- CVS Health (Annapolis, MD)
- …And we do it all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims ... monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal regulations, contractual requirements, and… more
- WM (Washington, DC)
- …and staff in identifying and quantifying risk of loss, and controls " claims cost" through the management, control and evaluation of expenditures associated with ... be assigned. + Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation,… more
- Ryder System (Washington, DC)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... Director assisting with all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as well as a team of 40+ claims … more
- Amentum (Washington, DC)
- …claim review team leads and supervisors and, under the supervision of the Claims Manager , the Claim Review Assessor performs pre-screen, claim preparation, ... Review Assessor's responsibilities include: + Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and amendment stages. This… more
- Zurich NA (Washington, DC)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional… more
- Amergis (Columbia, MD)
- …creates unmatched staffing experiences to deliver the bestworkforce solutions. The Claims Examiner Workers' Comp understands and participates in every aspect of ... WC claim process. Working in a team approach, the Claims Examiner WC will make decisions concerning reserve adjustments,... Examiner WC also works with the Adjusters, WC Manager , and fellow Amergis team members. Essential Duties and… more
- Elevance Health (Hanover, MD)
- Medical Coding Education Associate Sr (Hospital / Professional Claims ) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... r is responsible for the comprehensive analysis of complex claims data to generate refined and industry-relevant concepts that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CDM Smith (Rockville, MD)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Amentum (Washington, DC)
- …timekeeping, narratives, corrective action, and other staff management concerns. + Assist Project Manager in all aspects of Claims Review team management. + ... Civil Division. Works under the direction of a Project Manager , performing the following duties: + Act as primary...Assist in the daily oversight and management of Claims Review support processes. + Coordinate tasks and responsibilities… more
- Baylor Scott & White Health (Washington, DC)
- …payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves ... Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed… more
- Marriott (Forest Heights, MD)
- …Range:** $85,000-$112,000 annually **Bonus Eligible:** Y **JOB SUMMARY** The Sr. HR Manager - STAR Relations directs and works with Human Resources and Operations ... and development, association/labor relations, and performance management. Additionally, the Sr. HR Manager focuses on delivering HR services that meet or exceed the… more
- Towne Park (Vienna, VA)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne Park account and is responsible for… more
- Sedgwick (Alexandria, VA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Manager , Client Services | SIU **PRIMARY PURPOSE** : To manage accounts of multiple ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Job** **Summary** The Manager , Clinical Operations works closely with the OPDC Monitoring Oversight Lead to manage monitoring oversight activities including ... achieve timelines and deliverables across the portfolio. Additionally, the Manager , Clinical Operations will support planning, resourcing, contracting, and budgeting… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- **Job Summary** **Senior Manager , Digital Content and Social Strategy** Position Overview The Senior Manager , Digital Content & Social Strategy is responsible ... the Director of Corporate Brand and Reputation, the Senior Manager leads corporate website governance, social media strategy, analytics,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Operations Manager (SIOP-2025-24024): Bowhead seeks a Senior Operations Manager to join our team in providing program management support in a ... of the Washington Navy Yard. **Responsibilities** The Senior Operations Manager at the WNY supports the SIOP Executive Team...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- The ** Manager , Manufacturing Product Quality (Small molecule)** is responsible for ensuring **GMP compliance** in the manufacturing packaging, labeling, and ... maintained throughout the commercial and clinical supply chains. The manager will collaborate with cross-functional teams including Clinical Operations, Regulatory… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …and provide insight on our business processes that support our business. The Senior Manager of National Systems Training work with the field sales teams to design, ... operations, IT, sales leadership, and marketing partners. The Senior Manager of National Systems Training will report to the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Washington, DC)
- …pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Newell Brands (Washington, DC)
- …and collaborative environment where you can be your best, every day. The Associate Manager , Tax Incentives & Grants will support the Manager in identifying, ... coordinate tax audits, inquiries, and notices from tax authorities regarding incentive claims . + Assist in preparing reports and presentations for senior management… more