NewDelivery Manager HCL Global Systems Inc.Delivery ManagerSeattle, WASeasoned Delivery Manager with deep Healthcare Payer expertise and strong experience in the TriZetto FACETS platform to lead large-scale delivery portfolios spanning application development, production operations, maintenance, modernization, and support services. The ideal candidate will have a proven track record of managing outcome-based and SLA-driven engagements, leading cross-functional delivery teams, driving operational excellence, and building strong client relationships.
NewTechnical Project Manager (Healthcare Payer - FACETS) HCL Global Systems Inc.Technical Project Manager (Healthcare Payer - FACETS)Seattle, WATechnical Project Manager (Healthcare Payer - FACETS) Location: United States - Seattle, Washington (No remote) Employment Type: Experience: 12+ Years Open Positions: 3 About the Role UST is seeking an experienced Technical Project Manager to lead the delivery of technology initiatives across the Healthcare Payer ecosystem, with a strong focus on the TriZetto FACETS Core Administration Platform. Deep understanding of Healthcare Payer operations, including: Claims Processing Membership & Enrollment Provider Management Billing & Premium Management Experience delivering: Application Development Projects System Upgrades & Modernization Programs Application Support & Maintenance Initiatives Production Support Engagements Strong stakeholder management and communication skills.
FACETS Developer (TriZetto FACETS) - Full Time Saransh IncFACETS Developer (TriZetto FACETS) - Full TimeSeattle, WARole: FACETS Developer Location: Seattle, WA (All the 5 days a week Onsite) Employment Type: Full-Time About the Role: Client is seeking experienced FACETS Developers with strong Healthcare Payer and TriZetto FACETS expertise to support enterprise-scale transformation, enhancement, modernization, and support initiatives. NET Development, FACETS Extensions & Customization, Batch Processing & Troubleshooting, System Integration & Testing, Agile Software Development, Production Support & Incident Resolution, Technical Problem Solving What You'll Do: Design, develop, enhance, and maintain solutions within the TriZetto FACETS platform.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistTacoma, WARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
NewRemote Psychiatric Mental Health Nurse Practitioner (PMHNP) Seasoned RecruitmentRemote Psychiatric Mental Health Nurse Practitioner (PMHNP)Seattle, WARemote$75,000–$220,000 / yearBenefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.
Business Systems Analyst Support Services Senior Cambia HealthBusiness Systems Analyst Support Services SeniorRenton, WA$72,523–$119,663 / yearAs a member of the Business & Tech Systems Support team, our Business Systems Analyst Support Services Seniors maintain existing systems and deliver new solutions in support of Cambia's Core Strategies and Key Initiatives - all in service of creating an economically sustainable health care system. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo and Lewiston offices or who are willing to relocate.
NewDelivery Manager Axelon Services CorporationDelivery ManagerSeattle, WA$65–$68 / hourSeeking a seasoned Delivery Manager with deep Healthcare Payer expertise and strong experience in the TriZetto FACETS platform to lead large-scale delivery portfolios spanning application development, production operations, maintenance, modernization, and support services. The ideal candidate will have a proven track record of managing outcome-based and SLA-driven engagements, leading cross-functional delivery teams, driving operational excellence, and building strong client relationships.
NewProject Manager Axelon Services CorporationProject ManagerSeattle, WA$1–$53.50 / hourDeep understanding of Healthcare Payer operations, including Claims Processing, Membership, Enrollment, Provider Management, Billing, and Premium Management. Experience delivering Application Development Projects, System Upgrades & Modernization Programs, Application Support & Maintenance Initiatives, and Production Support Engagements.
NewCash Application Reconciliation Representative Overlake Hospital Medical CenterCash Application Reconciliation RepresentativeWA$20.99–$31.49 / hourThe Cash Application Reconciliation Representative is responsible for performing a variety of accounts receivable functions to include the reconciliation of daily cash to the patient accounting systems, maintenance of bank deposits and payment spreadsheets, maintenance of data for audit purposes, and for the research and follow-up of patient inquiries. Experience: Minimum of two (2) years cash posting, reconciliation, or bookkeeping experience required, with five (5) years' experience preferred.
Financial Coordinator Tingey OrthodonticsFinancial CoordinatorIssaquah, WashingtonIf you're an experienced orthodontic financial professional who takes pride in exceptional service, enjoys helping patients feel informed and confident, and wants to be part of a successful, well-established practice, we'd love to hear from you. For over 26 years, our practice has been dedicated to helping patients of all ages achieve confident, healthy smiles through personalized care, advanced orthodontic treatment, and a welcoming, family-focused environment.
Patient Account Representative 2 University of WashingtonPatient Account Representative 2Seattle, WARelated office environments include Hospital or SBO: patient financial services, insurance billing, claims processing and follow-up, claims denials, appeals, underpayments or other business office settings involving patient account insurance billing and follow-up functions. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
Veterans Service Representative (AQRS) U.S. Department of Veterans AffairsVeterans Service Representative (AQRS)Seattle, WA$89,508–$130,786 / yearOral Communication: Expresses information (for example, ideas or facts) to individuals or groups effectively, taking into account the audience and nature of the information (for example, technical, sensitive, controversial); makes clear and convincing oral presentations; listens to others, attends to nonverbal cues, and responds appropriately. Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).
Supervisory Veterans Service Representative (VSR) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (VSR)Seattle, WA$100,602–$130,786 / yearVolunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Estimator CARSTAR Franchising IncEstimatorSeattle, WAInforms customers about CARSTAR's repair process, including insurance claims processing, payment procedures, repair techniques, repair needs and expected delivery date of repair. Inspects all completed repairs before delivering customer vehicles, explains CARSTAR's warranty and Quality Control process with all customers.
Supervisor, Documentation & Coding CommonSpirit HealthSupervisor, Documentation & CodingSeattle, WATo be successful in this role, you will demonstrate a steadfast commitment to coding accuracy, compliance, and data integrity are crucial for optimizing workflow and ensuring the timely and precise translation of clinical services into billable and reportable data. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
NewPrior Authorization Specialist Adaptive Biotechnologies CorpPrior Authorization SpecialistWARemote$21.68–$23.99 / 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. This role ensures timely and accurate processing of prior authorizations to facilitate patient access to essential laboratory services.
Access and Reimbursement Manager- NPS Renal- Seattle, WA Novartis AGAccess and Reimbursement Manager- NPS Renal- Seattle, WASeattle, WARemoteAssociate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory ARM will serve as the key contact and lead for access and reimbursement support-related matters and is responsible for being the local market access expert on payer policy coverage, multi-channel acquisition pathways, billing and coding, claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.
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.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesWA$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Account Associate - State Farm Agent Team Member A'lan Edmonson - State Farm AgentAccount Associate - State Farm Agent Team MemberKent, WAPart timeAs the Account Associate - State Farm Agent Team Member for A'lan Edmonson - State Farm Agent , you’ll play a key role in driving agency growth through consultative sales and relationship-building . This is a sales-forward, customer-facing role where your ability to follow up, educate, and close opportunities directly impacts your success and our agency’s results.