9 risk adjustment jobs at 8 companies in Seattle, WA
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Risk Adjustment Campaign Associate (Risk Adjustment Coordinator)
Portland or Medford or Burlington or Vancouver or Renton or Boise or Lewiston or Spokane or Salt Lake City or Oregon or Utah or Idaho
$63k-$85k/yr HybridFull Time
2+ YOEBachelor's in business/project management/healthcare or 2+ years project support experience; project management training and CPC/CRC a plus; Microsoft Office, analytical, project management, Facets/PIMS preferred; AI tools experience desired.
Microsoft Office, Facets, PIMS, AI tools
2mo
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Lead Actuarial Analyst, MA Risk Adjustment
Seattle, Washington, United States
$99k-$124k/yr HybridFull Time
4+ YOE4+ years in risk adjustment analytics; 3+ actuarial exams; strong Excel and SQL; experience with MMR, MOR, MAO-004 and medical claims; Bachelor's in a quantitative/health field.
Excel, SQL, Power BI, Redshift, dbt docs
1mo
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Senior Risk Manager – Corporate Auto Casualty and Litigation Claims, Logistics Claims Management
Texas or Austin or Bellevue or Chicago or Irvine or Nashville or New York City or San Diego or Santa Cruz or Seattle or Tempe or Dallas or Houston or Glendale or Virginia or Florida
$97k-$185k/yr OnsiteFull Time
7+ YOEBA/BS,7+ years adjudicating complex bodily injury claims,5+ years transportation claims/program experience,active adjuster license,reserve management and litigation knowledge,financial acumen.
Microsoft Office
2mo
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Field Nurse Practitioner - Snohomish County, Washington
Everett, Washington, United States
OnsiteContract
3+ YOEActive NP license; 3+ years patient care preferred; EMR experience; in-home/risk adjustment experience preferred; willing to obtain additional licensure
2mo
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Field Nurse Practitioner - Pierce County, Washington
Tacoma, Washington, United States
OnsiteContract
3+ YOEActive NP license in the applicable state; 3+ years patient care; EMR experience; in-home or risk adjustment experience preferred; willing to obtain additional licensure.
5d
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Coding Quality Auditor (RN)
Coupeville, Washington, United States
HybridFull Time
5+ YOERequires accredited nursing education, active Washington RN or multistate license, 5+ years coding experience, risk adjustment and audit expertise, and CCS, CPC, CRC, RHIT, or RHIA certification.
Meditech Expanse, 3M Encoder, 360 Encompass, Optum CAC, TruCode Encoder, EPIC, ICD-10-CM/PCS, CPT, HCPCS, HCC, RAF, CMS
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Business Development Executive (MedInsight)
Seattle or Atlanta or Appleton or Boise or Wakefield or South Burlington or Chicago or Dallas or Windsor or Houston or Indianapolis or Little Falls Township or Pasadena or Brookfield or Eden Prairie or Omaha or Irvine or Berwyn or Phoenix or Portland or Portland or San Diego or San Francisco or St. Louis or Salt Lake City or Tampa or Walnut Creek
$105k-$199k/yr RemoteFull Time
8+ YOE8+ years enterprise new-business development in consultative sales, experience selling to health plans/providers, knowledge of risk adjustment and reimbursement landscape, strong executive selling and territory planning skills.
Salesforce
2w
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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
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Claims Adjuster Senior - Litigation
Everett or Spokane Valley or Federal Way
$33-$47/hr HybridFull Time
2+ YOEInvestigating complex and high-risk (often litigated) injury claims; negotiating settlements; analyzing coverage and liability; 2+ years claims handling recommended; degree/experience combinations accepted.