- Sallie Mae (Sterling, VA)
- …to work. Feeling your best allows you to do your best. Our benefits take care of the whole you-from physical and mental to financial and professional. You'll get ... future generations, for the future of education. **What You'll Contribute** The Associate General Counsel (Employment) is a member of the Company's Risk Mitigation… more
- Fannie Mae (Reston, VA)
- …*The Impact You Will Make * The SF Collateral Risk - Risk Analysis - Senior Associate role will offer you the flexibility to make each day your own, while working ... alongside people who care so that you can deliver on the following...complex documents such as financial statements, legal documents, litigation claims and engineering and inspection reports. * Exceptional written… more
- Humana (Washington, DC)
- …and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs ... of decisions to internal associates, and possible participation in care management. May occasionally participate in discussions with external physicians… more
- Evolent (Washington, DC)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to ... a mission with a company behind it. **What You'll Be Doing:** ** Associate Director, Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent… more
- Evolent (Washington, DC)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both… more
- Walgreens (Rockville, MD)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Southland Industries (Dulles, VA)
- …record of industrial equipment training. + Report and manage all company vehicle claims . + Assist in reporting workers compensation claims . + Update Material ... Insurance + Pre-tax Flexible Spending Plans (Health and Dependent Care ) + Holidays/Vacation/Personal Time/Life Events Leave + Numerous training opportunities… more
- WTW (Arlington, VA)
- …management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product based solutions such as our pharmacy ... round out our broad-based suite of offerings. As an Associate Director - Sales and Account Management - in...coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts,… more
- Walmart (Gaithersburg, MD)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Ankura (Washington, DC)
- …matters. + Ankura's provider team has experience assisting hospitals, long term care centers, outpatient and diagnostic centers, DME providers, home health agencies, ... of financial exposure through analytic and statistical methods; prescription drug claims submission and payment; pharmacy benefit administration; Medicare Part D… more
- Walmart (Gaithersburg, MD)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Walmart (Laurel, MD)
- …mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Humana (Washington, DC)
- …**Required Qualifications** + Three or more years work experience reading and interpreting claims within a managed care /health care environment + Familiarity ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...are Monday-Friday, 8 hours/day, and 5 days/week in the associate 's home time zone. Some schedule changes/adjustments might be… more
- Offices, Boards and Divisions (Washington, DC)
- Summary The Torts Branch is seeking Trial Attorneys for its Federal Tort Claims Act (FTCA) Section. The FTCA Section handles a wide variety of complex, and often ... These suits arise from, among other conduct, the provision of medical care at federal facilities or community health centers, federal regulatory activities, law… more
- Humana (Washington, DC)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- CareFirst (Washington, DC)
- …makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... leader is responsible for developing and delivering system solutions for Claims Processing, Enrollment Operations and Customer and Member Services. Also, responsible… more
- Humana (Washington, DC)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- Humana (Washington, DC)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Humana (Washington, DC)
- …achieving operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support analyzing business ... an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and… more
- Humana (Washington, DC)
- …have expertise in conducting retrospective observational studies using administrative claims data using a collaborative approach across multiple stakeholders. Humana ... + An understanding of research methodology and the managed care arena, and how it applies to health outcomes...with cloud base analytics platforms + Experience with clinical, claims , pharmacy or other healthcare data. + Strategic thinking… more
