Motus Recruiting & Staffing

Clinical Review Pharmacy Analyst Pharmacy Analyst – Clinical Review Specialist (REMOTE) Motus is partnering with a leading healthcare provider to identify an experienced Pharmacy Analyst – Clinical Review Specialist for a contract opportunity. This is an exciting chance to join a large-scale enterprise environment supporting complex, cross-functional initiatives. The Pharmacy Analyst – Clinical Review Specialist utilizes knowledge of drugs and pharmaceuticals to conduct post service audits to ensure accuracy of billed charges. Contract Duration: 6 Months Work Model: 100% Remote (Must reside within TX, OR, WA, ID, or UT) Pay: $27.25/hr. Benefit Eligibility: Yes Schedule: - Must be able to work PST hours. - May require availability for evenings, weekends, holidays, and overtime as needed Equipment: Client-provided equipment; internet must be Cable, DSL, or Fiber (no satellite or mobile Wi-Fi) Responsibilities of a Pharmacy Analyst – Clinical Review Specialist: - Prioritizes workload, establishes goals, and coordinates daily activities to ensure timely completion of record reviews and support efficient audit execution aligned with team workflows. - Leverages subject matter expertise to analyze billing records, ensuring charges align with medical documentation, pharmaceutical guidelines, and reimbursement policies; identifies gaps and proactively requests additional information as needed. - Critic thinking applies to evaluating and interpreting clinical and billing data, including drug administration and treatment-related information, to ensure accuracy and compliance. - Adheres to strict regulatory and corporate standards, maintaining accuracy, timeliness, and quality while ensuring compliance with federal, state, BCBSA, and accreditation requirements. - Maintains organized and accessible reference materials, including policies, procedures, and regulatory guidelines, to support consistent and compliant work execution. - Demonstrates strong accountability and follow-through, consistently meeting or exceeding production and quality benchmarks. - Enhances team efficiency through flexibility and cross-functional support, actively participating in cross-training and contributing to broader departmental needs. - Supports special projects and initiatives as assigned, contributing to continuous improvement and operational effectiveness. Qualifications of a Pharmacy Analyst – Clinical Review Specialist: - LPN or Licensed Pharmacy Technician required - 5+ years of relevant experience, including 2+ years in hospital or residential care and 3+ years in health insurance claims - Strong expertise in claims review and billing, with in-depth pharmaceutical knowledge to identify incorrect, investigational, and off-label charges - Proficient in healthcare documentation and communication, with strong written and verbal skills - Demonstrates initiative and problem-solving, consistently meeting productivity and quality standards with minimal supervision - Proficient in MS Office and general computer applications, with experience leveraging AI tools to improve efficiency and decision-making

Medical Review Support Analyst I Portland, Oregon Our client, a leading healthcare organization dedicated to improving member and provider experiences, is seeking a Medical Review Support Analyst I to support clinical review and claims audit processes. In this role, you will assist in the triage and review of claims, coordinate medical record requests, and ensure accurate documentation and communication across internal teams and provider partners. This position plays a key role in ensuring claims selected for review are processed efficiently, records are properly obtained and analyzed, and regulatory and quality standards are maintained. Type: Contract (6+ months) Work Model: 100% Remote (Preference for candidates who reside OR, WA, ID, or UT) Pay: $20.00 – 23.87/hr., DOE Benefits Eligibility: Yes Responsibilities of the Medical Review Support Analyst I: - Perform triage on claims selected for review to determine whether they meet clinical review or audit criteria. - Prepare and send medical record request letters to providers and obtain records through EMR systems when available. - Receive, research, and process incoming medical records submitted via fax, mail, email, or secure upload. - Review claim history and pre-authorization determinations as needed to support the audit process. - Input claim processing instructions and relevant updates into the Facets system and communicate claim status with designated claims staff. - Maintain accurate documentation, required fields, and detailed notes within department databases. - Send notification letters to providers and coordinate with Network Management regarding missing or incomplete records. - Ensure all work meets production goals and quality standards while complying with regulatory and accreditation requirements. - Support department efficiency through flexibility and cross-training on additional operational functions. Qualifications of the Medical Review Support Analyst I: - High school diploma or GED. - 3+ years of experience in a healthcare environment such as a medical office, claims processing, billing, or customer service, or an equivalent combination of education and experience. - Strong written and verbal communication skills. - Experience working with medical records, claims, or healthcare documentation. - Proficiency with medical terminology and healthcare processes. - Strong organizational, analytical, and problem-solving skills with the ability to work independently and meet deadlines. - Experience using Facets or similar claims systems. - Knowledge of medical anatomy, coding, or healthcare billing processes. - Familiarity with BlueCard, ITS processes, FEP Direct, or Salesforce.

Sales Training Specialist Portland, Oregon - Added Apr 16th, 2026 E-Learning Developer Specialist (Sales Training) - HEALTHCARE Motus is partnering with a leading healthcare provider to identify an experienced E-Learning Developer Specialist (Sales Training) for a contract opportunity. This role is ideal for a hands-on project manager with strong instructional design and e-learning development experience, who can quickly step in and build on-demand sales training content while driving projects forward. You will play a key role in delivering scalable, high-impact training that supports sales readiness and performance. This is a remote, contract-only position. Contract Duration: 2+ Months Location: Portland, OR 100% Remote: Must reside within OR, WA, ID, or UT Hourly Pay Range: $35.00 - $37.50, DOE. Schedule: - Must be able to work PST hours. - May require occasional overtime or weekend support Equipment: Client-provided equipment; internet must be Cable, DSL, or Fiber (no satellite or mobile Wi-Fi) Responsibilities of an E-Learning Developer Specialist (Sales Training): - Develop self-guided training modules using Articulate 360, translating business requirements into engaging, interactive learning experiences - Manage training development projects from intake through launch, including scope, timelines, and stakeholder communication - Partner with subject matter experts to gather content, facilitate review cycles, and incorporate feedback - Monitor project progress, proactively identifying risks, delays, and resource constraints - Publish training content to LMS platforms and maintain organized content libraries - Maintain documentation, project files, and version control to ensure continuity - Provide regular status updates on progress, launch readiness, and blockers - Support multiple concurrent projects, prioritizing based on business impact - Assist with live training logistics (webinars, open labs), including troubleshooting and participant support as needed Qualifications of an E-Learning Developer Specialist (Sales Training): - BA degree in Business or related field with 2+ years of experience managing projects across cross-functional teams - Experience developing on-demand sales training / Learning Management Systems (LMS) (modules, courses, learning paths) - Strong troubleshooting skills for e-learning platforms and content issues - Familiarity with PMI/PMBOK methodologies and project lifecycle concepts - Advanced proficiency in Articulate 360 (required) - Experience working in Agile or fast-paced environments **We are unable to accommodate corp. to corp. candidates** About Motus Recruiting and Staffing, Inc: Founded in 2006, Motus is an award-winning recruiting and staffing firm in the Pacific Northwest, specializing in professional services and technology solutions. We are a group of people who not only recognize the importance of representation, but actively fight for diversity, equity, and inclusion in the recruitment process. Our goal is to educate organizations on the importance of DEI when hiring, promoting, and supporting diverse employees. We are calling organizations to demonstrate their commitment to DEI by being intentional about who they hire. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability or protected veteran status. PG/BH #13982

Payment Integrity Clinician – UNRESTRICTED RN LICENSE Motus is partnering with a leading healthcare provider to identify an experienced Payment Integrity Clinician – UNRESTRICTED RN LICENSE for a contract opportunity. This role is responsible for conducting prepayment, post-payment, and audit reviews of claims to ensure accurate coding, appropriate reimbursement, and compliance with clinical and regulatory standards. The clinician applies nursing expertise and leverages internal policies, reimbursement guidelines, and national coding standards to support claim determinations, ensuring accuracy, consistency, and adherence to accepted standards of care. Contract Duration: 6 -Months Work Model: 100% Remote (Must reside within OR, WA, ID, or UT) Pay Range: $39.00 - $43.00/hr. DOE Benefit Eligibility: Yes Schedule: - Must be able to work PST hours - May require availability for evenings, weekends, holidays, and overtime as needed Equipment: Client-provided equipment; internet must be Cable, DSL, or Fiber (no satellite or mobile Wi-Fi) Responsibilities of a Payment Integrity Clinician – UNRESTRICTED RN LICENSE: - Applies nursing expertise to ensure compliance with medical, reimbursement, and care standards - Reviews claims and medical records to ensure accurate and appropriate payment - Ensures documentation meets federal regulations, company policies, and industry standards - Collaborates with physician advisors and internal teams to support clinically sound determinations and resolve claims issues - Communicates professionally with internal and external stakeholders while maintaining confidentiality - Prioritizes and manages workload to meet performance standards and timelines - Maintains clinical competency through ongoing education and required licensure/certifications - Working knowledge of clinical coding practices and applications Qualifications of a Payment Integrity Clinician – UNRESTRICTED RN LICENSE: - Bachelor’s degree in health/human services (Master’s or Psychiatric RN preferred) or current unrestricted RN license - Unrestricted licensure/certification in OR, WA, ID, or UT enabling independent clinical assessment - Minimum 3 years of clinical, health insurance, claims review, or case management experience - Knowledge of medical procedures and ability to interpret medical records and apply clinical/reimbursement policies - Strong analytical, problem-solving, and communication skills - Proficient in Microsoft Office; able to learn systems quickly; detail-oriented and able to multitask independently in a fast-paced environment - Preferred: Certified Professional Coder (AAPC or AHIMA)

Enterprise Project Manager IV Portland, Oregon Senior Enterprise Project Manager Our client, a leading healthcare organization dedicated to improving member and provider experiences, is seeking a Senior Enterprise Project Manager to support a major multi-state integration initiative. This role will serve as the lead Project Manager for the Finance Tower of a large-scale organizational integration effort, overseeing multiple concurrent projects and coordinating cross-functional teams to ensure successful program delivery. The Senior Enterprise Project Manager will work closely with senior leadership, finance partners, and cross-functional teams to identify risks, align stakeholders, and guide large, complex initiatives through completion. This role requires a strategic leader who can quickly step into an active program environment, assess challenges, and bring structure, clarity, and direction to highly visible enterprise initiatives. This is an exciting opportunity to play a key role in a large enterprise transformation effort while partnering with executives and program leaders across a highly collaborative organization. Type: Contract – 12-months Pay Range: $70.00 – 85.00/hr., DOE Location: Remote – Prefer candidates located in OR, WA, ID, or UT - Occasional travel may be required (potential travel between Portland, OR and Fargo, ND) Responsibilities of the Senior Enterprise Project Manager: - Lead the delivery of a large enterprise program supporting a multi-state integration initiative, ensuring successful coordination of multiple concurrent projects. - Oversee planning, execution, and delivery of program activities including task definition, milestone tracking, cost management, and risk mitigation. - Partner closely with Finance leadership and cross-functional teams to align program goals with business objectives and operational priorities. - Identify program risks early and facilitate discussions with stakeholders to develop mitigation and contingency plans. - Coordinate inter-project dependencies and ensure alignment across project teams working within the broader program structure. - Monitor program progress through metrics, reporting, and milestone tracking to ensure delivery timelines and quality expectations are met. - Communicate program strategy, updates, risks, and outcomes to executive leadership and key stakeholders. - Support issue resolution and decision-making across program teams by facilitating conversations and guiding stakeholders toward actionable solutions. - Foster strong relationships across business, technology, and operational teams to support collaboration in a highly matrixed organization. Qualifications of the Senior Enterprise Project Manager: - Bachelor’s degree in Business Administration, Finance, Project Management, or a related field, or equivalent combination of education and experience. - 10+ years of progressive program or project management experience, including leadership roles overseeing large enterprise initiatives. - Demonstrated experience managing large, complex programs with multiple concurrent projects, large budgets, and cross-functional teams. - Proven ability to identify and mitigate program risks while facilitating productive discussions with executive and business leaders. - Experience working within matrixed organizations and collaborating with multiple business functions including finance, operations, and technology. - Strong knowledge of project and program management methodologies including Waterfall (PMBOK), Agile, or hybrid delivery models. - Experience using tools such as Smartsheet, SharePoint, and the Microsoft Office Suite for program planning, tracking, and reporting. - Excellent stakeholder engagement, communication, and facilitation skills. - Ability to navigate ambiguity and guide complex initiatives toward successful outcomes. Preferred Qualifications: - Professional certifications such as PMP, PgMP, PMO-RMP, or SAFe. - Experience working within healthcare, insurance, finance, or large enterprise environments. - Exposure to mergers, acquisitions, or large organizational integrations.