- Fujifilm (Washington, DC)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Sedgwick (Washington, DC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Hunt Valley, MD)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** + Uses A/R follow-up ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …technical aspects of the programs/projects. + Must have experience supporting senior Navy and DoD leadership liaison operations, providing facilities management. + ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- BAE Systems (Arlington, VA)
- …**Duties & Responsibilities to include:** + This person will function as a senior level labor and employment specialist supporting the Deputy Chief Counsel, ... **Job Description** We are seeking a senior level, experienced lawyer to serve in a...in its transactions and protect the company against potential claims and litigation. This role is required to be… more
- CareFirst (Baltimore, MD)
- …Credentialing department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting initiatives through statistical ... analysis, cost/ benefit modeling and analysis. Develop and present business cases...(eg, hospitalist, diabetes education, reduction of authorizations, reduction of claims appeals, etc.). Participate in internal and external committees… more
- Highmark Health (Washington, DC)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Washington, DC)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Washington, DC)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- NANA Regional Corporation (Washington, DC)
- …customer service and acting as a liaison to insurance companies claim services, claimants, policyholders, agents, counterparts in other departments, external legal ... today! **Responsibilities** + Adjudicators will be assigned cases by the Senior Adjudicator containing the applicant's personal history statement: The adjudicator… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- …Expert to join our MCICOM contract in Arlington, VA. The Subject Matter Specialist will be responsible for will assist in providing data, writing technical ... resources effectively and, at times, with minimal supervision. **Responsibilities** + Senior expert with extensive knowledge and experience developing and applying… more