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Technology • everett wa

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Utilization Management Technician (Hybrid)

ATD Technology LLCEverett, WA, United States
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Description:</b></div> <div> <p><b>Utilization Management Assistant Role</b><br /> Monday-Friday<br /> <b>5x8s Schedule:</b> Can start an...[internal_linking.show_more]

Remote IT Services Consulting Expert - AI Trainer ($65-$85 per hour)

MercorMarysville, Washington, US
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[job_card.full_time]

Role Overview** Mercor is partnering with leading AI labs to engage experienced IT services and consulting professionals to improve AI systems' understanding of enterprise technology, digital trans...[internal_linking.show_more]

Technology Programs - Entry Level Training Programs

DreamboundMarysville, Washington, United States
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Note: This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the technology job market.Are you pass...[internal_linking.show_more]

Tax Manager, Global Tax Accounting & Reporting

Fortive CorporateEverett, Washington, US
[job_card.full_time] +1

Our global group of entities includes companies covering a broad spectrum of technology.This in addition to our M&A activity results in a scope of work that enables continual learning regarding the...[internal_linking.show_more]

CT Technologist - per diem

ProvidenceEverett, WA, United States
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Independently performs diagnostic CT scans on neonatal, pediatric, adolescent, adult and geriatric patients.Performs procedures under the direction of a Radiologist.Providence caregivers are not si...[internal_linking.show_more]

Sr. Treasury Analyst

FortiveEverett, WA, United States
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The Senior Treasury Analyst reports to the Treasury Director and plays a critical role in supporting global treasury operations, cash management, compliance, and strategic initiatives.The role leve...[internal_linking.show_more]

Assistive Technology Professional

NumotionEverett, WA, US
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At Numotion, we’re on a mission to improve the lives of people with disabilities.As North America’s largest provider of mobility products and services, we deliver personalized solutions from manual...[internal_linking.show_more]

Radiology Nuclear Med Tech

PRO MED Healthcare ServicesEverett, WA, US
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Nuclear Medicine Technologist - Full-Time .Job Category: Diagnostic Imaging.Independently performs multiple diagnostic Nuclear medicine procedures on adolescent, adult, geriatric and pediatric pati...[internal_linking.show_more]

IT Business Analyst

Triplenet Technologies, Inc.Everett, WA, USA
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IT Business Analyst (Contract – 3+ Months).The IT Business Analyst serves as a key liaison between business stakeholders and IT teams, translating business needs into clear technical requirements.T...[internal_linking.show_more]

IT Support Engineer I, LEO IT Services

Amazon Kuiper Manufacturing Enterprises LLCEverett, Washington, USA
[job_card.full_time]

Amazon Leo is Amazon’s low Earth orbit satellite broadband network.Its mission is to deliver fast, reliable internet to customers and communities around the world, and we’ve designed the system wit...[internal_linking.show_more]

Occupational Therapy Assistant (COTA) - Remote

All Care TherapiesEverett, WA, United States
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Occupational Therapy Assistant (COTA) - Remote.All Care Therapies company is at the forefront of utilizing cutting-edge technology to deliver in-home speech, occupational, and physical therapy serv...[internal_linking.show_more]

Service Technician

CareerPaths NWEverett, Washington, United States
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Our client is a reputable provider of office technology solutions, offering a wide array of services from copier, printer, scanner rentals to document workflow management solutions.They are dedicat...[internal_linking.show_more]

Sales and Operations Management Trainee

PenskeEverett, WA, US
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As a Sales and Operations Management Trainee in our fast-paced Everett branch environment, you will use your hard-earned degree to run a business and quickly solve problems for our customers - who ...[internal_linking.show_more]

Travel Physical Therapy Assistant PTA, Home Health

TRS HealthcareEverett, WA, US
[job_card.full_time]

Physical Therapy Assistant - Home Health.Current Physical Therapy Assistant license to work in the state of WA.Current Basic Life Support certification .Benefits of a Travel Assignment with TRS Hea...[internal_linking.show_more]

Commercial & Technology Paralegal

FlukeEverett, Washington, US
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Manage sales, vendor, and other business contracts in all phases of the contract management lifecycle, including RFP review, contract drafting, review, and negotiation.Your scope of work will encom...[internal_linking.show_more]

6B1BI3-Design and Analysis Engineer 3-664-Electronic Sys Design & Analy

Innova SolutionsEverett, Washington
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A client of Innova Solutions is immediately hiring for an.Design & Analysis Engineer-Electrical/Electronic Sys.Position Type: Full-Time Contract.Duration: 12 months with possible extension.As a Des...[internal_linking.show_more]

Mortgage Advisors/Sales Leader

The EMAC GroupEverett, WA, United States
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Our client is a mortgage banker in Washington and is focused on growing market share in the Downtown Seattle, Tacoma, Everett, and Kirkland markets.Client is currently hiring talented Mortgage Loan...[internal_linking.show_more]

CDL-A - New pay increase - Team Van Truckload truck driver

SchneiderEverett, WA, USA
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New pay increase - Team Van Truckload truck driver* *Average pay:* $1,300-$1,590 weekly *Home time:* Every three weeks *Experience:* 3 months or greater CDL experience Overview * Dry van trailers w...[internal_linking.show_more]

Utilization Management Technician (Hybrid)

Utilization Management Technician (Hybrid)

ATD Technology LLCEverett, WA, United States
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Description:

Utilization Management Assistant Role
Monday-Friday
5x8s Schedule: Can start anytime from 7am-8am
Hybrid position: Remote and On-site - will be on-site 2 days/week

Core Activities:

  • Updating payer authorizations
  • Working denials
  • Monitoring faxes and inputting into Epic and Genesis
  • Working in provider portals (Availity)
  • Sending clinicals to payers

Experience/Skills:

  • Must be experienced with entire Microsoft Suite (Word, Excel, Teams, PowerPoint, Access)
  • Must be independent, self-motivated, and trustworthy in working remotely - must be comfortable working in Teams to communicate with co-workers remotely
  • Epic experience required
  • No background check concerns with financial-related violations as this position involves access to patient financial information
  • Knowledge of managed health care market place, health delivery systems, contract basics.
  • Beginning knowledge of CMS, NCQA, DMHC, ADA and HIPAA regulations.
  • Associate's Degree Required

Responsibilities:

  • The primary responsibility of the position is to maintain standard compliance and performance related utilization management data.
  • Process of daily, weekly and monthly UM reports.
  • Establishes and maintains efficient filing system in paper and electronic.
  • Maintains Health Plan audit tools including the distribution and collection of data and documentation.
  • Assists in data collection for all Health Plan audits and in necessary compilation of data for NCQA, DMHC and CMS focused audits and unplanned audits of the delegated Medical Group as downstream providers.
  • Performs other duties as assigned by immediate Supervisor UM Compliance Manager and in support of compliance timelines.
  • Under the supervision of Administrative Director of Health Services.
  • The position requires strong analytical and utilization modeling skills employing data from the Referral, Beddays and claims data bases published by Decision Support.
  • Requires strong interpersonal, professional communication skills.
  • Answers and screens phones.

Additional Notes:

Core Activities:

  • Updating payer authorizations
  • Working denials
  • Monitoring faxes and inputting into Epic and Genesis
  • Working in provider portals (Availity)
  • Sending clinicals to payers

ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. ATD is a full service provider with offerings in Contract, Permanent and Temp-to-Perm staffing solutions. We serve Fortune 1000, mid cap and small cap companies in the Commercial, Public and Government sectors.