NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Transplant Financial Coordinator CommonSpirit HealthTransplant Financial CoordinatorSeattle, WAA minimum of five (5) years experience in outpatient group medical practice and/or inpatient acute care setting, with progressively increasing scope of administrative experience and responsibilities, including patient intake, medical terminology, CPT & ICD coding, third party payer referrals and authorizations, third party payer billing and reimbursement, and managed care experience. Proficiency in Medicare cost reporting, especially organ acquisition Medicare cost reporting; transplant administrative experience; IDX Billing Accounts Receivable (BAR), IDX Hospital Patient Accounts Billing System (HPA); Accredited Record Technician (ART) and/or Registered Record Administrator (RRA).
NewSupervisor, 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.
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.
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.
Associate Program Director - Resident Affairs (39754) Community Health CareAssociate Program Director - Resident Affairs (39754)Tacoma, WAAttains and maintains current knowledge of the ACGME Special Requirements for Residency in Family Medicine found at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/120_FamilyMedicine_2020.pdf . Supervises, teaches, mentors, evaluates and advises residents and rotating medical students in full-spectrum ambulatory and inpatient settings in accordance with ACGME Special Requirements for Residency in Family Medicine.
ConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdConvergeHEALTH - 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.
Supervisor Health Plan Operations - USFHP Pacific Medical Center IncSupervisor Health Plan Operations - USFHPRenton, WA$39.45–$61.24 / hourRequsition ID: 446527 Company: Pacific Medical Jobs Job Category: Member Services Enrollment & Billing Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $39.45 - $61.24 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Clinical Inpatient Pharmacy Technician - Audit & Review Cambia HealthClinical Inpatient Pharmacy Technician - Audit & ReviewTacoma, 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.
Clinical Inpatient Pharmacy Technician - Audit & Review Cambia Health Solutions IncClinical Inpatient Pharmacy Technician - Audit & ReviewTacoma, 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.
Supervisor Health Plan Operations - USFHP Providence Health & ServicesSupervisor Health Plan Operations - USFHPRenton, WA$39.45–$61.24 / hourRequsition ID: 446527 Company: Pacific Medical Jobs Job Category: Member Services Enrollment & Billing Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 3060 WA USFHP Address: WA Renton 620 Naches Ave SW Work Location: Blackriver Corporate Park-Renton Workplace Type: Hybrid Pay Range: $39.45 - $61.24 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Sr. Manager Field Reimbursement - West Integra LifeSciences Holdings CorpSr. Manager Field Reimbursement - WestSeattle, WA$109,000–$150,000 / yearExperience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). Execute regional payer strategies, including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.
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.
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.
Clinical Trial Financial Analyst II Fred Hutchinson Cancer Research CenterClinical Trial Financial Analyst IISeattle, WA$80,475–$120,682 / yearWith a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the worlds leading cancer, infectious disease and biomedical research centers. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), and paid parental leave (up to 4 weeks).
Co-Founder & CEO - AI Clinical Documentation Compliance FutureSightCo-Founder & CEO - AI Clinical Documentation ComplianceSeattle, WA$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
NewCo-Founder & CEO - AI Clinical Documentation Compliance FutureSight VenturesCo-Founder & CEO - AI Clinical Documentation ComplianceSeattle, Washington$80–$85 / hourYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. The market signal is incredibly strong: Unprompted Product Pull: Every single lead described the exact product we want to build: a pre-billing, real-time, EHR-integrated flagging layer that checks documentation against payer-specific rules before claims are submitted.
Epic Application Analyst Valley Medical CenterEpic Application AnalystRenton, WAMinimum of 2 years of relevant experience required in one or more of the following areas: Information Services with entry-level or early IT analyst experience; clinical experience in acute or ambulatory settings (clinical education or licensure is a plus); or healthcare operations experience involving billing, scheduling, access services, or HIM, with familiarity in appointment scheduling, billing procedures, coding, and patient flow. The role partners closely with business, clinical, IT, and vendor stakeholders to ensure system reliability, data integrity, workflow effectiveness, and compliance with organizational and regulatory requirements, while working within a more defined scope and escalating higher-risk or more complex issues appropriately.
Insurance Follow Up Specialist - Seattle, WA Mindful Support ServicesInsurance Follow Up Specialist - Seattle, WASeattle, WA$24–$28 / hourExperience with payer portals for regional and national commercial payers, including Blue Cross Blue Shield plans, Aetna, Cigna, Optum/UnitedHealthcare, Medicare contractors, and Medicaid managed-care organizations. The ideal candidate has at least two years of hands-on insurance A/R follow-up and claim-resolution experience, including direct payer outreach, portal-based research, denial management, corrected claims, reconsiderations, appeals, and escalation of recurring payer or workflow issues.