Medical records jobs in Seattle, WA

Seattle, Washington

•

Today

FACETS Developer Location: United States Seattle, Washington (No remote) Employment Type: Full-Time About the Role Client is seeking experienced FACETS Developers with strong Healthcare Payer and TriZetto FACETS expertise to support enterprise-scale transformation, enhancement, modernization, and support initiatives. The ideal candidate will possess hands-on experience in one or more FACETS functional areas including Provider, Networks & Pricing, Membership, Billing & Plan Configuration, or Clai

Easy Apply

Third Party, Contract

Clinical Coordinator

Remote or Hybrid in Florida City, Florida

•

4d ago

Avanciers Incorporated is hiring a Clinical Coordinator for one of our clients. Role: Clinical CoordinatorLocation: Florida / Remote (as applicable)Experience: 15 years of clinical nursing experienceRequired License: Active, unrestricted Florida RN License or Compact RN LicenseJob Description:Reviews and investigates member and provider appeals involving clinical/medical necessity denials.Analyzes medical records, claims history, and clinical documentation against InterQual/MCG criteria to deter

Easy Apply

Contract

Depends on Experience

Clinical Medical Review Nurse

Remote

•

12d ago

Clinical Medical ReviewNurse (HEDIS Medical RecordsRetrieving) Columbia, MD (Primarily remote, but hybrid) 6 Months+ PURPOSE: Seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a payer, health insurance, or HEDIS vendor environment. The ideal candidate will understand NCQA healthcare quality metrics and have a proven ability to accurately abstract, interpret, and document medical record data for HEDIS gap closure. This role will support me

Easy Apply

Third Party, Contract

Depends on Experience

Certified Medical Coder/Auditor

Remote

•

14d ago

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking aCertified Medical Coder/Medical Record Audit Specialistwith strongBehavioral Healthcoding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, a

Easy Apply

Contract

Depends on Experience

RN Clinical Auditor - Behavioral Health

Remote

•

14d ago

RN Clinical Auditor - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking a Registered Nurse Clinical Auditor with extensive Behavioral Healthexperience to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This role evaluates quality of care, reviews medical records and program policies, identifies compliance issues, prepares audit documentation and re

Easy Apply

Contract

Depends on Experience

Sr I O Engineer

Everett, Washington

•

Today

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance hea

Full-time

USD 91,700.00 - 163,700.00 per year

Staff Generative AI Scientist

Remote

•

Today

Overview The Staff Gen AI Scientist will apply knowledge and experience to real world problems and seek to improve health quality outcomes and reduce the cost of healthcare. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare issues of our time. A Data Scientist at Coti

Full-time

USD 171,000.00 - 197,000.00 per year

Senior Site Reliability Engineer

Remote

•

Today

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and

Full-time

USD 168,000.00 - 200,000.00 per year

Staff ML Platform Engineer

Remote

•

Today

Full-time

USD 224,000.00 - 280,000.00 per year

Data Integration Engineer

Remote

•

Today

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: "What would I do if this patient were my mom?" That question drives everything we do. But our

Full-time

USD 105,000.00 - 125,000.00 per year

Senior Generative AI Scientist I

Remote

•

Today

Overview The Sr Gen AI Data Scientist I - Generative AI will apply knowledge and experience to real world problems and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare

Full-time

USD 130,000.00 - 156,000.00 per year

Software Engineer II - IntelliScript (Remote)

Remote or Brookfield, Wisconsin

•

Today

What We Do Milliman IntelliScript is a group of a few hundred experts in fields ranging from actuarial science to information technology to clinical practice. Together, we develop and deploy category-defining, data-driven, software-as-a-service (SaaS) products for a broad spectrum of insurance clients. We're a business unit within Milliman, Inc., a respected consultancy with offices around the world. Candidates who have their pick of jobs are drawn to IntelliScript's entrepreneurial and collabor

Full-time

USD 78,800.00 per year

Lead Analyst, IT Systems - IAM - Remote

Remote or California

•

Today

Job Description JOB DESCRIPTION Job Summary Provides lead level analyst support for information technology (IT) systems activities. Responsible for the performance of systems analysis, application programming, and user training connected with the development and maintenance of automated data processing. Supports development of information technology IT lifecycle system projects from design through completion. Adheres to Sarbanes-Oxley (SOX) guidelines for process standards, documentation and v

Full-time

USD 92,474.00 - 180,324.00 per year

AI Engineer | Agentic Systems

Remote

•

Today

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creatin

Full-time

USD 130,000.00 - 200,000.00 per year

Software Architect

Remote

•

Today

Full-time

USD 230,000.00 - 280,000.00 per year

Senior Principal Machine Learning Engineer

Remote

•

Today

Overview We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced waste. You will define technical strategy, drive cross-functional alignment, and own systems that directly shape payment accuracy, risk adjustment, and quality outcomes for the payers we serve. This role sits at the intersection of applied research and production en

Full-time

USD 250,000.00 - 280,000.00 per year

Sr Configuration Analyst

Remote

•

17d ago

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA Services have focused on impacting the core of your business operations with industry-leading outsourcing

Easy Apply

Third Party, Contract

$50 - $57

EPIC Implementation Analyst

Remote

•

4d ago

Role: Epic Systems Implementation Analyst Location: Oakland, CA (Onsite once in a Month) Duration: 6+ Months Overview: The Epic Systems Implementation Analyst plays a critical role in the planning, design, implementation, and optimization of Epic Electronic Health Record (EHR) systems within healthcare organizations. This position collaborates with clinical, administrative, and IT teams to ensure the Epic system aligns with organizational goals, supports efficient workflows, and enhances patient

Easy Apply

Contract

Depends on Experience

Pharmacy Application Support Engineer (L2 / L3 Support)

Remote or Frisco, Texas

•

Today

About NTT DATA NTT DATA strives to hire exceptional, innovative, and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a professional to join our team in Frisco, Texas (US-TX), United States (US). Day to Day job Duties: (what this person will do on a daily/weekly basis) Provide L2/L3 application and operational support for pharmacy systems, ensuring high availability and t

Full-time

USD 45.00 - 55.00 per hour

Project Lead - Medical Coder

Remote

•

6d ago

Seeking a Project Lead Coordinator to perform project planning and workload management, as well as: Distribute accuracy and production information to QA/Training leads. Provide guidance to QA leads and direct QA teams on QA and training activities. Works closely with Project Director and QA/Training Leads on training development, documentation, and performing training to MRRCs and coders.Running workload reports and tracking accuracy and productivity of staff and reporting to Project Director.En

Easy Apply

Full-time

Depends on Experience

Medical records jobs in Seattle, WA, USA