• Claims Care Associate

    Lincoln Financial Group (Washington, DC)
    …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
    Lincoln Financial Group (09/18/24)
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  • Associate Director, Global Labeling Lead…

    Takeda Pharmaceuticals (Washington, DC)
    …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
    Takeda Pharmaceuticals (07/18/24)
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  • Operations Supervisor ( Remote )

    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 ... client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Reviews and resolves complex… more
    CareFirst (09/18/24)
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  • Observational Research Manager - US Remote

    Amgen (Washington, DC)
    …projects involving the analysis of multiple types of data including medical claims , electronic health records, and prospective observational cohort studies + Provide ... scientific experience Or Bachelor's Degree and 4 years of scientific experience Or Associate 's degree and 8 years of scientific experience Or High school diploma /… more
    Amgen (09/18/24)
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  • Provider Contracting Specialist ( Remote )

    CareFirst (Fairfax, VA)
    …makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... to meet Corporate Project deliverables. Work with Quality Improvement, Legal, Care Management, Internal Audits and other departments to identify and support… more
    CareFirst (09/13/24)
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  • Lead Software Engineer ( Remote )

    CareFirst (Reston, VA)
    …makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while ... (all benefits/incentives are subject to eligibility requirements). **Department** FEP Claims Adjudication Delive **Equal Employment Opportunity** CareFirst BlueCross BlueShield… more
    CareFirst (09/13/24)
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  • Business Systems Manager ( Remote )

    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 ... systems, and business processes supported by the department (eg, claims processing, enrollment and billing, financial, etc.). + Experience...and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to… more
    CareFirst (09/07/24)
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  • Research Associate , Health (Quantitative)

    American Institutes for Research (Arlington, VA)
    …scams at ftc.gov/scams . \#LI- Remote #SH1- Remote Submit an interest application (https://jobs-airdc.icims.com/jobs/13141/research- associate ... **Overview** Join AIR as a **Research Associate ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team works collaboratively to unravel the… more
    American Institutes for Research (08/16/24)
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  • Associate Director, Signal Detection…

    J&J Family of Companies (Washington, DC)
    Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
    J&J Family of Companies (09/19/24)
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  • WIC Client Services Associate

    Community Clinic Inc. (Silver Spring, MD)
    CCI Health Services' mission is to deliver high quality, accessible care to our community members, leading the way to a more equitable health care system for ... everyone. POSITION SUMMARY: The WIC Client Services Associate assists with the delivery of WIC services at...local agency policies and procedures. This position will be remote upon completion of onboarding and onsite training. KEY… more
    Community Clinic Inc. (08/27/24)
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  • Legal Counsel - Litigation - Technology / SaaS -US

    Sprinklr (Washington, DC)
    …a law firm setting, including experience with copyright and patent infringement claims , intellectual property matters, and federal securities claims ._** + ... hiring a Legal Counsel to join Sprinklr's Legal team, reporting to the Associate General Counsel, Employment & Litigation. The Legal Counsel will have primary daily… more
    Sprinklr (09/04/24)
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  • Clinical Research Scientist 2

    Humana (Washington, DC)
    …health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
    Humana (09/14/24)
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  • Business Intelligence Engineer 2

    Humana (Washington, DC)
    …put health first** Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using ... of action. About Our Team The Provider Intelligence and Claims Analytics (PICA) team is a blend of experts...business outcomes and decisions **Additional Information** This role is " remote /work at home" and can be based anywhere in… more
    Humana (08/15/24)
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  • Senior Informaticist

    Humana (Washington, DC)
    …objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Humana is seeking a ... understanding of physician networks, physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based… more
    Humana (09/18/24)
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  • Litigation Counsel (Hybrid)

    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 ... impression and emerging areas of liability (eg, vicarious liability of managed care organizations). + Managing External Counsel.When referral to outside counsel is… more
    CareFirst (07/30/24)
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  • Senior Business Intelligence Engineer

    Humana (Washington, DC)
    …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
    Humana (08/30/24)
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  • Medical Director - Grievances and Appeals

    Humana (Washington, DC)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
    Humana (09/17/24)
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