TRICARE Claims Specialist Hybrid Work
Providence Health Plan Group
Pacific Medical Centers (PacMed) seeks a Claims Specialist to review, process, and adjudicate TRICARE medical claims with accuracy and adherence to TRICARE regulations and company policies. The role involves investigating discrepancies, resolving provider and beneficiary inquiries, and ensuring compliance with reimbursement guidelines while maintaining high quality and timely turnaround times. Providence-affiliated network emphasizes patient-centered care and supportive benefits. #J-18808-Ljbffr Providence Health Plan Group
- Pacific Medical Centers is seeking a Claims Specialist to review, process, and adjudicate TRICARE medical claims in our Renton area. You will investigate discrepancies, respond to provider and beneficiary inquiries, and ensure compliance with reimbursement guidelines in...Suggested
- Pacific Medical Centers in Renton, WA, is seeking a Lead Claims Specialist for the US Family Health Plan (USFHP). This role adjudicates purchased... ...processing tasks, assist customer requests, and apply TRICARE reimbursement knowledge to ensure compliant, timely resolutions...Suggested
$50k
...meaningful difference, you’ve found it. The work we do at Markel gives people the... ...resolve lower complexity and lower exposure claims. Manage a full claim workload with limited... ..., and floating holidays. Parental leave. Hybrid working schedules of 3 days in the office...Hybrid workingWork at officeLocal areaRemote work- The Claims Specialist is responsible for reviewing, processing, and adjudicating TRICARE medical claims accurately and in accordance with TRICARE regulations, contract requirements, and company policies. This role investigates claim discrepancies, resolves provider and...SuggestedContract work
$80k - $104k
...fulfilling lives. We pride ourselves on a culture of empathy, professionalism, and collaboration among our staff. Work Environment\n This role offers a hybrid work setup that primarily operates remotely, complemented by an outpatient office facility for collaborative...Hybrid workingFull timeWork at officeImmediate startRemote workMonday to Friday- ...value realization. The role emphasizes partnering with executives, improving PMO standards, and delivering large-scale initiatives with measurable business impact. A hybrid onsite/remote work model and cross-ministry collaboration are expected. #J-18808-Ljbffr ProvidenceHybrid workingRemote work
$115k - $145k
...and research. Candidates should have 5-8+ years of public accounting experience with a CPA designation. The position offers competitive salary ranging from $115,000 to $145,000, along with full benefits and hybrid work options. #J-18808-Ljbffr AppleOne Employment ServicesHybrid workingRemote job$124k - $199.8k
...goes well beyond coverages and policies. Working here means having every opportunity to achieve... ...management such as actuarial pricing, claim or TPA oversight, reinsurance accounting... ...***Location:This role will have a Hybrid Work arrangement, with the expectation of...Hybrid workingFull timeTemporary workWork at office3 days per week$90k - $104k
...services. We pride ourselves on providing a supportive and exceptional work environment for our therapists. Our administrative team... ...contributions. \n Flexible scheduling with the opportunity for hybrid/remote work arrangements. \n Unlimited referrals to support the...Hybrid workingRemote jobFull timeImmediate startMonday to FridayFlexible hours$90k - $115k
...base range, plus a sign-on bonus and a cash-based incentive plan. A W2 employment arrangement, comprehensive benefits, a 401K with 4% match, CEUs, and malpractice insurance are provided. Hybrid work with in-person and remote flexibility. #J-18808-Ljbffr Lifestance-HealthHybrid workingRemote jobFull timePart timeRelocation package- Providence is seeking a Senior Claims Manager - RIS to oversee day-to-day management of professional and general liability claims within... ...reduce risk and ensure timely resolutions. The role supports hybrid work arrangements, requires 7+ years of claims management...Hybrid workingRemote job
$99.6k - $186k
...insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and... ...be provided)* The Hartford is proud to offer our teammates a hybrid work environment. Selected candidate must be located in commuting...Hybrid workingFull timeTemporary work$98.8k - $184.8k
...insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and... ...candidate’s qualifications.Work ArrangementThis role offers a Hybrid work arrangement:Candidates are expected to work at our Hartford...Hybrid workingFull timeTemporary workWork at office$82.07k - $100.31k
...job-relevant coursework. ~ Paid parental leave. ~ Bonus opportunities. Western National supports a flexible work environment with hybrid and remote work arrangements. Western National provides equal employment opportunities to all employees and applicants...Hybrid workingLocal areaRemote workFlexible hours- Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Assists...
- 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...
- Pacific Medical Centers in Renton, Washington is looking for an experienced claims adjudicator to manage and resolve complex claims. The ideal candidate will have a Bachelor's Degree in a related field and at least 4 years of Managed Care operations experience. This role...
- Markel Group in Seattle seeks an experienced Ocean Cargo Underwriter to underwrite new business and renewals profitably within guidelines, and mentor less experienced underwriters. You will assess submissions, determine risk and pricing, manage relationships with agents...Hybrid working
$82.07k - $100.31k
...the power of "nice". At Western National, nice is something we work to bring to every person and organization with whom we partner and... ...a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job...Hybrid workingFull timeWork at officeLocal areaRemote workWork visaFlexible hours$80k - $100k
...Successful candidates will ideally have a Bachelor's degree or equivalent experience in the insurance industry. The role offers a hybrid work model with a salary range of $80k - $100k annually, along with various teammate benefits focusing on total well-being. #J-18808-...Hybrid working- ...leaders and align candidates with organizational goals. This role emphasizes market intelligence, talent mapping, and collaboration with senior recruiters. The position offers a hybrid work model at our Renton location and a competitive benefits #J-18808-Ljbffr ProvidenceHybrid working
$150k - $185k
...attorney with advanced estate planning and tax experience who enjoys working with high-net-worth individuals, families, business owners, and... ...billable-hour and discretionary bonus opportunities ~ Hybrid work flexibility ~ Medical, dental, and vision insurance...Hybrid working- ...frameworks. The ideal candidate will have over 10 years of experience in data analytics and will lead a high-performing team to build solutions across multiple domains. A hybrid work model allows for flexibility with three days required in the office. #J-18808-Ljbffr HasbroHybrid workingWork at office
- ...IRB) to advance professional practice and patient outcomes. The role emphasizes leadership in research coordination, translational practice, and collaboration across care teams. Hybrid work and comprehensive benefits are provided by Providence. #J-18808-Ljbffr ProvidenceHybrid working
- ...candidate will evaluate and develop pricing methods, maintain pricing models, and perform compliance activities as part of a hybrid role, working 3 days a week in the office. This position involves developing estimates and pricing throughout the design and support...Hybrid workingWork at office3 days per week
$81.43k - $121.8k
...clearly and effectively at all levels of the organization.Ability to work effectively with senior-level staff.Education and/or Experience:... ...to know us: Learn more about our Corporate Office and Culture.Hybrid Work Model: At The Krusteaz Company, we have in-office core days...Hybrid workingFull timeWork at officeLocal areaRemote workMonday to FridayFlexible hours$60k - $81.55k
...healthcare, 401(k) savings plan, discretionary profit sharing, discretionary success sharing, and educational assistance. - Workstyle: Hybrid work schedule offering flexibility between remote work and local office or customer engagement. Company Overview About our...Hybrid workingFull timeFor contractorsFor subcontractorCasual workWork at officeLocal areaRemote workWork from home- ...based care for patients with complex conditions. The position focuses on Pharmacotherapy Specialty Services (Rheumatology, Gastroenterology, Cardiology) and Pharmacotherapy Oncology/Anticoagulation, with a hybrid work model and #J-18808-Ljbffr Providence Health & ServicesHybrid working
- ..., corporate holidays, and floating holidays. Parental leave. Hybrid working schedule (3 days in office, 2 days remote). Who We Are Markel... ...countries. We are a holding company for insurance, reinsurance, specialist advisory and investment operations worldwide. Equal...Hybrid workingWork at officeRemote workWorldwide
- ...Wizards of the Coast collaborations. You bring 2+ years of commercial art experience, a cinematic portfolio, and strong communication to manage partners and translate references into distinctive visual guides. Hybrid work, 12-month assignment. #J-18808-Ljbffr Hasbro, Inc.Hybrid workingFreelance
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