Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEVancouver, WARemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
NewAssociate Director, Healthcare Economics (Remote) UnitedHealth Group Inc.Associate Director, Healthcare Economics (Remote)Portland, ORRemote$112,700–$193,200 / yearAs Optum West continues its integration into the National Healthcare Economics (HCE) Data Ecosystem, this leader plays an increasingly important role in leveraging market-specific legacy, proprietary, and public healthcare data to generate actionable insights, enhance analytical capabilities, and inform strategic decision-making. The position partners closely with healthcare economics, payer contracting, and data informatics teams to evaluate market trends, model financial outcomes, and develop data-driven strategies that optimize payer agreements.
Remote Registered Nurse RN RylemRemote Registered Nurse RNPortland, ORRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
Utilization Management Manager – Remote Nonprofit Role Yamhill Community CareUtilization Management Manager – Remote Nonprofit RoleMcMinnville, ORRemoteACM (Accredited Case Manager) through AMCA (American Case Management Association), CCM (Certified Case Manager) CCMC (Commission for Case Manager Certification), Board certification in Nursing Case Management (RN-BC) through ANCC (American Nurses Credentialing Center), CPHQ (Certified Professional in Health Care Quality) through NAHQ (National Association of Health Care Quality). Master’s degree in Nursing or other Healthcare related field, Five (5) years of relevant clinical nursing or healthcare related experience, Experienced in physical and behavioral health integration, Experience with Coordinated Care Organization (CCO) / Medicaid Managed Care, Three (3+) years of experience with Utilizations Management, Equivalent combination of education and experience will be considered.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselORRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NursePortland, ORRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Healthcare Recruiter The Business TreeHealthcare RecruiterPortland, OregonRemoteJob Description: As a Healthcare Recruiter at The Business Tree, you will play a vital role in sourcing, screening, and selecting top-tier candidates for healthcare positions across various specialties. How to Apply: If you are passionate about healthcare recruitment and want to join a dynamic team at The Business Tree, please submit your resume and cover letter detailing your relevant experience and why you are a great fit for this role.
Global Healthcare Segment Head - Global Marketing & Sales Hitachi LtdGlobal Healthcare Segment Head - Global Marketing & SalesSalem, ORRemoteYou will also work closely with Hitachi business units and regional growth teams to position Hitachi to priority players in this market with a cohesive value proposition, bringing together the domain experts in medical systems and products (Hitachi High-Tech), Operational infrastructure experts (eg Hitachi Energy, Hitachi High Tech, Hitachi Building systems, JR Automation) and Hitachi's digital group companies (digital, data, AI), as a full range of capabilities to help Hitachi build its reputation and become a trusted partner for AI era, sustainable healthcare, particularly in the fields of Bio pharmaceutical development and delivery, diagnostics and cancer treatment. Support cross Hitachi solution development, providing market intelligence and customer validation, assisting SSIB with insight, incubation and PoC projects, proposing commercialization models for successful incubations that integrate OT scale up in medtech with digital & AI (AIOps) applied to enhanced patient outcomes (e.g. and predictive diagnostics) treatment development as well as operational optimization e.g.
Senior Product Manager - Remote Providence St. Joseph HealthSenior Product Manager - RemotePortland, ORRemoteThe Senior Product Manager will be part of a team within the ACOE that supports analytics products and services for Acute Hospital Operations (e.g., Length of Stay reduction, Case Management, Perioperative Services, Emergency Medicine, Critical Care, Hospital Medicine, Imaging). Required Qualifications: Bachelor's Degree in Data Science, Analytics, Finance, Engineering, Mathematics, Computer Science, Business Administration, Health Administration, Public Health, Public Administration, or related discipline, or an equivalent combination of education and experience.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsORRemote$236,500–$449,300 / yearLicense/Certifications: Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareORRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Senior Security Engineer IS- Identity and Access Management - Remote Providence St. Joseph HealthSenior Security Engineer IS- Identity and Access Management - RemotePortland, ORRemoteExperience collaborating on security solution designs for the TCP/IP protocol suite, LAN/WAN technologies, switching, routing, VoIP and Telephony technologies, firewalls and VPN, intrusion prevention systems (IPS), vulnerability assessment and patch management tools. The Senior Security Engineer, Identity & Access Management is responsible for designing, implementing, and maintaining secure, scalable IAM solutions across hybrid environments, while driving modernization toward Zero Trust and cloud-based identity models.
Senior Compensation Consultant - Remote Providence St. Joseph HealthSenior Compensation Consultant - RemotePortland, ORRemoteThe Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans. 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.
Senior Compensation Consultant - Remote Providence Health & ServicesSenior Compensation Consultant - RemoteOregon, ORRemoteRequsition ID: 449763 Company: Providence Jobs Job Category: Compensation Job Function: Human Resources Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4002 SS HR COMP ADMIN Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote 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. The Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans.
Contract Sourcing Manager - Remote Providence Health & ServicesContract Sourcing Manager - RemoteVancouver, WARemoteRequsition ID: 427323 Company: Providence Jobs Job Category: Sourcing Job Function: Supply Chain Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4012 SS REH CAPITAL PLAN Address: WA Vancouver 315 SE Stonemill Dr Work Location: Vancouver Medical Plaza-Vancouver Workplace Type: Remote 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. Medical Surgical, Physician Specialty (Implantable Devices) IT Contracting, Purchased Services and Capital Equipment Contracting is a group within Strategic Sourcing that provides contract negotiation leadership, development and management services and counsel on matters for the Providence St Joseph Health enterprise.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteORRemoteRequsition ID: 431486 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote 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. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Senior Data Engineer IS - Remote Providence Health & ServicesSenior Data Engineer IS - RemotePortland, ORRemoteRequsition ID: 429173 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4011 SS IS HI DP 3 Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
NewHuman Resources Consultant - Employee Relations - Full time, Day, Remote Providence Health & ServicesHuman Resources Consultant - Employee Relations - Full time, Day, RemoteOregon, ORRemoteRequsition ID: 450531 Company: Providence Jobs Job Category: HR Generalist Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4002 SS HR EMPL RELATIONS 1 Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: Remote 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
(Remote) GIS Developer Harris Computer Systems(Remote) GIS DeveloperORRemoteAbout DataVoice: DataVoice International's integrated utility management systems give utilities the tools they need to reliably and quickly serve their customers while cutting back on their own workloads by using accurate data to map outages, track their vehicles, communicate with workers and interact with customers. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Provider Compensation Consultant - Remote Providence St. Joseph HealthProvider Compensation Consultant - RemoteSalem, ORRemoteThis role combines expertise in healthcare economics, regulatory compliance, and data analytics to design compensation structures that are fair, competitive, and in support of with Providence's strategic initiatives- all with an eye to FMV and commercial reasonableness. 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.