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Providence Health & Service
Seattle, WA, United States
Job Description Open positions for PacMed Seattle Clinic and PacMed Renton Clinic locations The USFHP Enrollment Coordinator performs enrollment, eligibility, and premium payment activities for beneficiaries. The coordinator researches and resolves eligibility questions, disenrolls members who have lost eligibility and notifies enrollees of chang
Job Source: Providence Health & ServiceProvidence Health & Services
Seattle, WA, United States
Description Open positions for PacMed Seattle Clinic and PacMed Renton Clinic locations The USFHP Enrollment Coordinator performs enrollment, eligibility, and premium payment activities for beneficiaries. The coordinator researches and resolves eligibility questions, disenrolls members who have lost eligibility and notifies enrollees of changes i
Job Source: Providence Health & ServicesPacific Medical Centers
Seattle, WA, United States
Description Open positions for PacMed Seattle Clinic and PacMed Renton Clinic locations The USFHP Enrollment Coordinator performs enrollment, eligibility, and premium payment activities for beneficiaries. The coordinator researches and resolves eligibility questions, disenrolls members who have lost eligibility and notifies enrollees of changes i
Job Source: Pacific Medical CentersProvidence St. Joseph Health
Seattle, WA, United States
Description Open positions for PacMed Seattle Clinic and PacMed Renton Clinic locations The USFHP Enrollment Coordinator performs enrollment, eligibility, and premium payment activities for beneficiaries. The coordinator researches and resolves eligibility questions, disenrolls members who have lost eligibility and notifies enrollees of changes in
Job Source: Providence St. Joseph HealthProvidence Health & Service
Seattle, WA, United States
Job Description Open positions for PacMed Seattle Clinic and PacMed Renton Clinic locations The USFHP Enrollment Coordinator performs enrollment, eligibility, and premium payment activities for beneficiaries. The coordinator researches and resolves eligibility questions, disenrolls members who have lost eligibility and notifies enrollees of chang
Job Source: Providence Health & ServicePacific Medical Centers
Renton
**Description** Organizes and directs the daily activities and department workflow of the Claims Adjudicators and Claims Support Staff under the supervision of the Director of USFHP Operations. Responsibilities include ensuring accurate and timely accounting of Pacific Medical Centers' revenues and expenses for Outside Purchased Services (OPS), tim
Job Source: Pacific Medical CentersProvidence St. Joseph Health
Renton, WA, United States
Description (This position will be in person for the first 90 days. After 90 days, may be eligible to work from home, 1-2 times a week) Supports and works collaboratively with internal and external groups to support our commitment to high-quality, value-based care. The Population Health Coordinator operates in a highly autonomous manner, utilizes a
Job Source: Providence St. Joseph HealthProvidence St. Joseph Health
Renton, WA, United States
Description Responsible for maintaining and updating the GE/Centricity/IDX Managed Care Application (MCA) module for US Family Health Plan's managed care line of business: builds fee schedules, provider and vendor dictionary entries, and plan benefits and exclusions. Assists with health plan utilization management reporting for the organization. Re
Job Source: Providence St. Joseph HealthRenton, WA, United States
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Supervisor Health Plan Operations - USFHP Pacific Medical Centers
Renton , Washington ReqID: 286168
Job Category: Member Services Enrollment & Billing
Schedule: Full time
Work Location: Blackriver Corporate Park-Renton
Shift: Day
Description
Organizes and directs the daily activities and department workflow of the Claims Adjudicators and Claims Support Staff under the supervision of the Director of USFHP Operations. Responsibilities include ensuring accurate and timely accounting of Pacific Medical Centers' revenues and expenses for Outside Purchased Services (OPS), timely and accurate processing of claims and materials needed for the adjudication of claims. Assures compliance with DoD and other government agency guidelines and contract requirements. Sets Claims policy and monitors compliance to same.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Four years: health care claims experience
Two years: supervisory capacity, including Lead role; or six months supervisory experience within Pacific Medical Centers.
Preferred Qualifications:
Bachelor's Degree: Health Care Administration or Business Administration
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care.
About our family of organizations
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
About Pacific Medical Centers
Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Pay Range: $34.38 - $54.42
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Check out our benefits page for more information about our Benefits and Rewards.
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Email Alert for Supervisor Health Plan Operations - USFHP jobs in Renton, WA, United States
ⓘ There was an unexpected error processing your request.
Please refresh the page and try again.
If the problem persists, please contact us with your issue.
You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
Get ready to discover your next great opportunity.