Renton, Washington, United States · Hybrid
$39/hr–$61/hr
Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network, for assuring that the network meets URAC and DoD standards, and that there is comp…
Skills: Managed Care Operations, Capitated Medicine, Contract Negotiation, Provider Network Management, Utilization Management
Renton, Washington, United States · On-site
$37/hr–$46/hr
Join Our Team as an Admissions Representative in Renton, WA! We are seeking a Champion Student Admissions Representative to join our Renton campus. We are looking for that rare mix of drive and empathy. You will be the f…
Skills: Recruitment, Sales Closing, CRM Management, Student Advising, Lead Generation
Renton, Washington, United States · On-site
$25/hr–$40/hr
Champions Do More At Automotive Technology Experts (ATE), we understand the importance of providing fast and accurate vehicle diagnostic scanning and calibration services. We service hundreds of customers that rely on us…
Skills: Vehicle Diagnostics, ADAS Calibration, Module Programming, Electrical Repair, Wiring Schematics
Renton, Washington, United States · On-site
$25/hr–$30/hr
$25 to $30/hour, depending on experience Full-time, stable job working in people’s homes. This is a hands-on, customer-facing role where you solve real problems and run your own route. What the job looks like You’ll run …
Skills: Pest Inspection, Pest Treatment, Customer Communication, Route Management, Time Management
Renton, Washington, United States · On-site
$22/hr–$25/hr
Job description: ABOUT US At Insight Pest Solutions, we don’t just eliminate pests, we build relationships, empower teams, and create safe, thriving homes. We’re proud to be ranked among the Inc. 5000 and PCT…
Skills: Pest Control, Customer Service, Sales, Driving, Physical Stamina
Renton, Washington, United States · On-site
$90k–$120k/yr
Company Description TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed services to chiropractic providers. Medulla provides managed services such as Sales & Marketi…
Skills: Patient Evaluation, X-ray Review, Chiropractic Adjustments, Care Planning, Clinical Diagnosis
Renton, Washington, United States · On-site
Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Demonstrate the company's core values of respect, honest…
Skills: Customer Service, Stress Management, Communication Skills, Basic Math
Renton, Washington, United States · On-site
$25/hr–$40/hr
Champions Do More At Automotive Technology Experts (ATE), we understand the importance of providing fast and accurate vehicle diagnostic scanning and calibration services. We service hundreds of customers that rely on us…
Skills: Vehicle Diagnostics, ADAS Calibration, Electrical System Repair, Module Programming, Wiring Schematics Interpretation
Renton, Washington, United States · On-site
$62k–$85k/yr
Requisition Summary Responsible for systems related support of the Accounts Payable department. Requires mainframe system experience, including query writing. Responsibilities include Electronic Funds Transfers, IDAAs, E…
Skills: Accounts Payable, Mainframe Systems, Query Writing, SAP, Data Analysis
Renton, Washington, United States · On-site
$22/hr–$22/hr
Job Title: Crew Chief Location: 17642 108th Avenue SE Renton, WA 98055-6451 Compensation: $22.08 - $22.33 Worker Type: Employee Time Type: Full time Job Description: Embark on a rewarding career journey with us today as …
Skills: Retail Management, Leadership, Customer Service, Financial Analysis, Inventory Management
Renton, Washington, United States · On-site
$38/hr–$40/hr
Overview SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or cr…
Skills: Staff Supervision, Budget Management, P&L Review, Customer Experience, Microsoft Office Suite
Renton, Washington, United States · On-site
$87k–$136k/yr
Company Information PACCAR is a Fortune 500 company established in 1905. PACCAR Inc is recognized as a global leader in the commercial vehicle, financial, and customer service fields with internationally recognized brand…
Skills: Teardown Benchmarking, Cost Analysis, Clean Sheet Modeling, VA/VE, Supplier Negotiation
Renton, Washington, United States · Hybrid
$92/hr–$148/hr
Calling All Esteemed Leaders! Are you a senior laboratory leader with deep expertise in quality, accreditatio, and regulatory compliance who thrives in complex, highly regulated healthcare environments? Do you excel at i…
Skills: Quality Management, Regulatory Compliance, Accreditation Leadership, Strategic Planning, Change Management
Renton, Washington, United States · Hybrid
WealthBridge Financial Group is seeking a results-oriented Financial Consultant to join our team. In this position, you will engage with clients to understand their financial objectives and provide them with tailored adv…
Skills: Financial Consulting, Investment Opportunities, Retirement Planning, Wealth Management, Financial Analytics
Renton, Washington, United States · Hybrid
WealthBridge Financial Group is seeking a results-oriented Financial Consultant to join our team. In this position, you will engage with clients to understand their financial objectives and provide them with tailored adv…
Skills: Financial Consulting, Investment Opportunities, Retirement Planning, Wealth Management, Financial Analytics
Renton, Washington, United States · Hybrid
WealthBridge Financial Group is seeking a results-oriented Financial Consultant to join our team. In this position, you will engage with clients to understand their financial objectives and provide them with tailored adv…
Skills: Financial Consulting, Investment Opportunities, Retirement Planning, Wealth Management, Financial Analytics
Renton, Washington, United States · Hybrid
WealthBridge Financial Group is seeking a results-oriented Financial Consultant to join our team. In this position, you will engage with clients to understand their financial objectives and provide them with tailored adv…
Skills: Financial Consulting, Investment Opportunities, Retirement Planning, Wealth Management, Financial Analytics
Renton, Washington, United States · Hybrid
WealthBridge Financial Group is seeking a results-oriented Financial Consultant to join our team. In this position, you will engage with clients to understand their financial objectives and provide them with tailored adv…
Skills: Financial Consulting, Investment Opportunities, Retirement Planning, Wealth Management, Financial Analytics
Renton, Washington, United States · On-site
$21/hr–$30/hr
Perform general product preparation, clean-up and stock work in the Meat department and provide customer service. Demonstrate the company’s core values of respect, honesty, integrity, diversity, inclusion and safety.
Skills: Meat Cutting, Product Preparation, Customer Service, Food Handling, Equipment Operation
Renton, Washington, United States · On-site
Candidates must reside in Washington Region Job Summary: In addition to the responsibilities listed below, this individual contributor position is responsible for working directly with physician leaders and specialty cha…
Skills: Physician Recruiting, Candidate Sourcing, Candidate Screening, Talent Acquisition Strategy, Compensation Negotiation
Renton, Washington, United States • Hybrid
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Develops and maintains the Network Plan and provider handbook while ensuring compliance with URAC, DoD, and TRICARE standards. Leads contract negotiations for reimbursement terms with hospitals, physician groups, and ancillary services.
Requires at least 5 years of experience in managed care operations with extensive knowledge of capitated medicine and health plan contracts. A bachelor's degree and experience in ambulatory medicine or project management are preferred.
Responsible for the development and maintenance of the Network Plan the provider handbook, for evaluation of the adequacy of the network, for assuring that the network meets URAC and DoD standards, and that there is compliance with all elements of the TRICARE Management Activity contract. Understands the attitudes and values of the community and establishes effective working relationships with stakeholders to increase resources and collaboration. Acts as a representative and spokesperson for US Family Health Plan both internally and externally. Responsible for assuring providers and network members are educated in Health Plan criteria and processes. Responsible for the non-clinical utilization management functions of the Health Plan. Responsible for compliance with the DoD contract regarding network and utilization issues. Responsible for a key role in provider contracting and network relations.
Leads contract negotiations for acceptable reimbursement terms and contract language with all network providers across the continuum of care. (i.e. hospitals, physician groups and ancillary services). Will conduct negotiations and complete the contracting process in a timely manner in accordance with USFHP contracting principles, organizational policies and procedures and all elements of the TRICARE Management Activity contract.
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.
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.
Offices: 520 N PROSPECT AVE, Redondo Beach, California 90277, us
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