Lead Claims Specialist: TRICARE & Managed Care Leader
Pacific Medical Centers Corp
Pacific Medical Centers (PacMed) is seeking a Lead Claims Specialist to oversee adjudication of purchased services claims for enrolled capitated populations, applying TRICARE reimbursement rules to ensure accurate, timely resolutions. You will lead complex claim scenarios, manage advanced processing needs, respond to member and provider inquiries with precision, and collaborate with the USFHP team to maintain compliant operations across our Washington network. #J-18808-Ljbffr Pacific Medical Centers Corp
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Lead Claims Specialist: TRICARE & Managed Care Leader in Renton, WA vacancy
$26.9 - $41.89 per hour
Are you a claims professional ready to step into a lead role where your expertise drives... ...? As a Lead Claims Specialist supporting the US... ...claim situations, managing advanced processing... ...your expertise in TRICARE reimbursement to ensure... ..., whole-person care built on understanding...SuggestedMinimum wageLocal areaShift work- WellHaven Pet Health in Renton, WA seeks a Practice Manager to lead hospital operations, drive profitability, and ensure top-tier veterinary care and client service. You will collaborate with the Principal Doctor to optimize workflows, coach staff, manage budgets, and plan...Suggested
- ...Bellevue Towers, part of Columbia Hospitality Residential, seeks an accomplished General Manager to lead its 1,500+ homeowners across 539 residences with five‑star service and hands‑on leadership. The role demands luxury operations expertise, strong financial management...Suggested
- University of Washington CSPAR Suicide Care Team seeks a Program Operations Specialist to lead strategic planning and manage charters, work plans, and dashboards for timely delivery of suicide care initiatives. The role requires strong project management experience in healthcare...Suggested
- ...in Seattle is seeking a Patient Services Specialist Lead to supervise front desk operations,... ...support registration and scheduling. You will manage patient communications, referrals, pre-... ...leadership to deliver high-quality care. #J-18808-Ljbffr University of WashingtonSuggested
- A leading healthcare provider in Renton is seeking a Registered Nurse (RN) specializing in Radiology. This role involves providing safe, quality care to patients, leading and mentoring staff, and ensuring effective communication within the team. Candidates should possess...
- Aegis Living is seeking an Associate Care Director to lead care operations, schedule community care staff, and ensure safe resident care for our... ...Director, assist with ADLs and medication passes, and help manage staff coverage and overtime to maintain quality service....
- University of Washington is seeking a Husbandry Manager of Program Operations to lead the day-to-day operations of the Husbandry Operations Unit. The role oversees 45+ staff across multiple sites, ensuring housing facilities meet regulatory and AAALAC standards. Key responsibilities...
$78.6k
...has an outstanding opportunity for a Lead Clinical Trials Specialist (Research Coordinator 3) to join their... ...Research Implementation Project Manager of the UW Thoracic, Head & Neck Oncology... ...related project management or health care experience.Demonstrated ability to work...Full timeContract workTemporary workWork at officeLocal areaRemote workFlexible hoursShift work2 days per weekUniversity of Washington
Seattle, WA4 days ago$25.61 - $39.88 per hour
...Description Senior Claims Specialist - USFHP - Renton, WA Schedule- Full Time/ Hybrid... ...resolves problem claim situations. Assists in managing the workflow of assigned Line of... ...culture of patient-focused, whole-person care built on understanding, commitment, and...Minimum wageFull timeLocal areaShift workProvidence Health & Service
Renton, WA5 days ago- Fred Hutchinson Cancer Center in Seattle is seeking a Patient Access Coordinator Lead to streamline appointment scheduling and coordinate care with clinical staff. You will act as a liaison for patients, families, and departments, using multiple systems to facilitate complex...
- HumanGood is seeking a Memory Support Program Manager in Seattle to coordinate the memory support program and meet residents' physical,... ...collaborate with clinical partners to ensure seamless resident care. Position requires 3-5 years dementia care experience and 1 year...
- Walgreens is seeking a Pharmacy Manager to lead a full-service community pharmacy in the United States. The role focuses on delivering empathetic patient consultation, ensuring safe, accurate dispensing, and maintaining regulatory compliance across all processes. The position...
- ...Cancer Center in Seattle seeks a Pharmacy Leader to supervise pharmacists, technicians,... ...safe and compliant pharmacy services and leading quality-improvement initiatives. The... ...license, and strong leadership with project-management experience. Competitive base salary and...Full time
- ...Bellevue is seeking an Advanced Registered Nurse Practitioner (ARNP) for its High-Risk Cancer Management Program. In this role, you will work with an interdisciplinary team to provide care for high-risk patients and manage education and treatment planning. Applicants should...
- ...Hutchinson Cancer Center, based in Seattle, seeks a Patient Access Coordinator Lead to optimize clinic flow and coordinate complex scheduling for patients and families. You will collaborate with care teams, triage inquiries, and ensure timely treatment appointments across...
$150 per hour
...are hiring skilled and compassionate Registered Nurses for the Care Team Lead role at 2nd Family Home Care and Support services! [Primarily... ...~90-reassessments: $75 + mileage ~ All other client management: $50/client/week ~ Orientation, in-service, or other support...Weekly payCurrently hiringRemote workShift work2nd Family - Seattle
Seattle, WA6 hours ago$23 per hour
...that support their learning, development, and well-being, Associated Recreation Council (ARC)has a role for you as a School-Age Care Lead Counselor . We're hiring for these roles in community centers in every Seattle region, please see below for the full list of locations...Hourly payPart timeSummer workSecond jobImmediate startMonday to FridayAssociated Recreation Council
Seattle, WA6 days ago- AKIN is seeking a WISe Care Coordinator to lead Wraparound with Intensive Services for trauma-impacted children and families in a collaborative, team-based setting. You will facilitate the Child & Family Team and actively partner with families, therapists, and community...
$46.92k
...reside in on-campus student homes and provide care, guidance, supervision, and support for a... ...daily supervision and mentorship Managing household routines and student schedules... ...recreational activities with students Leading daily devotions and accompanying students...Full timeWork from homeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Renton, WA1 day ago- ARC is hiring an entry-level School-Age Care Counselor to assist and lead daily curriculum activities for a class of children ages 5-12 in Seattle. The role supports social and emotional growth and helps maintain a 1:10 staff-to-child ratio to ensure safety and accountability...Summer work
- State of Washington's DSHS HCLA APS is seeking a Social Service Specialist 5 in Federal Way to supervise a unit of APS investigators and ensure compassionate, compliant investigations. You will lead staff, provide policy guidance, coordinate with law enforcement and tribal...
- UW Medical Center - Northwest is seeking a Nurse Care Coordinator to join the Care Management team. The role focuses on achieving coordinated patient flow... ...inpatient stays and ensuring safe, timely discharges. You will lead interdisciplinary team huddles, address barriers to...
- Labcorp is seeking a Phlebotomy Site Supervisor to lead a small team of phlebotomists and patient intake staff at our Santa Rosa, CA site. You will oversee all aspects of the patient service center, drive service excellence, and develop staff. The role requires California...Full time
- Canterbury House is seeking a Registered Nurse (RN) to manage nursing care delivery to the residents. Oversees other staff members in caring for those residents, follows the plan of care, and performs general nursing duties. This part-time RN role is located at Canterbury...Part timeNight shift
- Era Living in Bellevue, WA is seeking a full-time Lead Resident Assistant to join the Community Health team at The Gardens at Town Square... ...fellow Resident Assistants, delivering direct resident care, and performing essential administrative tasks. #J-18808-Ljbffr...Full timeShift work
- One Medical, a leader in primary care based in Seattle, seeks a dedicated physician to manage diverse patient panels across acute, chronic and well visits. This role involves in-office care, testing centers, and occasional tele-health visits, with ongoing clinical rounds...Full timeWork at office
- International Community Health Services (ICHS) seeks a Nutrition Services Administrator to lead nutrition assessment and services for PACE participants. You will plan interventions, educate the IDT, and coordinate meals while supervising Dietary Aide staff. The role requires...Internship
- ...board-eligible/internal medicine or family medicine physician to manage a diverse patient panel across acute, chronic, and preventive... ...visits. You will provide in-office, testing center, and tele-health care while engaging in ongoing learning with Clinical Rounds and...Work at office
- Ashford Senior Living seeks a Licensed Practical Nurse to lead and supervise the direct care team in a residential adult family home setting. This role involves providing comprehensive nursing care, administering medications, and ensuring timely documentation on eMAR....Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Lead Claims Specialist: TRICARE & Managed Care Leader. Be the first to apply!
Related searches
- medical insurance claims specialist Renton, WA
- remote medical claims processor Renton, WA
- home care coordinator Renton, WA
- care team leader Renton, WA
- care coordinator rn Renton, WA
- social service coordinator Renton, WA
- home health care coordinator Renton, WA
- care coordinator Renton, WA
- health care coordinator Renton, WA
- dental patient care coordinator Renton, WA