- Highmark Health (Washington, DC)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Washington, DC)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Rocket Software (Washington, DC)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our Shipyard ... will be performed on-site in Washington DC. **Responsibilities** The Senior Cost Analyst /Estimator will develop, review, and comment on the accuracy, integrity, and… more
- Public Consulting Group (Washington, DC)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** Bowhead is seeking a Management Analyst Senior for a newly awarded contract in Arlington, VA. The Management Analyst Senior will be the senior ... at least five (5+) years of experience as an analyst . At least three of those years must be...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR FINANCIAL BUSINESS ANALYST (NAUT): Bowhead seeks a Senior Financial Business Analyst to support our customer on the Nautical contract in the ... implementation timelines + Conduct comprehensive financial impact assessments and cost- benefit analyses for proposed cloud solutions to support executive… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** Bowhead is seeking a Management Analyst for a newly awarded contract in Arlington, VA. The Management Analyst will be the senior expert and must ... At least four (4) years of experience as an analyst in a program management,technical, or business analysis discipline;...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Otsuka America Pharmaceutical Inc. (Washington, DC)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Baylor Scott & White Health (Washington, DC)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- Point32Health (Washington, DC)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more
- Cognizant (Washington, DC)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Humana (Washington, DC)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Prime Therapeutics (Washington, DC)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- Humana (Washington, DC)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Norstella (Washington, DC)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Cognizant (Washington, DC)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- General Dynamics Information Technology (Fairfax, VA)
- …experience **Job Description:** At GDIT, people are our differentiators. As Data Analyst /Statistician you will lay the groundwork for program integrity to be ... as newly implemented government programs grow. Our work depends on a Data Analyst /Statistician joining our team to support the Centers for Medicare and Medicaid… more
- Highmark Health (Washington, DC)
- …Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits . HNAS is part of Highmark Health, a national blended health ... 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- Somatus (Mclean, VA)
- …+ Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being + Community engagement ... the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients and leadership… more