Top 26 Claims lead Jobs in Seattle, Wa

Lead Claims Specialist - USFHP
Pacific Medical Centers —Renton, WA
- $26.90 - $41.89 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Mid-level
- Paid parental leave
- Paid holidays
4d
Senior People Leader
SSP —Seattle, WA
- $100,000 - $105,000 a year
- Full-time
- 7 years
- Oracle
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Compliance National Practice Lead - Employee Benefits
IMA Financial Group —Seattle, WA
- $130,000 - $195,000 a year
- Remote
- Microsoft Excel
- Customer service
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
Qual Lead
LTM —Bellevue, WA
- $75,000 - $85,000 a year
- 7 years
- Mentoring
- Senior level
- Paid parental leave
- Paid holidays
Quick Apply
Public & Labor Practice Leader - Employee Benefits
IMA Financial Group —Bellevue, WA
- $180,000 - $240,000 a year
- 5 years
- Writing skills
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Data Center Delivery (DCD) Sub-Regional Construction Leader
Microsoft —Redmond, WA
- Full-time
- Background check
- Construction site
- Mentoring
3d
Sr. Lead, Sustainability Assurance, WW Sustainability
Amazon.com Services LLC —Seattle, WA
- $153,500 - $207,600 a year
- Full-time
- 6 years
- CPA
- Analysis skills
- AD&D insurance
- Health insurance
Marketing Strategist, P&C Marketing Leader
IMA Financial Group —Bellevue, WA
- $120,000 - $160,000 a year
- 7 years
- Writing skills
- Research
- Health savings account
- AD&D insurance
Quick Apply
Lead Actuarial Analyst, MA Risk Adjustment
Strive Health —Seattle, WA
- $99,000 - $124,000 a year
- Email
- Hybrid work
- SQL
- Bachelor's degree
- Senior level
- Paid holidays
- Disability insurance
Quick Apply
Revenue Lead, ROPS
DAVITA —Federal Way, WA
- $27.50 - $34.50 an hour
- Overtime
- Microsoft Outlook
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Principal AWS Brand Advertising Leader, AWS Brand and Creative
Amazon Web Services, Inc. —Seattle, WA
- $149,200 - $201,800 a year
- Full-time
- 8 years
- Analysis skills
- Contracts
- AD&D insurance
- Health insurance
Care Center Lead
EviDent Alliance —Sammamish, WA
- $35 - $45 an hour
- Full-time
- Dental office
- Mid-level
- 3 years
Quick Apply
(Bellevue) Hybrid Client Service Leader (Player/Coach)
Gallagher Benefit Services —Bellevue, WA
- $64,500 - $126,000 a year
- High school diploma or GED
- Supervising experience
- Bachelor's degree
Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead
Accenture —Seattle, WA
- Full-time
- Azure
- Management
- Computer Science
- Paid holidays
- Disability insurance
Lead Data Scientist: Claims and Service DS Knowledge & Development Solutions
Liberty Mutual —Seattle, WA
- $120,000 - $257,000 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Master's degree
6h
Pharmacy Operations Lead Fulfillment Center
Walgreens —Kent, WA
- $19.75 - $26.35 an hour
- Computer literacy
- HIPAA
- English
Senior Vice President, Platform Leader, Northwest
Trucordia —Seattle, WA
- Full-time
- Hybrid work
- Finance
- Bachelor's degree
- Recruiting
- Health savings account
- AD&D insurance
Quick Apply
Orthodontic Treatment Coordinator & Team Lead
ShoreSmiles Orthodontics —Mukilteo, WA
- $30 - $38 an hour
- Full-time
- Mid-level
- Continuous improvement
- In-person
- Health savings account
- Health insurance
Quick Apply
11d
Lead Systems Engineer
Katalyst Healthcares & Life Sciences —Bothell, WA
- Call employer
- Master's degree
- Team management
- US work authorization
Quick Apply
6d
Lead Valet Attendant - Seattle Marriott - Bellevue - $20.60/HR + Tips
Towne —Bellevue, WA
- $20.60 - $20.69 an hour
- Part-time
- 18 years or older
- Clean driving record
- Writing skills
- 401(k)
Quick Apply
2d

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claims lead jobs near seattle, wa

Lead Claims Specialist - USFHP

Pacific Medical Centers -
Renton, WA

Apply Now

Job Details

Full-time
$26.90 - $41.89 an hour
4 days ago

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Parental leave
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Managed care
Managed care organization experience
Medical claims processing software
IT experience within healthcare
Healthcare software applications

Full Job Description

Description

Are you a claims professional ready to step into a lead role where your expertise drives real results? As a Lead Claims Specialist supporting the US Family Health Plan (USFHP) at Pacific Medical Centers, you'll be the go-to authority for adjudicating purchased services claims for our enrolled capitated population — resolving complex claim situations, managing advanced processing needs, responding to customer service requests with accuracy and efficiency, and applying your expertise in TRICARE reimbursement to ensure compliant, timely claims resolution for our military beneficiary population.

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:

Bachelor's Degree in a related field, or equivalent experience in Health Care Business Administration
4 years experience in Managed Care operations, including a minimum of 3 years claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting
1 year experience performing the core job at Pacific Medical Centers, or equivalent external experience in a lead capacity
Experience with information systems supporting the administration of managed care products
Experience with IDX healthcare software application
Experience in CHAMPUS, Medicare and/or Medicaid benefits/programs required
Experience with all areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health, Home Infusion, Kidney Dialysis Centers, Encounters)
CRT experience

Preferred Qualifications:

Microsoft Windows, Word, Excel, and Mail experience

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.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Providence

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.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities and board-certified providers.

Our strong team environment and respect for our people—at all levels and from all backgrounds—allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.

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.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 452032
Company: Pacific Medical Jobs
Job Category: Claims
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 3060 WA USFHP
Address: WA Renton 620 Naches Ave SW
Work Location: Blackriver Corporate Park-Renton
Workplace Type: Hybrid
Pay Range: $26.90 - $41.89
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.

Apply Now

Refine Your Search

claims lead jobs in seattle, wa

Lead Claims Specialist - USFHP

Senior People Leader

Compliance National Practice Lead - Employee Benefits

Qual Lead

Public & Labor Practice Leader - Employee Benefits

Data Center Delivery (DCD) Sub-Regional Construction Leader

Sr. Lead, Sustainability Assurance, WW Sustainability

Marketing Strategist, P&C Marketing Leader

Lead Actuarial Analyst, MA Risk Adjustment

Revenue Lead, ROPS

Principal AWS Brand Advertising Leader, AWS Brand and Creative

Care Center Lead

(Bellevue) Hybrid Client Service Leader (Player/Coach)

Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead

Lead Data Scientist: Claims and Service DS Knowledge & Development Solutions

Pharmacy Operations Lead Fulfillment Center

Senior Vice President, Platform Leader, Northwest

Orthodontic Treatment Coordinator & Team Lead

Lead Systems Engineer

Lead Valet Attendant - Seattle Marriott - Bellevue - $20.60/HR + Tips

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