- Trustmark (Washington, DC)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...in the evaluation and coordination of process changes and training due to new workflows, automation and/or new products.… more
- Deloitte (Washington, DC)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Cushman & Wakefield (Mclean, VA)
- **Job Title** Sr . Facilities Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or a portfolio of ... needs of the tenants, environmental health and safety, and quality programs, in coordination and conjunction with the goals...and future needs of the building and operations. The Senior Facilities Manager also has responsibility for the overall… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more
- Highmark Health (Annapolis, MD)
- …reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. ... disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services)… more
- CenterWell (Washington, DC)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… 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 life cycle ... complexity and location of the role; the skills, education, training , credentials and experience of the candidate; and other...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and… more
- Cherry Bekaert (Washington, DC)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Washington, DC)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Amentum (Washington, DC)
- …Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior Paralegal** **MEGA V Labor Category: Paralegal/Legal Assistant II** **General** ... emphasis on claim and data management, claim assessment, knowledge management and training coordination. Working closely with respective claim review team leads and… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Atlas (Columbia, MD)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- CenterWell (Washington, DC)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Washington, DC)
- … claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately complex to ... of our caring community and help us put health first** The Senior Installation Administration Professional establishes and manages relationships with internal and… more
- DRS Naval Power Systems, INC (Germantown, MD)
- …maintain sound professional relationships with suppliers. Resolve issues (eg, pricing, quality , timing, claims , contract disputes, etc.) associated with terms ... applications, critical infrastructure protection, and border surveillance. Job Summary The Senior Planner plays a critical role in ensuring efficient supply chain… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements ... other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts...all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an… more
- Cushman & Wakefield (Washington, DC)
- **Job Title** Senior Chief Engineer **Job Description Summary** Direct Mobile HVAC Engineering operations, overseeing maintenance, repairs, staff supervision, safety ... and replacements. + Supervise and develop engineering staff; manage hiring, training , and performance. + Oversee HVAC, plumbing, and electrical systems; stay… more
- Highmark Health (Washington, DC)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- Subaru of America (Washington, DC)
- …and delight our customers. SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis ... to proactively monitor and investigate the product quality and effectiveness of product improvements. Assists retailers with difficult diagnosis and repairs,… more