Senior Claims Specialist - Managed Care Adjudication
Providence Health Plan Group
Providence Health Plan Group in Renton, WA is seeking a Claims Processor to adjudicate claims for its capitated population. You'll be responsible for complex claims adjustments and act as a primary resource in specific areas like EDI and Health Plan Repricing. Join us and contribute to a patient-focused team that values its caregivers. Enjoy generous benefits including medical, dental, vision, and a 401(k) plan with employer matching. #J-18808-Ljbffr Providence Health Plan Group
- ...Centers in Renton, Washington is looking for an experienced claims adjudicator to manage and resolve complex claims. The ideal candidate will have a... ...Degree in a related field and at least 4 years of Managed Care operations experience. This role involves adjusting claims,...Senior
- Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population... ...problem claim situations. Assists in managing the workflow of assigned Line of... ...culture of patient‑focused, whole‑person care built on understanding, commitment, and...Senior
- Providence is looking for a skilled claims adjudicator in Renton, WA. You will manage claims for our enrolled capitated population, providing excellent customer... ...situations. Our culture fosters patient-focused care, where your contributions are valued. Qualified candidates...Senior
- Are you a claims professional ready to step into a... ...results? As a Lead Claims Specialist supporting the US... ...the go-to authority for adjudicating purchased services claims... ...claim situations, managing advanced processing needs... ...focused, whole-person care built on understanding...Suggested
- ...Medical Centers USFHP team seeks a Lead Claims Specialist to adjudicate purchased services for enrolled... ...populations. You will resolve complex claims, manage advanced processing needs, and... ...supporting patient-centered, whole-person care in the #J-18808-Ljbffr Providence...Senior
- Now Brewing - senior claims specialist! #tobeapartner From the beginning, Starbucks set out to be a... ...outcomes, and upholding Starbucks’ values of care and excellence. As a senior claims... ...litigation and legal strategy management, compliance with all applicable state...SeniorTemporary workWork experience placementLocal area
- AccentCare is seeking a Territory Operations Director Registered Nurse for the Renton area. You will manage daily operations and clinical services, ensuring quality care and compliance with policies. Ideal candidates should possess a Washington RN License and extensive...Senior
$140.3k - $210.5k
...00 company and a leading AI platform for managing people, money, and agents, we’re shaping... ...big challenges with bold ideas and genuine care. We look for curious minds and courageous... ...Services Healthcare Principal /Senior Consultant will be responsible for ensuring...SeniorFull timeWork at officeRemote workHome officeFlexible hours$126.2k - $264.1k
...exceptional Principal Technical Program Manager to join our dynamic and innovative team.... ...record of influencing and presenting to senior business and technology leaders and driving... ...insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending...SeniorTemporary workFlexible hours- ...Medical Centers in Renton, WA, is seeking a Lead Claims Specialist for the US Family Health Plan (USFHP). This role adjudicates purchased services claims for capitated... ...resolutions. The ideal candidate has extensive managed care/claims experience and a track record leading...
$100k
...the unique coverage and claims-handling needs of... ...Description Business Title(s): Senior Construction Defect Technical Claims Specialist Employment Type: Full-... ...VT. This role will be adjudicating our most complex... ...oversight under broad management direction, adjudicate construction...SeniorFull timeLocal areaRemote work$96.68k - $157.59k
...Senior Facilities Project ManagerSalary Range: $96,680.00 to $157,590.00 USDWould you like... ...'s lives? Do you want to be part of a caring, respectful, diverse community? If you answered... ...Summary:The Senior Facilities Project Manager leads complex, large enterprise-level...SeniorContract workFor contractorsFor subcontractorWork at officeRelocationShift work- Premera is hiring a Claims Processor IV to ensure accurate and timely review, research, and resolution of moderate to highly complex medical... ...across departments to improve processing quality and support Care Facilitation, Appeals, and configuration teams. The role...SeniorRemote job
$118.7k - $264.1k
...resilience required for modern business. Oracle is seeking a Senior Principal Product Marketing Manager - OCI to help define and execute the marketing strategy... ...life insurance (Employee/Spouse/Child) Health care and dependent care Flexible Spending Accounts Pre‑tax...SeniorTemporary workRelocation packageFlexible hours$150k
Providence Health and Services is seeking an RN Manager for Long Term Care in Seattle, WA. This position focuses on managing skilled nursing units, emphasizing leadership and staff mentoring while ensuring exemplary patient care. Ideal candidates will have a Washington...Senior- Cogir Senior Living in Seattle seeks a Wellness Nurse (LPN) to oversee resident health and well-being. You will perform health assessments, manage medications, and coordinate with residents, families, and the care team to provide high-quality care. Collaborating with the...Senior
- PACCAR is seeking an Occupational Health Nursing Supervisor to manage the onsite health clinic and medical staff, addressing work-related and non-work-related health questions. You will establish operating procedures, manage budgets for medical supplies, and coordinate...Senior
- Cogir Senior Living in the United States is seeking a Wellness Nurse (LPN) to ensure high‑quality health care for residents. You will assess health, manage medications, and collaborate with the Health and Wellness Director to coordinate care with residents, families, and...SeniorMonday to FridayShift work
- OptumCare seeks a Complex Care Advanced Practice Clinician (NP/PA) to join our Denver team. You will conduct wellness visits, manage high-risk patients, and collaborate with IPA physicians... ...adjustment and preventive care for seniors. Competitive compensation includes...Senior
- A prominent animal welfare organization seeks a Clinic Manager to oversee a team delivering vital services to over 12,000 animals annually. This leadership role demands expertise in veterinary care and strong team management skills. The ideal candidate must be passionate...SeniorFull time
- ...as a Physical Therapist to impact the health of American Indian and Alaska Native patients. You will manage the Physical Therapy department, focusing on quality care and strategic planning while ensuring continuity of care through professional consultation. The ideal...Senior
$126.2k - $264.1k
...bold, industry-defining innovation in cloud computing? As a Senior Principal Product Manager, you will have the rare opportunity to drive the vision,... ...Supplemental life insurance (Employee/Spouse/Child) Health care and dependent care Flexible Spending Accounts Pre-tax...SeniorTemporary workWork experience placementWorldwideFlexible hoursShift work- Confidential in Seattle is seeking a Nursing Supervisor to manage nursing services on a per-diem basis, ensuring safe, high-quality care and adherence to policies. The role involves supervising care partners, assessing residents at move-in, and coordinating with physicians...SeniorDaily paid
- A community resource center in Bellevue, WA is seeking a Senior Operations Manager to oversee Foster, Adoption, and Shelter Care programs. The role involves managing departmental teams and ensuring quality animal care. The ideal candidate has at least 5 years of animal...SeniorFull time
- Swedish Jobs in the Seattle area seeks a Senior Cardiac Device Technician to support implantable cardiac device care in an outpatient clinic. You will work with physicians... ...nurses, perform device interrogations, and manage remote transmissions under supervision. Requirements...SeniorDaily paidRemote workShift workDay shift
$1,000 per month
...We connect pet parents with trusted pet care across the U.S., Canada, Europe, and Australia... ...planning, while serving as Rover’s senior advisor on complex employee relations and... ...organizational effectiveness and business performance.Manage the Director of International HR and...SeniorFull timeLocal area- ...seeks an Executive Director to join our Senior Leadership team at Aljoya Thornton Place,... ...24-hour leadership, guiding operations, care quality, staff relations, and financial objectives... ...long-term care, with a track record in managing complex operations, driving census growth...SeniorFull time
- ...We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses...SeniorLocal areaRemote work
- ...Senior Vice President & General Manager, Senior Living About the Company Innovative provider of cloud-based software & services for the senior care industry Industry Computer Software Type Privately Held, VC-backed Founded 2000 Employees 1001...Senior
- ...investments firm and specializes in the senior living, healthcare, and education sectors... ...BUSINESS UNIT Ziegler Senior Housing and Care Finance Practice ("SHCFP") is focused on... ...Ziegler is seeking a well-established Managing Director/Director with relevant relationships...SeniorImmediate startFlexible hours
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