Clinical Inpatient Pharmacy Technician - Audit & Review Cambia Health Solutions IncClinical Inpatient Pharmacy Technician - Audit & ReviewVancouver, WARemoteAs a member of the Post Service Claim Review team, our Clinical Inpatient Pharmacy Technicians conducts post-service audits to ensure billing accuracy, analyzes billings for consistency with medical records and reimbursement policies, and performs projects as requested by supervisors - all in service of making our members' health journeys easier. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
Field Reimbursement Liaison - Northwest Crinetics Pharmaceuticals IncField Reimbursement Liaison - NorthwestOR$162,000–$203,000 / yearThe FRL interfaces with healthcare professionals, including their ancillary staff, nurse case managers (NCMs), HUB coordinators, Market Access team, and various Channel Partners on complex access and reimbursement cases by providing education on Crinetics sponsored patient programs and process guidance in response to prior authorizations, resubmissions, and denials. Essential Job Functions and Responsibilities: These may include but are not limited to: Conduct office calls with HCPs and/or office staff for support with appropriate patient access to Crinetics' products, including assistance in resolving reimbursement, patient programs, and coverage questions.
Medical CS Rep I (***) Moda Partners IncMedical CS Rep I (***)Portland, OR$18.39–$20.58 / 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.
Engineering Manager- Technical Program Manager PwCEngineering Manager- Technical Program ManagerPortland, OR$114,000–$132,000 / yearAt least a Bachelor's degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. Guide teams in the application of Acceptance Test Driven Development (ATDD), Continuous Integration/Continuous Delivery (CI/CD), and application development frameworks to enhance quality, speed, and functionality.
Senior Full Stack Engineer (Payments) Office AllySenior Full Stack Engineer (Payments)Vancouver, WA$120,000–$150,000 / yearWe offer a range of affordable, cloud-based revenue cycle management solutions –from eligibility verification and claims management to revenue recovery and payment processing –that help healthcare organizations of all sizes streamline operations and reduce administrative burdens so they can focus on what matters most: patient care. In this role, you will design, develop, and support highly scalable, secure payment solutions that process ACH, virtual card, check, and other digital payment transactions while contributing to the architecture and evolution of our payment platform.
NewSenior Performance Engineer- JMeter, JavaScript - Remote MaximusSenior Performance Engineer- JMeter, JavaScript - RemotePortland, ORRemoteFull timeDesign, develop, and maintain performance testing frameworks, automation utilities, CI/CD integrations, and cloud-native testing capabilities supporting AWS services, Kubernetes clusters, Docker containers, Helm deployments, and microservices architectures. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Senior AI/ML Engineer WELLRITHMS INC.Senior AI/ML EngineerPortland, ORFull timeStrong hands-on experience using Infrastructure as Code (IaC) tools like AWS CDK or Terraform to manage cloud infrastructure, paired with practical experience building and maintaining CI/CD pipelines (e.g., GitHub Actions, AWS CodePipeline, etc).Experience working with healthcare data structures (e.g., insurance claims, EHRs, medical billing coding like CPT/ICD, or EDI 837/835 feeds).Strong understanding of HIPAA compliance, data masking, secure prompt/data handling, and AI safety guardrails. Design and build production-grade scalable Machine Learning (ML) pipelines integrating Object Character Recognition (OCR), Natural Language Processing (NLP), Retrieval-Augmented Generation (RAG), and agentic decision-making workflows to process complex medical claims and unstructured data.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Vancouver, WARequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Principal AI & Cloud Security Engineer (Remote only within WA, ID, OR) Banner BankPrincipal AI & Cloud Security Engineer (Remote only within WA, ID, OR)Oregon, ORRemote$135,000–$178,000 / yearYou have 8+ years of experience in security engineering, secure SDLC, threat modeling, and Azure cloud security, including designing and governing security controls for AI/ML, generative AI, and agentic systems in enterprise cloud environments (Required). Architect and oversee security tooling and monitoring capabilities that evaluate, monitor, and harden AI agents and Azure resources at scale using technologies such as Microsoft Defender for Cloud, Azure Monitor, and Microsoft Sentinel.
NewPhysical Therapist Assistant (LA Fitness Location) InReach Physical TherapyPhysical Therapist Assistant (LA Fitness Location)Beaverton, OR$26–$33 / hourFull timeThis position requires an active, unrestricted Physical Therapist Assistant state license (or verifiable eligibility, such as completion of an accredited program PTA and required exams); applicants who do not meet these requirements will not be considered, and candidates are responsible for confirming their qualifications prior to applying. PRN brings together some of the most trusted PT brands across the West and Central U.S. Whether in the clinic or behind the scenes, we’re all about personalized care, smart clinical insight, and making every patient feel supported from start to finish.
Insurance Specialist - Billing Follow-Up Compass OncologyInsurance Specialist - Billing Follow-UpVancouver, Washington$20.75–$32.84 / hourAs a member of The US Oncology Network, one of the nation's largest community-based cancer treatment and research networks, Compass Oncology participates in leading-edge clinical trials through US Oncology research, which has helped develop 89 FDA approved cancer therapies. If you are a dedicated, team-oriented, patient-centered individual looking for an opportunity where you are proud of what you do, work hard, have fun, want to learn and go home at the end of the day knowing you made a difference in the lives of our patients; Compass Oncology is the place for you!
FBH Quality Management Analyst CCSWWFBH Quality Management AnalystVancouver, Washington$32.76–$36.44 / hourFull timeUnder the direction of the Clinical Operations Manager, the CQI Management Analyst is responsible for supporting the assigned FBH Site’s CQI performance management and measurement practices, including performance and contract deliverable tracking, implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the Clinical Operations Manager to develop systems and training staff for improved practice and quality improvement activities/initiatives. With sites located in Tukwila, Burien, North Tacoma, University Place, Olympia, Shelton, Bremerton, Aberdeen, Yelm, Vancouver, (Salmon Creek and Oakview) and Portland Oregon, we offer comprehensive, Wrap-around mental health services to a diverse population of families.
Clinic Services Specialist 2 Medical Receptionist Legacy Health SystemClinic Services Specialist 2 Medical ReceptionistVancouver, WA$21.25–$30.39 / hourHere is what makes working with us special: Growth & Career Pathways: Gain valuable experience in insurance and billing-steppingstones for future revenue cycle roles. Performs complex activities such as scheduling, insurance verification, registration, balancing of co-pay money and balancing of daily or weekly deposits.
FBH Quality Management Analyst CATHOLIC COMMUNITY SERVICES OF WESTERN WASHINGTONFBH Quality Management AnalystVancouver, WA$32.76–$36.44 / hourUnder the direction of the Clinical Operations Manager, the CQI Management Analyst is responsible for supporting the assigned FBH Site's CQI performance management and measurement practices, including performance and contract deliverable tracking, implementation and training of BHO/MCO documentation and State/Federal regulatory/oversight deliverables, collaborating with clinical programs to ensure adequate CQI data is available to evaluate clinical practice and outcomes, and working with the Clinical Operations Manager to develop systems and training staff for improved practice and quality improvement activities/initiatives. With sites located in Tukwila, Burien, North Tacoma, University Place, Olympia, Shelton, Bremerton, Aberdeen, Yelm, Vancouver, (Salmon Creek and Oakview) and Portland Oregon, we offer comprehensive, Wrap-around mental health services to a diverse population of families.
Insurance Verification Specialist Legacy Health SystemInsurance Verification SpecialistPortland, OR$21.25–$30.39 / hourExperience: Two years of directly applicable healthcare business office experience (billing/credit/collection) or applicable insurance customer service experience required. Your keen attention to detail and accuracy will help strengthen the patient-physician relationship, ensuring patients have the insurance information they need for expert care.
NewPAS Resource Specialist Oregon Health & Science UniversityPAS Resource SpecialistPortland, OregonTakes incoming/inbound calls and/or makes outgoing/outbound calls from/to patients, referring providers, or other stakeholders; Connects callers with the appropriate individual(s) to address their questions and/or progress their care; Create EMR telephone encounters that include accurate documentation of requests, such as medication refills, complaints, general inquiries or urgent health care concerns ; Direct calls/messages to the appropriate staff for patient care /needs assessment; Process calls (answering, screening, routing, paging etc.) in a timely, polite, professional manner; Delivers information or requests promptly to the appropriate providers or their designees. Department Overview: The Patient Access Resource Specialist (PASR) gathers and records required information about patients, provides customer services which includes confirming health insurance coverage, determining individual financial obligations, verifying that necessary authorizations for care have been obtained, scheduling physician office appointments, cancer treatment appointments, and ancillary appointments, and assisting patients in an office or practice setting.
Nurse Practitioner (Per Diem) ***$3,500.00 Sign-on bonus*** ComplexCare SolutionsNurse Practitioner (Per Diem) ***$3,500.00 Sign-on bonus***Portland, Oregon$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.
Quality Assurance Analyst - Hrsn CareOregonQuality Assurance Analyst - HrsnPortland, OR$66,690–$81,510 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). Perform accurate and timely data entry and accounting-related support, including reviewing invoices, ledgers, rental statements, and utility bills to determine eligible reimbursement or payment amounts in accordance with benefit policies and procedures.
Manager Clinical Pharmacy Quality and Affordability Programs Cambia Health Solutions IncManager Clinical Pharmacy Quality and Affordability ProgramsPortland, OR$146,149.85–$197,732.15 / yearDemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. Collaborates with the Pharmacy Directors, VPs, and other leadership in coordinating corporate-wide activities related to the appropriate use of medications, improved quality related to medication therapy, promotion of cost-effective prescribing, and reduction in short-term and long-term overall costs to internal and external clients.
NewManager Clinical Pharmacy Services Cambia Health Solutions IncManager Clinical Pharmacy ServicesPortland, ORDemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. Collaborates with the Pharmacy Directors, VPs, and other leadership in coordinating corporate-wide activities related to the appropriate use of medications, improved quality related to medication therapy, promotion of cost-effective prescribing, and reduction in short-term and long-term overall costs to internal and external clients.