- Public Consulting Group (Washington, DC)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- CAI (Washington, DC)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... and techniques for new and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- Prime Therapeutics (Washington, DC)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Knowledge Management Analyst (KMA) (SIOP-2025- 22184): Bowhead is seeking to network with a Knowledge Management Analyst (KMA) for future/upcoming ... and escalate issues to achieve program objectives. **Responsibilities** The Knowledge Management Analyst will assist in the planning and management of the SOC and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** FINANCIAL ANALYST (EDOS-2025-22144): Bowhead seeks an experienced Financial Analyst to join our team in Dahlgren, VA. The Financial Analyst ... more corporate oriented and broad in scope. The Financial Analyst participates in the review of financial data received...EDW, etc.). + BA/BS degree preferred with one plus ( 1 +) years' of professional experience in a related role… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Washington, DC)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Washington, DC)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Naval Facilities Engineering Command (Washington Navy Yard, DC)
- Summary You will serve as a Construction Schedule Analyst (PreAward) in the Planning, Design and Construction Directorate of NAVAL FAC ENGINEERING CMD WASH. ... private or public sector. Specialized experience must demonstrate the following: 1 . Applying a comprehensive understanding of construction scheduling techniques and… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (Washington, DC)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- Immigration and Customs Enforcement (Washington, DC)
- …for work at the listed duty location. Responsibilities As a Supervisory Budget Analyst , at the full performance level you will perform the following duties: Serving ... for the GS-14 grade level if you possess one ( 1 ) year of specialized experience at the GS-13 grade...met by the closing date of this announcement. Qualification claims will be subject to verification. National Service Experience… more
- Office of Inspector General (Alexandria, VA)
- …provide unofficial transcripts or other documentation to support your educational claims . Unless otherwise stated: ( 1 ) unofficial transcripts are acceptable, ... first time hires to the Federal Government will typically be set at step 1 salary range for their respective grade level. IMPORTANT INFORMATION CONCERNING THIS OPEN… more
- Office of Inspector General (Alexandria, VA)
- …provide unofficial transcripts or other documentation to support your educational claims . Unless otherwise stated: ( 1 ) unofficial transcripts are acceptable, ... government in a similar position, you will be required to serve a 1 -year probationary period. This job opportunity announcement may be used to fill additional… more
- Prime Therapeutics (Washington, DC)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Washington, DC)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Prime Therapeutics (Washington, DC)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (Washington, DC)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more