- Sedgwick (Annapolis, MD)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Sedgwick (Alexandria, VA)
- …Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | VA Jurisdiction | Remote **Are you looking for an opportunity to ... and negotiate settlements; and to provide backup for team lead when out of the office....of education and experience required. 2 years of supervising claims team . + High School Diploma or… more
- Citizens (Washington, DC)
- Description Product Owner, Claims Management Platform & Transformation Lead We are seeking a results-driven leader to own and drive the development and ... transformation of our Claims Management product platform and its evolution toward next-generation...hybrid schedule of four days onsite and one day remote per week: + Johnston, RI - One Citizens… more
- Humana (Annapolis, MD)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Humana (Annapolis, MD)
- …healthcare operations, or insurance industry, with at least 1 year in a supervisory or team lead role. **Knowledge & Skills:** + Solid understanding of claims ... a part of our caring community and help us put health first** The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims … more
- Carrington (Washington, DC)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including,… more
- Cognizant (Annapolis, MD)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- Prime Therapeutics (Annapolis, MD)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Annapolis, MD)
- …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
- Prime Therapeutics (Annapolis, MD)
- …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims… more
- Prime Therapeutics (Annapolis, MD)
- …pharmacy with us. **Job Posting Title** Manager Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is responsible for developing ... to scope, quality, efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development of the department reporting strategy based on compliance… more
- Prime Therapeutics (Annapolis, MD)
- …drives every decision we make. **Job Posting Title** Sr Solution Strategist - Remote **Job Description** **Calling all Solution Strategists! We are looking for a ... Solutions Strategist to be a part of our JUDI Team . If you are interested in working within a...utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions… more
- Prime Therapeutics (Annapolis, MD)
- …Posting Title** Sr. Solution Strategist - Benefit Configuration - JUDI - Remote **Job Description** **The Senior Solution Strategist - Benefit Configuration** is ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
- Prime Therapeutics (Annapolis, MD)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion… more
- Prime Therapeutics (Annapolis, MD)
- …non-lawyer and lawyer professionals and is a key member of the legal department's leadership team . **Responsibilities** + Lead and mentor a team of attorneys ... make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads...and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed… more
- Humana (Annapolis, MD)
- …leading organization, we invite you to apply and be part of our dynamic team . The Value Based Programs Business Intelligence Lead solves complex business ... Places to Work-as a Value Based Programs Business Intelligence Lead . In this impactful position, you will play a...providers understand their overall performance. + Partner with finance team to conduct impact analysis and modeling for new… more
- Guardian Life (Annapolis, MD)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Cognizant (Annapolis, MD)
- **About the role** We are looking for Test Lead with 10+ years of QA experience who have good exposure and understanding of personal lines Insurance (Auto or Home). ... to solve straightforward problems, seeking input and guidance from team members. + Works with more junior members to...**Based on this role's business requirements, this is a remote position open to qualified applicants in Phoenix, AZ.**… more
- Cardinal Health (Annapolis, MD)
- …messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + ... Hybrid or remote position Schedule: Monday - Friday, 8:00am -...Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …President, CNS Business & Customer Engagement Operations business unit. **Job Description** + Lead a team responsible for developing access strategies and access ... channel customers. This role is based in Princeton with remote work placement as an option and reports to...is staffed with top talent within the industry + Lead a team to define the strategies… more