1w
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Utilization Management Coordinator I
Seattle, Washington, United States
$21-$29/hr RemoteFull Time
Performs data entry and review for prior authorizations and hospital notifications; knowledge of CMS/NCQA/HCA coding and benefit rules; strong analytical, communication, and Microsoft Office skills; background check and vaccination requirements.
Microsoft Office
1w
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Senior Credentialing Specialist
Lynnwood, Washington, United States
$27-$41/hr HybridFull Time
3+ YOE3+ years credentialing experience in healthcare; CPCS or CPMSM required within 1 year; strong knowledge of provider licensing, credentialing standards, HIPAA/NCQA/Joint Commission; Microsoft Office proficiency; attention to detail.
Microsoft Office
7h
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Specialist, Health Plan Provider Engagement
Seattle or United States
$83k-$102k/yr FieldFull Time
2+ YOE2+ years improving HEDIS quality and risk adjustment via provider engagement; knowledge of HEDIS/NCQA/CMS STARs; data analysis and reporting; strong communication and relationship-building skills; proficiency with Excel and Power BI.
Microsoft Excel, Microsoft PowerPoint, Microsoft Office, Power BI
1mo
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Program Manager III, Clinical Operations
Seattle or Washington
$93k-$148k/yr RemoteFull Time
5+ YOEBachelor's or equivalent, 5+ years program management experience (healthcare preferred), 3+ years care management operations experience, WA RN or LICSW licensure, knowledge of NCQA/HEDIS/CAHPS/regulatory standards, Microsoft Office and reporting experience.
Microsoft Office