• Treasury Claims Analyst Senior…

    Prime Therapeutics (Washington, DC)
    …fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… more
    Prime Therapeutics (08/01/24)
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  • Claims Call Center Representative

    Zurich NA (Washington, DC)
    Claims Call Center Representative 116763 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... corporations. We are seeking confident, outgoing, and self-motivated Customer Care Professionals to join our dedicated contact center team...want to talk to you. You will work 100% remote from your home office. This role offers an… more
    Zurich NA (09/11/24)
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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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  • 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 (Rockville, MD)
    …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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  • 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 - US

    Sprinklr (Washington, DC)
    …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 ... securities actions, intellectual property matters, copyright and patent infringement claims , employment matters, data privacy issues, risk management, and payment… 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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  • Observational Research Manager - CfOR (Obesity)

    Amgen (Washington, DC)
    …involving the analysis of multiple types of data including medical claims , electronic health records, and prospective observational cohort studies + Provides ... 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 (08/10/24)
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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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  • Coordinator, Intake Utilization Management

    Evolent Health (Washington, DC)
    …role either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievance. - **Required** ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...with other Client Service Leaders including our Client Service Associate Director and Director may also be available. **What… more
    Evolent Health (09/07/24)
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  • Observational Research, Senior Manager (Rare…

    Amgen (Washington, DC)
    …Study designs range from evaluating disease frequencies and current standards of care to understanding the safety and effectiveness of our medicines. We partner ... targeting a broad spectrum of external partners (eg, health care providers, payers, integrated delivery networks). + Collaborate on...6 years of data sciences and scientific experience Or Associate 's degree and 10 years of data sciences and… more
    Amgen (08/15/24)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Washington, DC)
    …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews cases of diverse ... 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 reporting to Grievance and Appeals Director or… more
    Humana (08/10/24)
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