Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationSeattle, WA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
DRG Clinical Validation Lead Elevance HealthDRG 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.
Healthcare Data Analyst II Blue Cross and Blue Shield AssociationHealthcare Data Analyst IIMountlake Terrace, WA$80,200–$130,200 / yearUtilizing statistical and mathematical methodologies, you will develop diverse analyses, convert data into meaningful visualizations to facilitate informed decision-making, and generate operational reports as well as trend analyses through both conventional and programmatic approaches. Your work will encompass a broad spectrum of healthcare-reported data, including claims, clinical records, pharmacy information, laboratory results, healthcare costs, utilization metrics, management data, and clinical research findings.
Medical Insurance Accounts Receivable Collections Specialist Olympic Sports & Spine RehabilitationMedical Insurance Accounts Receivable Collections SpecialistTacoma, WAThis position works closely with insurance carriers, patients, and internal departments to resolve account issues, manage appeals, research denials, and maintain accurate account documentation. The Medical Accounts Receivable (AR) Specialist performs insurance follow-up and collections activities to ensure claims are processed accurately and reimbursed in a timely manner.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementSeattle, WARemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Field Reimbursement Manager - Northwest Mallinckrodt LLCField Reimbursement Manager - NorthwestSeattle, WA$112,000–$207,000 / yearStrong leadership role to the field teams by establishing a solutions oriented approach, working with your Sales Representatives/ASMs to build and execute local plans to overcome barriers to Buy/Bill products access. Within their geography, the FRM provides access and reimbursement education to physician office personnel, billing staff/companies, HCPs, as well as anyone involved in the process of utilizing the product with the intention of minimize barriers and increasing access to care.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Auburn, WA$50,460–$72,644 / yearRequired 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." Refer 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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)WA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Insurance Specialist Adaptive Biotechnologies CorpInsurance SpecialistWARemote$22.74–$27.79 / hourBase salary is thoughtfully considered upon offer and is determined through multiple evaluation checks throughout the interview process, including: a candidate's ability to meet minimum qualifications (skills/experience/education), a candidate's ability to thoughtfully address preferred qualifications, current market conditions, and internal pay equity. The specialist works collaboratively with billing, reimbursement, prior authorization, and client services teams to optimize revenue cycle performance, reduce denial rates, and support patient access for molecular and specialty testing services.
340B Program Operations Analyst Valley Medical Center340B Program Operations AnalystRenton, WAApplied Job Experience: 340 Program Services Background: Industry experience preferred as a 340B program analyst with 340B program audit experience or Clinical Background: Clinical experience in health care, hospital/health system pharmacy. PREREQUISITES: 340B Program Operations Analyst: Bachelor''s degree plus one to three (1-3) years industry related experience, OR Associate''s degree and four (4) years related experience, OR five (5) years related experience.
Billing Specialist I, II or III Sea Mar Community Health CentersBilling Specialist I, II or IIIFederal Way, WA$20–$21.75 / hourSea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services.
NewAssociate Optometrist ( Silverdale, WA) LensCrafters EssilorLuxottica SAAssociate Optometrist ( Silverdale, WA) LensCraftersSilverdale, WA$75–$90 / hourIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email EmployeeRelations@luxotticaretail.com. LensCrafters is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Professional Fee Coder Seattle Children's Hospital Research and FoundationProfessional Fee CoderWashington, WARemote$29.16–$43.73 / hourTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country. Seattle Children's welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families.
SIU Investigator Centene Corporation GroupSIU InvestigatorWA$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Compliance & Privacy Specialist Overlake Hospital Medical CenterCompliance & Privacy SpecialistBellevue, WA$79,165–$118,747 / yearUnder the guidance of the Overlake Medical Center & Clinics Compliance & Risk Management Program, the Compliance Specialist provides compliance and privacy program support across Overlake to assist with the implementation of an effective Compliance and Risk Management Program. Facilitates the Conflict of Interest monitoring program, including policy management, process development, review of disclosures, audits of disclosures to Open Payment Data, and development of Conflict Management Plans.
Sr. Mgr., Patient Services & Advocacy Omeros CorpSr. Mgr., Patient Services & AdvocacySeattle, WA$190,000–$220,000 / yearOmeros' lead complement inhibitor YARTEMLEA (narsoplimab-wuug), which targets the lectin pathway's effector enzyme MASP-2, is FDA-approved and commercially available in the U.S. for the treatment of hematopoietic stem cell transplant-associated thrombotic microangiopathy (TA-TMA) in adult and pediatric patients aged two years and older. Omeros' pipeline also includes OMS527, a phosphodiesterase 7 inhibitor in clinical development for cocaine use disorder, which is fully funded by the National Institute on Drug Abuse, and a growing portfolio of novel recombinant antibodies targeting multidrug-resistant organisms and novel molecular and cellular therapeutic programs for oncology.
Manager, Payment Integrity Auditing Blue Cross and Blue Shield AssociationManager, Payment Integrity AuditingWA$118,900–$202,100 / yearYou will monitor audit performance, oversee internal and vendor audit activities, identify payment and billing trends, and leverage data-driven insights to improve payment accuracy, reduce inappropriate healthcare expenditures, and strengthen the organization's overall payment integrity strategy. This role is responsible for developing and executing audit strategies across multiple audit types, including DRG validation, itemized bill reviews, level of care reviews, hospital readmission audits, and other post-payment and pre-payment audit initiatives.
Clinical Data AMS Sr. Consultant Deloitte Touche Tohmatsu LtdClinical Data AMS Sr. ConsultantBellevue, WA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Outpatient Hospital Coder Seattle Children's Hospital Research and FoundationOutpatient Hospital CoderSeattle, WA$29.16–$43.73 / hourUnder general supervision, the Outpatient Hospital Coder is responsible for the collection of relevant, pertinent, accurate and timely ICD-10 diagnosis, HCPCS codes, and CPT procedural codes abstracted from hospital case types that most commonly include but are not limited to: hospital outpatient clinics, emergency department, surgical cases, observation, infusion, imaging, and professional billing to the extent of the department's responsibility. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country.
Program Manager Bellatrix HRMProgram ManagerColumbia, WashingtonRemoteEfforts may also include assisting in defining scope, developing plans, timelines, tracking action items and their resolution, and assessing workforce distribution requirements. Like the Bellatrix Star in the Orion Constellation, our Team Members are the Brilliance of the company, and are all shareholders, leading the company to success.