- Lincoln Financial Group (Washington, DC)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… 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
- Amgen (Washington, DC)
- …projects involving the analysis of multiple types of data including medical claims , electronic health records, and prospective observational cohort studies + Provide ... 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 ... 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
- American Institutes for Research (Washington, DC)
- …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
- J&J Family of Companies (Washington, DC)
- Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… 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
- Sprinklr (Washington, DC)
- …a law firm setting, including experience with copyright and patent infringement claims , intellectual property matters, and federal securities claims ._** + ... 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… more
- Humana (Washington, DC)
- …for an experienced medical coding auditor to (suggest: review inpatient hospital claims for proper reimbursement) handle provider disputes in a result-oriented and ... payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments....**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Humana (Washington, DC)
- …health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 ( Remote ). Healthcare is rapidly changing, and our members are living longer, often ... clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key… more
- Humana (Washington, DC)
- …objective evaluation of physician performance related to our two key metrics: Efficiency of Care (cost) & Effectiveness of Care (quality). Humana is seeking a ... understanding of physician networks, physician performance and rating metrics ( claims , measures, conditions, specialties, etc.), product offerings, and analytics-based… more
- NASCO (Annapolis, MD)
- …and system issues, plus research and resolution of Model Office and Production issues so claims can be paid accurately and timely + Provides support to NASCO and the ... others being over the phone. (required if person is remote ) + Minimum 8 years of proven experience in...mentoring System Engineers. + In-Depth knowledge of the Health Care industry + Extensive working knowledge of and capabilities… 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** ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...with other Client Service Leaders including our Client Service Associate Director and Director may also be available. **What… more
- Humana (Washington, DC)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... 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 **Scheduled Weekly Hours** 40 **Pay Range** The… more