- Trustmark (Washington, DC)
- …to work on-site at our office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.* We are seeking a detail-oriented and analytical ... to join our team, specializing in the Voluntary Benefits Claims area. The individual in this role: Serves as...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
- Prime Therapeutics (Washington, DC)
- …we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant serves as ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or area related to the department with… more
- Amgen (Washington, DC)
- …be located on the Amgen corporate campus in Thousand Oaks, CA, but remote working opportunities are also available. **Key activities of a CfOR Manager include:** ... involving the analysis of multiple types of data including medical claims , electronic health records and prospective observational cohort studies. + Contributing… more
- Amgen (Washington, DC)
- …Study designs range from evaluating disease frequencies and current standards of care to understanding the safety and effectiveness of our medicines. We partner ... targeting a broad spectrum of external partners (eg, health care providers, payers, integrated delivery networks). + Collaborate on...8 years of data sciences and scientific experience Or Associate 's degree and 10 years of data sciences and… more
- Trustmark (Washington, DC)
- …knowledge of voluntary administration including premium billing & administration, eligibility, claims and payroll deduction and service model + Proven ability to ... office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*_** Brand: Trustmark...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
- Abt Global Inc. (Rockville, MD)
- …meaningful work? Now's your chance. **The Opportunity** Abt Global seeks a Medicaid researcher ( Associate ) to play a leadership role in our work with the Centers for ... and Evaluation Capability team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive… more
- Community Clinic Inc. (Silver Spring, MD)
- CCI Health Services' mission is to deliver high quality, accessible care to our community members, leading the way to a more equitable health care system for ... everyone. POSITION SUMMARY: The WIC Client Services Associate assists with the delivery of WIC services at...local agency policies and procedures. This position will be remote upon completion of onboarding and onsite training. KEY… more
- Trustmark (Washington, DC)
- …benefits products (ie sales, implementation, enrollment, underwriting, billing, servicing, and claims ) using various methods such as DMAIC, PDCA, etc. Develop the ... office in Lake Forest, IL for 3 days. Fully remote candidates are also welcome to apply.*_** Brand: Trustmark...FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health… more
- Marriott (Washington, DC)
- …as injured worker advocate assisting them to set goals and participate in their care . + Recommend referral to Associate Resource Line as needed. + Coordinate ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health… more
- Humana (Washington, DC)
- …first** Humana's Behavioral Economics Team is seeking a Research Scientist ( Remote ) to support our work developing measurement strategies across the enterprise. ... rigorous test & learn approaches to answer high-priority business questions. **Location:** remote In this multi-disciplinary team, you will have the opportunity to… more
- Amgen (Washington, DC)
- …the team, the individual in this role will deliver analysis using PSP data, claims data, prescription data, copay claims data, and other internal/external data ... need + Understand pharmaceutical ecosystem and data sets including medial and pharmacy claims (ex. IQVIA LAAD, Symphony Claims ), prescription (ex. IQVIA NPA),… more
- Humana (Washington, DC)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... qualitative data analysis + Analyzes and forecasts financial data, medical and pharmacy claims data, and other data to provide accurate and timely information for… more
- Humana (Washington, DC)
- …**Use your skills to make an impact** **WORK STYLE:** This role is remote /work at home (training is remote , as well)-- minimal travel (estimated ... 8 hours/day, 5 days/week-- core business hours are 8AM-5PM in the associate 's home time zone. Some flexibility might be possible, depending on business… more
- Humana (Washington, DC)
- …provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters ... **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Humana (Washington, DC)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
- Amgen (Washington, DC)
- …Or + Bachelor's degree and 5 years of experience in a quantitative field Or + Associate degree and 10 years of experience in a quantitative field Or + High school ... eg, clinical trial data, electronic medical records, and insurance claims ; or Bioscience's data, eg, protein or small molecule...us** As we work to develop treatments that take care of others, we also work to care… more
- Highmark Health (Washington, DC)
- …risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition Category (HCC) coding, medical coding, ... Risk Adjustment Data Validation (RADV) audit coding review, including analysis of claims data to ensure chart acquisition is complete and documentation is… more
- Humana (Washington, DC)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- Humana (Bethesda, MD)
- …volumes of data + Good understanding of healthcare data eg, member, provider, claims and clinical data + Experience and understanding of data governance practices ... **Location/Work Style:** Hybrid Office in Louisville, KY is preferred but open to Remote US as well **Why Humana?** At Humana, we know your well-being is… more
- Humana (Annapolis, MD)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... Information** **This position will be required to work EST Hours.** Work at Home/ Remote Requirements To ensure Home or Hybrid Home/Office employees' ability to work… more