- Trustmark (Washington, DC)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Humana (Washington, DC)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to...member PHI / HIPAA information + This is a remote position\#LI- Remote **Scheduled Weekly Hours** 40 **Pay… more
- Takeda Pharmaceuticals (Washington, DC)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...around the world. This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote… more
- Pretrial Services Agency (Washington, DC)
- …District of Columbia is looking for an individual to serve as the Deputy Director who performs the full range of forensic screening and confirmation analyses to ... Duties As a Supervisory Toxicologist (Forensic) or Supervisory Chemist (Forensic) (Deputy Director ), you will: 1. Serve as the Deputy Director of… more
- Patent and Trademark Office (Alexandria, VA)
- …is seeking a highly motivated executive to serve as the Northeast Regional Office Director (Regional Office Director ). As the Regional Office Director , ... of the United States. Responsibilities The Northeast Regional Office Director reports to the Chief Public Engagement Officer in...a key role in employee engagement and connecting with remote employees in the region. Join the dynamic leadership… more
- HealthEdge Software Inc (Washington, DC)
- **Overview** ** Director , Product Management** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to lead our ... and QE. We have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform). Each Value Stream… more
- Educational Testing Service (Washington, DC)
- …education and ed tech space as it continues to grow and evolve. The Executive Director of Learning Design will lead the strategy for how ETS develops learning and ... assessment solutions in the K16 Business Unit. The Executive Director will lead a team of learning scientists, instructional designers, user experience research and… more
- Humana (Washington, DC)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Microsoft Corporation (Washington, DC)
- …of those assets. We are looking to fill the critical role of Procurement Director for the Americas region. In alignment with our Microsoft values, we are committed ... location. + This role is eligible for hybrid or remote work, up to (50)%. Microsoft's mission is to...change orders related to long lead equipment. + Negotiate Claims with the detailed understanding of the contractual conditions… more
- RELX INC (Alexandria, VA)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... and experienced professional to join our team as the Director of Data Content and Strategy. This critical role...Maintaining a deep understanding of relevant industry data, including claims , provider data, and patient insights. + Performing all… more
- Trustmark (Washington, DC)
- …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... small, mid-size, and complex/transformational projects, with support from the Sr. Director , Business Optimization, as needed. Define baseline and target metrics,… more
- Southland Industries (Dulles, VA)
- **POSITION SUMMARY** As the Division Safety Director , you will oversee all aspects of Safety within the division, setting the gold standard for safety culture, ... and insurance efforts at the division level, ensuring proper claims management and proactive risk mitigation. + Develop and...you bring to the table:** + Occasional travel to remote project locations for both overnight and in-day trips.… more
- Prime Therapeutics (Washington, DC)
- …decision we make. **Job Posting Title** Senior Data Visualization Consultant - Remote **Job Description** The Senior Data Visualization Consultant is responsible for ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- RTX Corporation (Arlington, VA)
- Date Posted: 2024-10-30 Country: United States of America Location: RCO99: RTN Remote , Colorado Position Role Type: Remote At Raytheon, the foundation of ... (SC) Legal Advisor, who will report to the Associate Director , Raytheon SC Advising. The SC Advisor provides advice...information agreements, and other agreement types. This position is remote ; the ideal candidate will be located within 50… more
- Prime Therapeutics (Washington, DC)
- …and drives every decision we make. **Job Posting Title** Data Scientist- REMOTE **Job Description** The Principal Data Scientist is an independent statistical ... program impact measurement using eligibility, medical, and pharmacy administrative claims and external data, (eg, care management, disease management, laboratory,… more
- Prime Therapeutics (Washington, DC)
- …Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Works independently to research and resolve regulatory inquiries/complaints related to claims , contracting and XXXX. Works directly with business partners across the… more
- Prime Therapeutics (Washington, DC)
- …every decision we make. **Job Posting Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- Prime Therapeutics (Washington, DC)
- …every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible for leading portions ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Amentum (Washington, DC)
- …closely with other VCF teams and, under the supervision of the Deputy Director , this position will manage processes related to the following functions. Work ... statute. Monitor daily Claim Management System (CMS) payment reports for: paid claims data import failures; change of attorney claim payments; payments to… more
- Zurich NA (Washington, DC)
- …AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- DIRECTOR #LI-HYBRID ... Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more