USAAProperty Adjuster Specialist - Field USAAProperty Adjuster Specialist - FieldOlympia, WA$69,920ā$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Pro-VacNewBilling Specialist Pro-VacBilling SpecialistKent, WA$27ā$32 / hourPro-Vac is a leading provider of hydro-excavation and storm/sewer maintenance services, supporting general contractors, facility owners, utility companies, municipalities, and government agencies. If you excel at billing procedures, regulatory compliance, and maintaining strong relationships with customers and colleagues while effectively resolving billing discrepancies, we invite you to apply today!
Tacoma Community CollegeEarly Childhood Program Specialist 3 Tacoma Community CollegeEarly Childhood Program Specialist 3Tacoma WA 98466, WA, WA$51,840ā$69,744 / yearGuide individual and groups of children ages 1 month to 5 years in developmentally appropriate practices using best practices as a guide to foster creativity, fine and gross motor development, cognitive skills, social and emotional development, language development, and independence and self-help skills. As a lead teacher, interacts with parents, volunteers, and team members to guide the educational activities of children 1 month to 5 years enrolled in the Collegeās early childhood program to provide educational instruction.
Tacoma Community CollegeEarly Childhood Program Specialist 2 Tacoma Community CollegeEarly Childhood Program Specialist 2Tacoma WA 98466, WA, WA$45,024ā$60,132 / yearMoreover, TCC stands in solidarity with Black Lives Matter and the Black community by further strengthening collaboration with the Black Student Union as well as community entities such as the Tacoma-Pierce County Black Collective, the Tacoma Urban League, and local black-owned businesses. We are specifically focusing on improved support for traditionally marginalized populations, including Black/African- American, Indigenous, People of Color, Dreamers, justice-involved, immigrants and refugees, Veterans, people with disabilities, and the LGBTQ+ community.
UST Global IncQA Change Control Review & Approval Specialist UST Global IncQA Change Control Review & Approval SpecialistTacoma, WA$88,000ā$132,000 / yearFull timeRegular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses as allowable under IRS guidelines. Full-time, regular employees accrue a minimum of 10 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave and jury duty.
CornerStone Professional PlacementSales Support Specialist - Manufacturing CornerStone Professional PlacementSales Support Specialist - ManufacturingTacoma, WA$55,640ā$78,000 / yearFull timeAs the Sales Support Specialist, you will support the sales and logistics teams by processing purchase orders, reviewing shipping documentation, and providing customer service to clients. The ideal candidate will bring a strong eye for detail, experience working with contracts and customer orders, and have great B2B customer support experience.
MultiCare Health SystemClinical Documentation Specialist for Professional Billing (PB) MultiCare Health SystemClinical Documentation Specialist for Professional Billing (PB)Tacoma, WAFull timeThe Clinical Documentation Specialist for Professional Billing (PB) conducts billing integrity reviews/audits, including reviewing billing submitted with all supporting clinical documentation to assess the extent to which applicable documentation and coding criteria have been met and to identify clinical documentation improvement opportunities. This position will work remotely but primary residence cannot be located in the following states:California, Connecticut, Florida, Hawaii, Illinois, Louisiana, Maryland/Washington DC, Massachusetts, Missouri, New Jersey, New York, Pennsylvania, and Vermont.
Cambia Health SolutionsAppeals Specialist I Cambia Health SolutionsAppeals Specialist ITacoma, WAFull timeMake non-clinical appeal determinations as permitted by department business processes and guidelines; follow processes to receive clinical review and decisions from licensed health professionals; present complex cases to appeal panels; document decisions and communicate determinations to members, providers. * Ability to switch from one task or type of work to another as business needs require while effectively prioritizing work to meet strict timelines and maintaining quality and consumer-centric focus.
CH2O, Inc.Regulatory Specialist I CH2O, Inc.Regulatory Specialist ITumwater, WA$23ā$33 / hourFull timeThe Regulatory Specialist 1 is primarily responsible for assisting in the generation and management of internal technical/regulatory programs, and for assisting in the training thereon, as relevant. Ā· Provides 3-1 task and project list; checks email, voicemail, and order inboxes daily.
Cochlear AmericasPatient Account Collection Specialist Cochlear AmericasPatient Account Collection SpecialistOlympia, WARemoteFull timeOur employees tell us that the number one reason they enjoy working for Cochlear is the opportunity to make a difference to people's lives and working in an organization where they can be part of bringing the mission to life each day. Human needs have always been our inspiration, ever since Professor Graeme Clark set out to create the first multi-channel cochlear implant because he saw his father struggle with hearing loss.
Little Creek Casino ResortHRIS & Benefits Specialist Little Creek Casino ResortHRIS & Benefits SpecialistShelton, WAFull timeThe HRIS & Benefits Specialist supports the Human Resources department by administering benefit programs and maintaining the HR information system to ensure data integrity, regulatory compliance, and a positive team member experience. In addition, the specialist is responsible for optimizing HRIS functionality, generating workforce reports, and collaborating with HR leadership to support initiatives that improve service delivery and operational efficiency.
MultiCare Health SystemDRG Denial Prevention Clinical Documentation Specialist MultiCare Health SystemDRG Denial Prevention Clinical Documentation SpecialistTacoma, WAFull timeThe incumbent is fully responsible for clinical related DRG denials; writes appeals, collects and analyzes denial data, educates staff on all areas of opportunity and works with CDI leadership across the MultiCare Health System to facilitate knowledge and proficiency in all aspects of HB CDI to assist leadership reach their department annual goals. The Diagnosis Related Grouping (DRG) Denial Prevention Clinical Documentation Specialist (CDS) is responsible for all Hospital Billing Clinical Documentation Integrity (HB CDI) across the system and serves as expert in the field.
Washington State Liquor and Cannabis BoardIT Customer Support - Senior/Specialist - Supervisor Washington State Liquor and Cannabis BoardIT Customer Support - Senior/Specialist - SupervisorOlympia, WARemote$84,120ā$113,148 / yearFull timeAs a WSLCB team member, you will have opportunity to join statewide business resource groups (BRGs) such as, Rainbow Alliance and Inclusion Network; Veteran Employee Resource Group; Latino Leadership Network, Blacks United in Leadership and Diversity; Disability Inclusion Network; Washington Immigrant Network; Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network; Supporting our Voices, Empowering Rights, and Engaging Indigenous Governance; and Interagency Committee of State Employed Women. RCW 69.50.351, no member of the state liquor and cannabis board and no employee of the state liquor and cannabis board shall have any interest, directly or indirectly, in the producing, processing, or sale of cannabis, useable cannabis, or cannabis-infused products, or derive any profit or remuneration from the sale of cannabis, useable cannabis, or cannabis-infused products other than the salary or wages payable to him or her in respect of his or her office or position, and shall receive no gratuity from any person in connection with the business.
Washington State Liquor and Cannabis BoardProgram Specialist 5 Washington State Liquor and Cannabis BoardProgram Specialist 5Olympia, WARemote$69,744ā$93,804 / yearFull timeAs a WSLCB team member, you will have opportunity to join statewide business resource groups (BRGs) such as, Rainbow Alliance and Inclusion Network, Veteran Employee Resource Group, Latino Leadership Network, Blacks United in Leadership and Diversity, Disability Inclusion Network, Washington Immigrant Network and Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network. RCW 69.50.351, no member of the state liquor and cannabis board and no employee of the state liquor and cannabis board shall have any interest, directly or indirectly, in the producing, processing, or sale of cannabis, useable cannabis, or cannabis-infused products, or derive any profit or remuneration from the sale of cannabis, useable cannabis, or cannabis-infused products other than the salary or wages payable to him or her in respect of his or her office or position, and shall receive no gratuity from any person in connection with the business.
Washington State Liquor and Cannabis BoardNewIT Application Development - Senior/Specialist (Application Supervisor) Washington State Liquor and Cannabis BoardIT Application Development - Senior/Specialist (Application Supervisor)Olympia, WARemote$97,356ā$130,992 / yearFull timeAs a WSLCB team member, you will have opportunity to join statewide business resource groups (BRGs) such as, Rainbow Alliance and Inclusion Network; Veteran Employee Resource Group; Latino Leadership Network, Blacks United in Leadership and Diversity; Disability Inclusion Network; Washington Immigrant Network; Hawaiians, Asians, and Pacific Islanders Promoting an Empowerment Network; Supporting our Voices, Empowering Rights, and Engaging Indigenous Governance; andInteragency Committee of State Employed Women. RCW 69.50.351, no member of the state liquor and cannabis board and no employee of the state liquor and cannabis board shall have any interest, directly or indirectly, in the producing, processing, or sale of cannabis, useable cannabis, or cannabis-infused products, or derive any profit or remuneration from the sale of cannabis, useable cannabis, or cannabis-infused products other than the salary or wages payable to him or her in respect of his or her office or position, and shall receive no gratuity from any person in connection with the business.
Pacific Lutheran UniversityStudent Receivables Specialist Pacific Lutheran UniversityStudent Receivables SpecialistTacoma, WA$20.75ā$22.31 / hourFull timeThis includes using all available resources, negotiating payment arrangements, initiating appropriate collection action, utilizing skip-tracing methods and maintaining collection files. The Receivables Specialist is responsible for all collections activity relating to past due and delinquent student accounts, third party and campus based federally funded loan programs.
BECUSr Collateral Auction Specialist BECUSr Collateral Auction SpecialistTukwila, WAFull timeMarket Insight & Community Involvement: Stay plugged into the remarketing industry, keeping yourself informed of changing trends and best practices impacting repossessed assets. Is it surprising to hear that a financial institution of 1.5 million members and over $30 billion in managed assets say that success comes from focusing on people, not profits?.
The Salvation Army Northwest DivisionSummer Media Specialist/ Program Assistant - $425/week The Salvation Army Northwest DivisionSummer Media Specialist/ Program Assistant - $425/weekEatonville, WA$22,100ā$22,100.01 / yearFull timeSPIRIT AND UNDERSTANDING: By accepting employment with The Salvation Army, you acknowledge that The Salvation Army is a church, agree to do nothing to undermine its religious mission and acknowledge that your conduct must not conflict with or undermine the religious program of The Salvation Army Camp Arnold, or its religious and moral purposes. Health Insurance: Low bi-weekly premiums ($34.62) for employee only coverage, Kaiser HMO for those residing in a Kaiser service area, Anthem EPO/PPO is available for those residing outside of a Kaiser service area.
Mortenson CompanyAssociate Equipment Specialist Mortenson CompanyAssociate Equipment SpecialistKent, WAFull timeThis position plays an integral role in managing a wide range of processes on behalf of Project teams, Equipment Facility teams, Buyers, and ESM HQ Leadership (Equipment Management, Procedure, and Manufacturing). The base pay range for this role is $69,500 - $93,900 (Actual range is higher for the following office locations: Denver, CO and Chicago, IL - 5%, Seattle, WA, and Portland, OR - 10%, Washington, D.C. - 12.5%).
Columbia DistributingPricing Specialist - Kent, WA Columbia DistributingPricing Specialist - Kent, WAWoodmont Beach, WA$24ā$25 / hourFull timeActual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years and depth of experience, certifications, and specific location. Gather, organize and prepare data entries; cost of and sell price to the trade into the system including research of cost discrepancies and analyze costs components.
Department of EcologyNewSenior Grant Project Manager and TMDL Lead (Environmental Specialist 4) Department of EcologySenior Grant Project Manager and TMDL Lead (Environmental Specialist 4)Lacey, WA$67,992ā$91,464 / yearFull timeEcology employees may be eligible for the following: Medical/Dental/Vision for employee & dependent(s), Public Employees Retirement System (PERS), Vacation, Sick, and other Leave, 11 Paid Holidays per year, Public Service Loan Forgiveness, Tuition Waiver, Long Term Disability & Life Insurance, Deferred Compensation Programs, Dependent Care Assistance Program (DCAP), Flexible Spending Arrangement (FSA), Employee Assistance Program, Commute Trip Reduction Incentives,Combined Fund Drive, SmartHealth *Click here for more information. Experience performing environmental-based work, OR work related to the duties of the position, that includes three or more of the following: Grant and Financial Program Administration - Ability to manage and oversee financial assistance programs to ensure funds are awarded, used, monitored, and closed out in accordance with program requirements and to support successful project outcomes.
Parker Hannifin CorporationPurchasing Specialist - Sr. Buyer Parker Hannifin CorporationPurchasing Specialist - Sr. BuyerWoodmont Beach, WA$87,050ā$145,250 / yearFull timeParker offers competitive benefit programs, including: Comprehensive coverage for medical, prescription drugs, dental, vision, voluntary optional life, accident insurance, hospital indemnity insurance and critical illness insurance with competitive premium cost. Working with some of the most brilliant minds in the industry, your contributions will be pivotal in developing innovative technologies and products, significantly contributing to Parker's goal of addressing the world's most pressing engineering challenges.
Sound Credit UnionTreasury Management Specialist Sound Credit UnionTreasury Management SpecialistTacoma, WA$31.92ā$47.88 / hourFull timeExperience with Automated Clearing House (ACH), Remote Deposit Capture (RDC), Wires, Positive Pay, merchant services, online business banking, and fraud-mitigation tools preferred. What You'll Do: Responsibilities: Act as the subject matter expert for Treasury Management products, supporting onboarding, configuration, risk assessments, escalations, and ongoing servicing for business members.
ParametrixRemote Sensing Specialist ParametrixRemote Sensing SpecialistSouth Hill, WARemote$40ā$53 / hourFull timeParametrix is a 100% employee-owned consulting firm helping clients deliver resilient infrastructure, vibrant and livable communities, and environmentally sustainable solutions. We are committed to being a Best Place to Work, offering hybrid work environments that promote meaningful connections, support work-life balance, and encourage career development.
Swire Pacific Holdings Inc.Demand Planning Specialist Swire Pacific Holdings Inc.Demand Planning SpecialistTacoma, WA$78,993ā$103,678 / yearFull timeScreening results are evaluated based on several factors, including the nature and severity of an offense, how much time has passed, the relevance to the position, patterns of repeated offenses, and driving history for roles that require operating a vehicle. The Demand Specialist will manage a portfolio of SKUs and will develop a forecast by using insights such as promotional plans, distribution changes, shipment history, competitor activities and marketing plans.
Cambia Health SolutionsHEDIS Medical Record Analyst - TEMP Cambia Health SolutionsHEDIS Medical Record Analyst - TEMPTacoma, WAFull timeThe HEDIS Medical Record Analyst's primary responsibilities will be to retrieve, abstract, or overread medical records in order to capture pertinent, required, data elements for HEDIS reporting. Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history.
BECUDeposit and Payment Processing Specialist- Hybrid BECUDeposit and Payment Processing Specialist- HybridTukwila, WAFull timeWire Transfers & Account Posting: * Retrieve and post incoming and outgoing wire activity daily so member and internal accounts are properly credited or debited. IMPACT YOU'LL MAKE: In this role, you'll play a key part in ensuring smooth, accurate, and secure deposit and payment processing that supports thousands of BECU members every day.
BECUCollateral Management Specialist BECUCollateral Management SpecialistTukwila, WAFull timeAsset Recovery & Vehicle Disposition:You'll coordinate repairs, transportation, inventory tracking, and the preparation and sale of repossessed vehicles-whether through internal channels or external auctions-following assets through final disposition. Vehicle Title Management:You'll track, process, correct, reissue, transfer, and release vehicle titles-ensuring proper lien perfection and compliance with state requirements, including preparation of online paperless titles through the Department of Licensing.
BECUDeposit and Payment Processing Specialist- ACH Hybrid BECUDeposit and Payment Processing Specialist- ACH HybridTukwila, WAFull timeWire Transfers & Account Posting: * Retrieve and post incoming and outgoing wire activity daily so member and internal accounts are properly credited or debited. IMPACT YOU'LL MAKE: In this role, you'll play a key part in ensuring smooth, accurate, and secure deposit and payment processing that supports thousands of BECU members every day.
Packaging Corporation of AmericaSales Servicing Specialist Packaging Corporation of AmericaSales Servicing SpecialistAlgona, WA$75,000ā$96,500 / yearFull timeFive (5) years' previous work experience in a customer service role with experience handling customer orders on an order entry system, and maintaining / building strong positive customer business relationships. Serve as a link between the customer and the design, sales and production teams to meet customer requirements including scheduling production, securing delivery dates, addressing order changes, and resolving complaints.
ABB IncService Sales Specialist ABB IncService Sales SpecialistBrowns Point, WARemote$83,300ā$133,280 / yearFull timeYou will be the key point of contact for many customers, and partnerswith immediate and urgent needs, requiring a blend of technical knowledge, quick learning, and creative problem-solvingthat allows the right candidate to handle multiple work streams at one time. Gather and report information regarding the company, competitors, pricing, products, and market trends to management, assisting in planning, tracking, and implementing sales strategies and developing new markets.
ABB IncProject Specialist, Data Center Services COE ABB IncProject Specialist, Data Center Services COEBrowns Point, WA$58,500ā$93,600 / yearFull timeThis role is supporting our Electrification Services business for medium and low voltage products along with paralleling switchgear and spare parts in the Data Center Services Center of Excellence, ensuring customer satisfaction, operational excellence, and on-time and on-budget project delivery. Knowledge of MS suite of products, Google suite of products (Sheets, Docs, Drive, and Slides), SAP, and project issue resolution software (BIM, Compass, CxAlloy, Procore, etc.).
DaVitaRevenue Specialist I (ROPS) DaVitaRevenue Specialist I (ROPS)Federal Way, WAFull timeWashington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
Molina HealthcareMedical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina HealthcareMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Tacoma, WA$29.05ā$67.97 / hourJob Qualifications** **REQUIRED QUALIFICATIONS:** - At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. **Job Description** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Pennant ServicesMedical Records Specialist Pennant ServicesMedical Records SpecialistTacoma, WashingtonThe Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.
DatavantInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTOlympia, WARemote$35ā$45 / hour2,500 Sign on Bonus** ***** ****** As an **Inpatient Auditing Specialist** you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. What you will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS + Preferred: CCS, RHIT, or RHIA credentials.
CCSWWNewFBH Clinical Access Specialist CCSWWFBH Clinical Access SpecialistTukwila, Washington$35.58ā$39.35 / hourThe Clinical Access Specialist is responsible for determining eligibility and facilitating access to behavioral health services by using clinical and diagnostic assessment tools to gather child and family medical and behavioral health information, complete initial clinical assessment tool i.e. Child Adolescent Needs and Strengths and verify and determine eligibility for intensive behavioral health treatment services. Maintain tracking list of process steps for completion of required referral and intake activities, such as clinical assessment completion, referral dispositions, schedule and completed behavioral health intakes, initial treatment planning sessions with families, Medicaid authorizations and re-authorizations.
CCSWWNewClinical Access Specialist CCSWWClinical Access SpecialistTacoma, Washington$35.58ā$39.35 / hourThe Clinical Access Specialist is responsible for determining eligibility and facilitating access to behavioral health services by using clinical and diagnostic assessment tools to gather child and family medical and behavioral health information, complete initial clinical assessment tool i.e. Child Adolescent Needs and Strengths and verify and determine eligibility for intensive behavioral health treatment services. Maintain tracking list of process steps for completion of required referral and intake activities, such as clinical assessment completion, referral dispositions, schedule and completed behavioral health intakes, initial treatment planning sessions with families, Medicaid authorizations and re-authorizations.
DatavantNewCDQI Nurse Specialist- PRN DatavantCDQI Nurse Specialist- PRNOlympia, WA$40ā$45 / hourWhat You Need to Succeed:** + 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification required + Must pass a CDI skills competency assessment + Must be able to accommodate a min of 15 hours per week Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $40-$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
DatavantNewCDQI Nurse Specialist- FT DatavantCDQI Nurse Specialist- FTOlympia, WA$40ā$45 / hourWhat You Need to Succeed:** + 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or CDIP certification required + Must pass a CDI skills competency assessment Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $40-$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.
Hope Human ServicesNewBehavior Support Specialist Hope Human ServicesBehavior Support SpecialistLakewood, WA$27ā$28 / hourMust have a currently valid driver's license or valid driver's license as an active-duty armed forces personnel or dependent of an active-duty armed forces personnel and the ability to be insured to drive agency vehicles. The Behavior Support Specialist works collaboratively with Program Managers, Clinical Supports, Direct Support Professionals, families, guardians, and community partners to ensure individuals receive high-quality, person-centered support.
CornerStone Professional PlacementSales Support Specialist CornerStone Professional PlacementSales Support SpecialistTacoma, WA$27ā$37.50 / hourAs the Sales Support Specialist, you will support the sales and logistics teams by processing purchase orders, reviewing shipping documentation, and providing customer service to clients. The ideal candidate will bring a strong eye for detail, experience working with contracts and customer orders, and have great B2B customer support experience.
Highmark HealthHierarchical Condition Category (HCC) Coding Specialist Highmark HealthHierarchical Condition Category (HCC) Coding SpecialistOlympia, WAEXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
HumanaMedical Director - Claims HumanaMedical Director - ClaimsOlympia, WARemote$223,800ā$313,100 / yearWork at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
EvolentField Medical Director, Interventional Cardiology (Remote) EvolentField Medical Director, Interventional Cardiology (Remote)Olympia, WARemote$120ā$140 / hourQualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs + Active Board Certification in Interventional Cardiology **or** may be substituted for one of the following: + Active Board Certification in Cardiology **and** proof of prior board certification in Interventional Cardiology + Active Board Certification in Cardiology **and** proof of active practice as an Interventional Cardiologist for 5+ years + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Minimum of five (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. **What You'll Do:** + Provide expert reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (e.g., cardiac catheterizations, coronary interventions, endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter expert.
HumanaMedical Director - OneHome HumanaMedical Director - OneHomeOlympia, WARemote$223,800ā$313,100 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.
DIVERSE LYNX LLCCertified Medical Assistant DIVERSE LYNX LLCCertified Medical AssistantTukwila, CA$23ā$25 / hourTake manual vital signs, record in electronic medical record and perform systems review, perform point of care testing and assist providers with diagnostic tests. Ā· Outreach to patients and specialists to help coordinate referrals, care gap closures, release of records, and overall care.
DatavantNewProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNOlympia, WARemote$35ā$45 / hourWhat We're Looking For:** As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Prefer a candidate with availability within normal business hours, prefer 20 hours/week.*********** **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
State of WashingtonDSHS ESA Public Benefits Specialist 1-3 State of WashingtonDSHS ESA Public Benefits Specialist 1-3Tacoma, WA$3,840ā$5,956Were looking for applicants who have the education and/or experience as listed below: Four years in a customer service job where the major duties involved public contact or a job providing staff support in financial eligibility determination such as examining/processing loan applications, medical insurance or rehabilitation claims, or unemployment insurance claims. Full-time employees who work full monthly schedules qualify for holiday compensation if they are employed before the holiday and are in pay status for at least 80 nonovertime hours during the month of the holiday; or for the entire work shift preceding the holiday.
Virginia Mason Franciscan HealthMedical Laboratory Technician Virginia Mason Franciscan HealthMedical Laboratory TechnicianPort Orchard, WA$27.98ā$42.37 / hourJob Requirements** Required: Associates Of Science in a biological or chemical science as defined by CLIA - required upon hire or; High School GED - upon hire and completed an official military medical laboratory course and held the military enlisted occupational speciality of Medical Laboratory Specialist (Lab Technician) or; High School Graduate - upon hire and completed an official military medical laboratory course and held the military enlisted occupational speciality of Medical Laboratory Specialist (Lab Technician). Preferred: Medical Laboratory Technician AMT (MLT-AMT) - upon hire preferred or; Medical Laboratory Technician ASCP (MLT) - upon hire preferred or; Medical Lab Tech AAB (MLTECH) - upon hire preferred Where You'll Work Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891.