- Ankura (Washington, DC)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (Washington, DC)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Capital One (Mclean, VA)
- Sr. Associate, Product Management - Disputes Core Products Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, ... product matter expert **As a senior member of our Disputes Product team, you will play a strategic role...customer disputed transactions across the Global Payment Network. Ensuring** ** compliance with rules and operating regulations, our goal is… more
- Humana (Washington, DC)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Intermountain Health (Washington, DC)
- …+ Responsible for the accurate and timely submission of reconsiderations and disputes . + Responsible for maintaining work queues at acceptable ageing, by updating ... system or registration issues. + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Accurately and thoroughly document… more
- Humana (Washington, DC)
- …Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. **Use your ... of service should be authorized at the Initial and Appeals/ Disputes level. All work occurs within a context of...millions of people we serve to achieve their best health - delivering the care and service… more
- Intermountain Health (Washington, DC)
- …claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues ... and ensures compliance with departmental and governmental policies. + Supports the...standards. + Promotes mission, vision, and values of Intermountain Health , and abides by service behavior standards. + Performs… more
- Prime Therapeutics (Washington, DC)
- …If you're ready for a purpose-driven career and are passionate about simplifying health care , let's build the future of pharmacy together. Prime Therapeutics ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly… more
- CGI Technologies and Solutions, Inc. (Quantico, VA)
- …joining a company built to grow and last. You'll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen ... will work closely with government officials to facilitate accurate financial reporting and compliance . This position is located in our Fairfax, VA office with work… more
- Stantec (Arlington, VA)
- When you care deeply about the work you do, it's rewarding to see it through from concept to completion. We partner with clients to provide both program management ... project. - Evaluate, advise on and assist in resolving disputes and claims. - Traditionally reports to project executive...104,200.00 - Max Salary $ 151,000.00 **Pay Transparency:** In compliance with pay transparency laws, pay ranges are provided… more
- Humana (Washington, DC)
- …we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These ... **Become a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record… more
- Black & Veatch (Arlington, VA)
- …benefits portfolio is a key component of this commitment and offers an array of health care benefits including but not limited to medical, dental and vision ... distribute weekly and monthly progress reports + Prepare and review documentation for disputes , such as RFI responses, change order development, and issues or claim… more