambers-ranked global firm serving insurers and the London market, is seeking a dynamic and talented Senior Associate or Special Counsel to join its national and international insurance coverage litigation practices in our Seattle office. Our lawyers handle both contentious and non-contentious matters, and provide a range of specialist legal services, for many industry sectors but we have particular expertise in litigation and dispute resolution, especially in defending insurance and liability claims.
VP, Customer Success, Payors (Seattle, WA) Health GPT IncVP, Customer Success, Payors (Seattle, WA)Seattle, WATeam Building: Partner closely with the Talent Acquisition team to recruit, onboard, mentor, and lead a world-class payer-focused customer success team, including customer success executives, customer success leaders, technical support specialists, and implementation experts, supported by systems and processes that enable the team to scale rapidly with excellence. Payer Ecosystem Navigation: Understand and navigate the complexities of the payer ecosystem, including regulatory requirements (CMS, state DOI), delegated arrangements, network management, and claims/benefits administration workflows to position Hippocratic AI as a strategic partner.
Coder/Abstractor III (Remote, WA residents only) Valley Medical CenterCoder/Abstractor III (Remote, WA residents only)Renton, WARemoteEssential Responsibilities and Competencies: Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG). Reviews coding-based payment denials, identifies patterns, corrects errors, and educates clinic and revenue cycle staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding.
NewDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Seattle, WA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadSeattle, WA$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Clinical Laboratory Scientist US Department of Health and Human ServicesClinical Laboratory ScientistAuburn, WA$72,849–$140,165 / yearBASIC REQUIREMENT(S): Education: A. A Bachelors or graduate/higher level degree from a regionally accredited college/university including courses in biological science, chemistry and mathematics, AND successful completion of a Medical Laboratory Scientist/Clinical Laboratory Scientist program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. A Bachelors or graduate/higher level degree from an accredited college/university, including 16 semester hours (24 quarter hours) of biological science (with one semester in microbiology), 16 semester hours (24 quarter hours) of chemistry (with one semester in organic or biochemistry), one semester (one quarter) of mathematics, AND five (5) years of full time acceptable clinical laboratory experience in Blood Banking, Chemistry, Hematology, microbiology, Immunology and Urinalysis/Body Fluids.
License Practical Nurse US Department of Health and Human ServicesLicense Practical NurseAuburn, WA$46,655–$73,625 / yearSpecialized Experience GS-6: Perform a range of treatment procedures such as insert catheters, administer immunizations, change sterile dressings, and provide wound care, administer medications safely and monitoring for therapeutic or adverse effects, recognize urgent and emergent situations and initiate appropriate emergency interventions, provide patient and family education on health maintenance, medication use, and disease management, assist physicians and RNs with complex procedures and specialized diagnostic tests, and serve as a preceptor or resource to less experienced staff and participate in quality improvement and training activities. Specialized Experience GS-5: Observe, record, and report changes in patients behavior or physical condition, carry out nursing procedures in accordance with established guidelines and care plans, take vital signs, collect specimens, and maintain accurate documentation, set up and maintain medical equipment for procedures., assist physicians and Registered Nurses during examinations and treatments, and provide instructions to patients and families regarding care and follow-up activities.
Cornea Reimbursement Liaison - Seattle WA, Portland OR, Alaska Glaukos CorpCornea Reimbursement Liaison - Seattle WA, Portland OR, AlaskaSeattle, WARemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
Optometrist US Department of Health and Human ServicesOptometristAuburn, WA$119,297–$185,885 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provided primary eye care services by performing comprehensive ocular examinations.
Dental Assistant US Department of Health and Human ServicesDental AssistantAuburn, WA$38,090–$56,610 / yearEducation and Training: For GS-3: Successful completion of (a) a 1-year dental assistant program or completion of l year of a dental hygiene program accredited by the American Dental Associations Commission on Accreditation that included a course in radiation physics; radiation biology; radiation health, safety, and protection; X-ray films and radiographic film quality, radiographic techniques; darkroom and processing techniques; and film mounting; or (b) practical nurse training approved by the appropriate State, territory, or District of Columbia accrediting body. (2) Persons first employed by the Federal Government as radiologic personnel after the effective date of the regulation who (a) received training from institutions in a State or foreign jurisdiction that did not accredit training in that particular field at the time of graduation, or (b) practiced in a State or foreign jurisdiction that did not license that particular field or did not allow special eligibility to take a licensure examination for those who did not graduate from an accredited educational program, provided such persons show evidence of training, experience, and competence, as determined by OPM or the employing agency.
Nursing Assistant US Department of Health and Human ServicesNursing AssistantAuburn, WA$36,464–$47,334 / yearQualifying specialized experience includes nonprofessional nursing care work in a hospital, outpatient clinic, nursing home, or other medical, nursing, or patient care facility or in such work as that of a home health aid performing duties such as: Performing a variety of nonprofessional nursing care and diagnostic support duties in a hospital, outpatient clinic, nursing home or other medical, nursing, or patient care facility. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
X-Ray Technologist (CT) US Department of Health and Human ServicesX-Ray Technologist (CT)Auburn, WA$64,924–$93,227 / yearNote: Certain exceptions may apply: 1) Individuals employed by the Federal Government as radiologic personnel before January 13, 1986, may qualify based on evidence of current or satisfactory performance, or certification from a licensed practitioner authorized to prescribe radiologic procedures (such as a physician, osteopath, dentist, podiatrist, or chiropractor). Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
X-Ray Technologist US Department of Health and Human ServicesX-Ray TechnologistAuburn, WA$54,307–$84,398 / yearMINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: operating fixed and portable radiographic equipment to perform routine and moderately complex diagnostic examinations; positioning patients and selecting technical factors to produce diagnostic-quality images; assisting with fluoroscopic and contrast procedures under supervision; and maintaining radiology records, examination files, and workload data. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Physician (Multiple Specialties) US Department of Health and Human ServicesPhysician (Multiple Specialties)Auburn, WA$200,000–$400,000 / yearPhysician Specialties: Anatomic & Clinical Pathology, Anesthesiology, Cardiology, Dermatology, Emergency Medicine, Family Practice, General Surgery, Hospitalist, Informatics, Internal Medicine, Neurology, Obstetrics & Gynecology, Ophthalmology, Oral Surgery, Orthopedic Surgery, Otolaryngology, Pathology, Palliative, Pediatrics, Preventive Medicine, Primary Care, Psychiatry, Radiology, Tele-Psychiatry. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.
UM Medical Director DME - Pacific Or Mountain Time Zone Preferred - Remote UnitedHealth Group Inc.UM Medical Director DME - Pacific Or Mountain Time Zone Preferred - RemoteSeattle, WARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Branch Coordinator Humana IncBranch CoordinatorSeattle, WA$42,900–$54,300 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Medical Director - Vascular Surgery - Remote UnitedHealth GroupMedical Director - Vascular Surgery - RemoteSeattle, WARemote$248,500–$373,000 / yearBoard certification in General Surgery through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) with strong focus in Vascular Surgery + Active unrestricted license to practice medicine + 5+ years of clinical practice experience after completing residency training + Sound understanding of Evidence Based Medicine (EBM) + Experience performing vascular surgeries and procedures + Solid PC skills, specifically using MS Word, Outlook, and Excel + Proven ability to participate in call coverage rotation **Preferred Qualifications:** + Experience in utilization and clinical coverage review + Proven excellent oral, written, and interpersonal communication skills, facilitation skills + Proven data analysis and interpretation aptitude + Proven innovative problem-solving skills + Proven excellent skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. **Primary Responsibilities:** + Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations + Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements + Engage with requesting providers as needed in peer-to-peer discussions + Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews + Participate in daily clinical rounds as requested + Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy + Communicate and collaborate with other internal partners + Call coverage rotation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Medical Director - Clinical Advocacy And Support - Remote - PST Preferred UnitedHealth Group Inc.Medical Director - Clinical Advocacy And Support - Remote - PST PreferredSeattle, WARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
Physician Center Medical Director Concentra Inc.Physician Center Medical DirectorPuyallup, WA$260,000–$290,000 / yearThis clinic-based position provides direct patient care, leading by example, and creating an exceptional patient experience - Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure - Manages clinicians, support staff, and complies with APC supervisory requirements - Creates a professional and collaborative working environment - Works with leaders to identify and implement changes to ensure continuous medical clinic improvement - Maintains relationships with center clients and payers - Works with medical clinic leadership team to manage clinical and support staffing levels - Promotes, cultivates, and exemplifies Concentra values for all clinic colleagues - Fosters an environment of collaboration, professionalism, patient/colleague safety, quality care, continuous improvement and reward and recognition - Possesses financial awareness and provides input to clinic budget and key business metrics Why Choose Us With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. - Compensation package: - Competitive base salary with annual merit increase opportunity - Monthly Medical Director Stipend - Monthly RVU Bonus Incentive - Quarterly Quality Care Bonus Incentive - Generous Paid Time Off package for new colleagues include: - 24 days of Paid Time Off (annually, with roll-over) - 6 days of Paid Illness Days (annually, with roll-over) - 5 days of Paid CME Time (annually) - 6 Paid Holidays - Claims Based Medical Malpractice Coverage, including Tail coverage - Reimbursement for dues on renewal of applicable licensure, certifications, memberships, etc.
Branch Coordinator CenterWellBranch CoordinatorSeattle, WashingtonOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.