- 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
- Carrington (Washington, DC)
- Come join our amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- 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
- 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 ... **PURPOSE:** The Member Service Representative I is proficient in routine benefits, claims , and general inquiries. They have a general knowledge of the following:… more
- Humana (Washington, DC)
- …experience compared to rate development funding and budget to generate insights into claims trends and funding issues + Development of revenue and claim budget ... impacts + Programming and modeling in SAS and Excel to incorporate state specific claims taxonomies and various other ad hoc requests **Use your skills to make an… more
- 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
- Intermountain Health (Washington, DC)
- …for the development and maintenance of analysis, forecasting, and reporting of claims experience and trends, both in aggregate and various components. 3. Analyzes ... and other liabilities, contingent settlements, incentive and risk-share payments, reinsurance claims and other third-party claims and liabilities, etc. 4.… more
- American Institutes for Research (Arlington, VA)
- …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
- 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
- General Dynamics Information Technology (Fairfax, VA)
- …Business Intelligence Analysts and FWA Subject Matter Experts. Our team is 100% remote and distributed throughout the country. + This position will be responsible ... fraud, waste and abuse in large, multi-payer databases with diverse health care benefit structures and claim processing systems, including private plans (commercial… more
- 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
- 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 (Washington, DC)
- … care working experience + Experience working with medical, pharmacy, lab claims + Demonstrated familiarity with value based care and/or clinical concepts ... Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are...and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Leverage a… more
- 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
- 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
- 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
- Evolent Health (Washington, DC)
- …role either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal & grievance. - **Required** ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- 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
- 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