Appeals and Grievances Clinical Specialist HealthfirstAppeals and Grievances Clinical SpecialistWA$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases 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.
Medical Director / Senior Medical Director, Clinical Development ImmunomeMedical Director / Senior Medical Director, Clinical DevelopmentBothell, WashingtonThis individual will provide medical oversight for global clinical studies and serve as a key member of the Clinical Development team, partnering closely with Clinical Operations, Biostatistics, Data Management, Regulatory Affairs, Pharmacovigilance, Medical Writing, and Translational Medicine. We are advancing an innovative portfolio of therapeutics, supported by a leadership team with deep experience in the design, development, and commercialization of cutting-edge therapies, including antibody-drug conjugates.
NewDirector Clinical Operations and Medical Policy Cambia Health Solutions IncDirector Clinical Operations and Medical PolicyRenton, WADemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
NewDirector Clinical Operations And Medical Policy Cambia HealthDirector Clinical Operations And Medical PolicyRenton, WADemonstrated knowledge of the following: Health Plan and benefit design structures and application; Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Knowledge of health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities, health insurance operations, or legal research helpful; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. These activities include services pertaining to: evidence reviews of medications, formulary development, Pharmacy and Therapeutics (P&T) Committee support, medication use policy development, the Medication Policy Group (MPG), clinical prior authorization, implementation of utilization management activities, guidance for clinical edit coding for prescription claims processor or medical claims system, medication pipeline monitoring, medication trend management, and consultation and guidance on medication-related issues.
Clinical Pharmacist CommonSpirit HealthClinical PharmacistTacoma, WAOur comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
CLT / Clinical Lab Technician - Primary Care at Fremont University of WashingtonCLT / Clinical Lab Technician - Primary Care at FremontSeattle, WashingtonNearly 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. UW Medicine board-certified providers offer a complete spectrum of primary care services five days a week, including family medicine with behavioral health, travel medicine, nutrition services, reproductive health and sports medicine.
Nurse Manager, Ambulatory Clinical Operations Seattle Children's Hospital Research and FoundationNurse Manager, Ambulatory Clinical OperationsSeattle, WA$129,992–$194,988 / yearAs per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN''s performing moderately complex point of care testing, a copy of a diploma or transcript of the highest level of academic achievement to be on record with Human Resources upon hire. 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.
Manager, Ambulatory Clinical Support Staff - Medical Assistant Seattle Children's Hospital Research and FoundationManager, Ambulatory Clinical Support Staff - Medical AssistantBellevue, WA$97,665–$146,497 / yearCurrent Certified medical assistant examination through the American Association of Medical Assistants (AAMA)Preferred, Registered medical assistant certification examination through American Medical Technologists (AMT), Clinical medical assistant certification examination through the National Health Career Association (NHA), National certified medical assistant examination through the National Center for Competency Testing (NCCT) or The American Medical Certification Association AMCA examination ( AMCA). 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.
Clinical Systems Analyst, Senior - Ambulatory Seattle Children's Hospital Research and FoundationClinical Systems Analyst, Senior - AmbulatorySeattle, WA$107,431–$161,147 / yearTogether, 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. Bachelor's degree in Healthcare, Business Administration, Industrial Engineering, Computer Science or a related field OR a combination of education/experience that demonstrates technical competence.
Clinical Systems Analyst, Sr - Ambulatory, Healthy Planet, Compass Rose Seattle Children's Hospital Research and FoundationClinical Systems Analyst, Sr - Ambulatory, Healthy Planet, Compass RoseSeattle, WA$107,431–$161,147 / yearTogether, 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. Bachelor's degree in Healthcare, Business Administration, Industrial Engineering, Computer Science or a related field OR a combination of education/experience that demonstrates technical competence.
Clinical Student Intern - First Hill Specialty Providence Health & ServicesClinical Student Intern - First Hill SpecialtySeattle, WA$21.30–$27.98 / hourIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Requsition ID: 447601 Company: Swedish Jobs Job Category: Academics Job Function: Administration Job Schedule: Part time Job Shift: Day Career Track: Clinical Professional Department: 3908 NURSING SUPPORT SERVICES WA Address: WA Seattle 515 Minor Ave Work Location: Swedish First Hill 515 Minor-Seattle Workplace Type: On-site Pay Range: $21.30 - $27.98
Senior Manager Clinical Pharmacy - Pharmacy - Hybrid Providence Health & ServicesSenior Manager Clinical Pharmacy - Pharmacy - HybridRenton, WARequsition ID: 449383 Company: Providence Jobs Job Category: Pharmacy Job Function: Clinical Care Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Leadership Department: 4007 SS CC PHARMACY Address: WA Centralia 914 S Scheuber Rd Work Location: Centralia Hospital-Centralia Workplace Type: Hybrid Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. It is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound.
Clinical Student Intern - Redmond Pediatrics Providence Health & ServicesClinical Student Intern - Redmond PediatricsSeattle, WA$21.30–$27.98 / hourIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Requsition ID: 447603 Company: Swedish Jobs Job Category: Academics Job Function: Administration Job Schedule: Part time Job Shift: Day Career Track: Clinical Professional Department: 3908 NURSING SUPPORT SERVICES WA Address: WA Seattle 515 Minor Ave Work Location: Swedish First Hill 515 Minor-Seattle Workplace Type: On-site Pay Range: $21.30 - $27.98
Clinical Student Intern - Magnolia Primary Care Providence Health & ServicesClinical Student Intern - Magnolia Primary CareSeattle, WA$21.30–$27.98 / hourIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Requsition ID: 447605 Company: Swedish Jobs Job Category: Academics Job Function: Administration Job Schedule: Part time Job Shift: Day Career Track: Clinical Professional Department: 3908 NURSING SUPPORT SERVICES WA Address: WA Seattle 515 Minor Ave Work Location: Swedish First Hill 515 Minor-Seattle Workplace Type: On-site Pay Range: $21.30 - $27.98
Senior Director, Clinical Regulatory Affairs Umoja BiopharmaSenior Director, Clinical Regulatory AffairsSeattle, WA$253,000–$312,500 / yearWe are a diverse and growing team working in brand-new facilities in downtown Seattle, Washington and Louisville, Colorado, and we are looking for innovative thinkers who are excited by groundbreaking science and technology, and passionate about squaring up to the challenges inherent to cutting-edge drug development. This role will develop and implement regulatory strategies leading to successful registration and life-cycle management of unique and technologically complex products serving patients with cancer and other unmet medical needs.
Clinical Specialist I, CPT - Seattle, WA Abbott LaboratoriesClinical Specialist I, CPT - Seattle, WASeattle, WA$61,300–$122,700 / yearWorks under general direction with clinical and sales teammates to identify and capitalize on sales opportunities by creating competency, comfort, and expertise with all Abbott Chronic Pain Therapies among physicians, support staff and customers within assigned geography. Uses clinical expertise to identify customer training and in-service needs with the goal of increasing customer usage, comfort and understating of all Abbott Chronic Pain Therapies product line.
Clinical Account Representative, CardioMEMS - Seattle, WA AbbottClinical Account Representative, CardioMEMS - Seattle, WASeattle, Washington$68,000–$136,000 / yearThe CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that CardioMEMS is successfully integrated into heart failure care pathways and delivers measurable patient and economic value. The Clinical Account Representative (CAR) supports the growth of CardioMEMS by driving utilization, supporting key accounts, and delivering education and technical support.
Clinical Specialist I, CPT - Seattle, WA AbbottClinical Specialist I, CPT - Seattle, WASeattle, Washington$61,300–$122,700 / yearWorks under general direction with clinical and sales teammates to identify and capitalize on sales opportunities by creating competency, comfort, and expertise with all Abbott Chronic Pain Therapies among physicians, support staff and customers within assigned geography. Uses clinical expertise to identify customer training and in-service needs with the goal of increasing customer usage, comfort and understating of all Abbott Chronic Pain Therapies product line.
Clinical Consultant, MCS - Seattle/Tacoma/Portland AbbottClinical Consultant, MCS - Seattle/Tacoma/PortlandSeattle, Washington$68,000–$136,000 / yearOur portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. In Abbott’s Heart Failure division, we’re advancing the treatment of heart and vascular disease through breakthrough medical technologies in electrophysiology and heart failure, allowing people to restore their health and get on with their lives.
Clinical Sleep Specialist - Seattle, WA Zoll Medical CorpClinical Sleep Specialist - Seattle, WASeattle, WARemoteWork in collaboration with your Region Sales Manager, Cardio Key Account Manager and VA/Gov't Account Manager to maximize coverage efficiency (pre and post-sale E.g. customer, training needs, needs, wants, wins/losses, etc. ) Coordinate potential customer product evaluations and demonstrations with Itamar Region Sales Managers & CSS management. Establish professional working relationships with health care providers (GE, MLP, IM, Nurse), decision makers, support staff, and influencers within assigned customers, to support the use of the company's products - through developing and applying clinical and business expertise, and effective selling skills.