- Prime Therapeutics (Washington, DC)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Washington, DC)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- Amazon (Arlington, VA)
- …leaders and product experts - Collaborate across cross functional teams - legal, operations , business , finance, data, and tech teams to continuously improve the ... potential misleading claims - Provide data-driven and actionable insights to senior stakeholders to influence roadmaps and align on solutions - Plan and conduct… more
- Deloitte (Mclean, VA)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Mclean, VA)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Mclean, VA)
- Senior Consultant, Operations and Technology Transformation, Guidewire Application Java Developer What we do Operations and Technology Transformation ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...2025 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring technical expertise to deliver… more
- HealthEdge Software Inc (Washington, DC)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- Guidehouse (Mclean, VA)
- …**:** Ability to Obtain Public Trust **What You Will Do** **:** **Both Senior Consultant/Consultant** As a Consultant/ Senior Consultant you will leverage your ... on the modernization of public sector and/or commercial/private healthcare operations by facilitating multiple process improvement strategies to increase revenue,… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- …decisions regarding proposed changes in terms of cost, schedule, technical impact, and business impact. + Review and update required operations plans and ... **Overview** ** SENIOR INFORMATION TECHNOLOGY SPECIALIST/ SAP S4 BUDGET TO...Assist the Government in conducting analysis of performance enhancements, business drivers, costs and schedule, with resolution of integration… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor Senior - Maryland Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid ... analytics to improve the delivery of care. The **Clinical Provider Auditor Senior ** is responsible for identifying issues and/or entities that may pose potential… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- …decisions regarding proposed changes in terms of cost, schedule, technical impact, and business impact. + Review and update required operations plans and ... **Overview** SENIOR INFORMATION SPECIALIST/ SAP S/4 SOLUTIONS ARCHITECT (PMW220)...end-to-end process discussions. + Assist with solution strategies for business requirements, enhancement requests and defect fixes. + Provide… more
- Millennium Challenge Corporation (Washington, DC)
- Summary This position is located in the Sector Operations Division, Department of Department of Compact Operations (DCO), Millennium Challenge Corporation (MCC). ... is generally equal to SES/SL in pay only. Responsibilities As Practice Leader and Senior Director, serves as a member of the management team by supervising the… more
- Zurich NA (Washington, DC)
- Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
- Evolent Health (Washington, DC)
- …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
- AECOM (Arlington, VA)
- …department is actively seeking a creative, highly talented attorney to support AECOM's operations in its East Region. This will be a hybrid position including a ... that may have an important bearing on the conduct of the organization's business + Work with management and staff to resolve pre-litigation disputes and potential… more
- Deloitte (Mclean, VA)
- …and Energy & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our ... What we do Operations and Technology Transformation delivers market leading expertise...solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems… more
- Prime Therapeutics (Washington, DC)
- …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
- DAI (Bethesda, MD)
- ** Senior Technical Advisor: Support for Indigenous Peoples and Local Communities Affected by Mining** City/Country Location Details **Remote** Employment Status Job ... Type **Consulting** Position: Senior Technical Advisor: Support for Indigenous Peoples and Local...secured-can strengthen the viability and sustainability of critical minerals operations . _Equitable and fair benefit-_ sharing - The sharing… more
- CareFirst (Columbia, MD)
- …relate to risk mitigation and effective external/internal controls for CareFirst Business Operations . + Initiates claim adjustments, court ordered restitution, ... execute investigative plans that may include performance of audits of financial business records, provider and subscriber medical data, claims , systems? reports,… more
- Stantec (Baltimore, MD)
- Senior Document Controls Manager - ( 240003NP ) **Description** We are strategizing, planning, and implementing projects that help clients achieve their ... as if they were our own, our project management business , and technical experts work with clients to strategize,...to wind farms. **Your Opportunity** Stantec is seeking a Senior Document Controls Manager to join our growing team!… more