- Microsoft Corporation (Washington, DC)
- The **Senior Construction Claims Analyst ** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and ... Claims and works seamlessly with the Regional Claims Lead to align with GSC execution,...We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- The Cigna Group (Mclean, VA)
- …work in the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and ... reports to the Contracting Manager or Market Lead . This role assists and supports the day to day contracting and network activities. **DUTIES AND RESPONSIBILITIES**… 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 ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Evolent (Washington, DC)
- …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries ... to CareFirst indemnity business, ensuring that all appropriate materials, related claims , contracts, payment vouchers are included. Develop a summary/assessment of… more
- T. Rowe Price (Owings Mills, MD)
- …As a member of our t ier 2 benefits service s team, the Benefits Analyst will be responsible for the day-to-day technical administration of US , Canadian , and ... , managing vendor relationships with benefit providers, serving as the project lead for US annual open enrollment activities, supporting annual compliance and audit… more
- Amentum (Washington, DC)
- …This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team ... data to provide daily determination entry numbers to the Lead Project Manager. + Work with Claim Review Team...on weekly Eligibility-Only claim review assignments to SMO's for claims produced for approval. + Update SharePoint site as… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment ... methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex… more
- Elevance Health (Hanover, MD)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Quality Analyst is responsible for the most complex work of the team in defining, measuring, analyzing, and ... expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- Elevance Health (Hanover, MD)
- …PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS data analysis, ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Somatus (Mclean, VA)
- …leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and leadership by ... analyzing Somatus' healthcare claims and care management data. This position will work...synthesizing and presenting findings. Responsibilities **_Key Responsibilities_** : + Lead ad-hoc and long-term analytic projects in support of… more
- Commander, Navy Installations (Annapolis, MD)
- …system that contains the following: accounts payables and receivables, travel claims , resale inventories, fixed asset inventory, general journal entries, central ... basic supervisory/management principles, practices, procedures and regulations. Ability to lead , supervise, motivate and counsel employees. The position requires the… more
- Air National Guard Units (Baltimore, MD)
- …continually surveys system operation to identify potential systems problems which could lead to loss or serious interruption of service. Oversees and initiates ... in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer… more