Top Tech Jobs & Startup Jobs in Seattle, WA

The Telephonic Care Navigator connects members with care, educates on gaps, assists with scheduling, and ensures access to services while maintaining quality metrics.

Provide clinical oversight for utilization management and care transitions, perform daily UM reviews and peer-to-peer discussions, liaise with network and community providers, support care coordination and analytics needs, participate in medical advisory activities, and provide intermittent weekend/evening coverage.

Field-based role performing data collection, chart and image uploads, quality monitoring, and member outreach to close HEDIS gaps. Collaborates with practice staff, documents activities in systems, maintains HIPAA confidentiality, meets productivity goals, and travels up to 25% within Washington state.

Perform month-end close, accruals, reconciliations, variance analysis and AP accounting in dual ledgers. Support new site implementations, treasury and risk tasks, maintain merchant accounts, and provide cross-functional accounting support and process improvements.

Provide utilization management oversight for post-acute care transitions, conduct daily UM reviews and peer-to-peer discussions, liaise with network providers, support care coordination, contribute to strategy and analytics needs, participate in medical advisory activities, and provide intermittent weekend/evening coverage.

Lead enterprise AI strategy and execution, design and deploy scalable AI/ML solutions, establish governance and ethical practices, drive research and LLM/NLP innovation, mentor teams, collaborate with cross-functional leaders, and present results to executive leadership.

Coordinate post-acute care transitions by performing SNF assessments, managing concurrent reviews and authorizations, facilitating discharge planning with interdisciplinary teams, engaging patients/families, documenting accurately, and monitoring outcomes to support timely, safe discharges.

Provide physician oversight for utilization management and pre-service coverage determinations, document clinical reviews, engage providers in peer-to-peer discussions, collaborate with multidisciplinary teams, and support quality, cost-effective care delivery for members.

Manages day-to-day clinic operations for behavioral health and psychiatry, supervising staff, ensuring patient flow and quality, monitoring performance and budgets, resolving complaints, leading quality improvement, and coordinating coverage across multiple clinics.

Provide physician oversight for utilization management and pre-service coverage determinations in orthopedic (total joints or spine). Review cases, document findings, engage in peer-to-peer discussions, participate in call rotation, interpret benefit language and policies, and collaborate with internal teams and providers to ensure appropriate, cost-effective care.