Key facts
- Location
- Renton, WA, United States
- Workplace
- Hybrid
- Pay
- Not stated
- Contract
- Not stated
- Detected
- 8 Nov 2026
- Posted
- 15 Oct 2026
About the role
Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Assists in managing the workflow of assigned Line of Business. Acts as primary department resource for at least one major area of expertise (EDI, Health Plan Repricing, Health Plus Repricing, or HPR).
The full description is on Providence’s careers site (opens in a new tab).