NewProcedure Scheduling Representative II Clearway Pain SolutionsProcedure Scheduling Representative IIAnnapolis, MD$19–$21 / hourWhen a patient elects not to proceed after initial outreach, escalates and sees the case through to closure by coordinating handoff to the Office Manager, Vice President of Operations for the designated area or appropriate clinical team member for further discussion or final disposition. The Procedure Scheduling Representative II manages complex procedures, high-end ASC cases, first-level escalations, and eligibility exceptions, serving as the senior operational liaison across scheduling, eligibility, providers, and operations.
NewNurse, Clinical Medical Review IconmaNurse, Clinical Medical ReviewBaltimore, MD$36.49–$41.49 / hour35% Receives, researches, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication, Performs high-level research on topics identified as actual or potential medical policies. The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and Provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
Senior Manager, Insurance and Claims Advocacy Sun LifeSenior Manager, Insurance and Claims AdvocacyBaltimore, Maryland$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will set the vision, drive operational excellence, build scalable processes, and deliver measurable financial and experience outcomes—serving as the final escalation point for sensitive cases and establishing best practices across the organization.
Data Analyst IV - Contingent J29, IncData Analyst IV - ContingentMillersville, MDRemote$75,000–$90,000 / yearUtilizes various data analysis tools and software (like SAS, SQL, Excel, R, Python, Tableau, etc.) to manipulate and analyze data, identifying trends in data to pinpoint variances, outliers, and percentile-ranked groups that provide actionable insight opportunities for quality improvement or in-depth investigations. Instructs team members on best practices for writing draft reports and preparing draft manuscripts for publishing in peer-reviewed journals, ensuring clear and concise illustration of current levels of care.
Managerial Consultant VI, Risk Adjustment Innovation and Technology Enablement Kaiser PermanenteManagerial Consultant VI, Risk Adjustment Innovation and Technology EnablementWashington, DCServes as a lead expert in the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; identifying and alleviating risks through data-driven analysis; and keeping current on, evaluating, and integrating data analytic trends and best practices to meet the demands of a continuously evolving analytic landscape. Serves as an expert consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or complex workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and senior executive management; partnering with stakeholders to develop goals and set the prioritization of deliverables; leading the development of a menu of solutions for complex, competing, or ambiguous requests; driving discussions regarding the involvement of business processes (e.g.
Web Developer Capgemini Government SolutionsWeb DeveloperMcLean, Virginia$75,000–$95,000 / yearFull timeThe disclosed range takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, geographic location, relevant education, qualifications, certifications, experience, skills, seniority, performance, sales or revenue-based metrics, and business or organizational needs. It delivers end-to-end services and solutions leveraging strengths from strategy and design to engineering, all fueled by its market leading capabilities in AI, generative AI, cloud and data, combined with its deep industry expertise and partner ecosystem.
Property Manager SDKProperty ManagerAshburn, VAOversee the leasing process by approving prospective resident applications and discounts and renewal leases, conducting periodic apartment inspections, following proper notice requirements, following through with the eviction process when needed, and imposing and collecting late fees and other charges as allowable and stated in the terms of the lease. Adhere to operational procedures and accounting policies as it relates to invoice payments, reconciling work performed or products purchased, and coding charges to appropriate Chart of Account codes, and serving as the liaison between accounting and vendors, contractors and service providers.
NewSurgery Scheduler / Medical Assistant Capitol SurgeonsSurgery Scheduler / Medical AssistantSilver Spring, MDFull timeIn this vital role, you will coordinate surgical appointments, communicate effectively with patients, surgeons, hospitals, and manage detailed documentation to support high-quality patient care. Position Summary: Join our dynamic surgery practice as a Surgical Scheduler/Medical Assistant where your organizational expertise and compassionate approach will ensure smooth and efficient surgical coordination.
Principal Software Architect PeopleNTech LLCPrincipal Software ArchitectAlexandria, VARemote$85–$90 / hourArchitecture & Platform Governance Own and evolve the cross-platform architecture spanning (C++/C# Windows applet, BHFTP transmitter, ASP.NET Proactive portal), (cloud SaaS, instrument fleet API, data pipeline), and Unity Next (QC engine, LIS/HL7 integration, Unity Connect middleware, peer-comparison analytics). On-Instrument & Integration Systems Guide Applet architecture: C++ Win32 service host, IMonitoredEntity driver plugin model (Drives Info, Running Processes, System Info, ME Collect), DCC output contract, and AppletSoftwareUpdateManager CAB update pipeline.
Senior Linux Infrastructure & Security Automation Engineer Power3 SolutionsSenior Linux Infrastructure & Security Automation EngineerMarylandThis role focuses on automating and monitoring STE/STN environments , enhancing system security, developing RBAC/CMS capabilities, and driving front-end and container infrastructure hardening efforts. We are seeking a Senior Linux Infrastructure & Security Automation Engineer to join the team and support the sustainment, security, and evolution of mission-critical systems.
Informatica Architect & Subject Matter Expert (SME) CredenceInformatica Architect & Subject Matter Expert (SME)McLean, VA$130,000–$150,000 / yearCredence has an upcoming need for an Informatica Architect and Subject Matter Expert (SME) to join our team supporting architecting, implementing and leading the team to implement Enterprise Data Management Products, including PowerCenter. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.
NewRegional Reimbursement Director, Neuroscience, Pacific Northwest IpsenRegional Reimbursement Director, Neuroscience, Pacific NorthwestWashingtonThe Regional Reimbursement Director (RRD) is field-based job with local responsible for the overall management of the reimbursement environment for all Ipsen products within the Neuroscience therapeutic area in the healthcare provider channel as well as managing relationships with local Medicare Administrative Contractors (MACs). Collaborate with the Ipsen Value & Access home office and field teams, sales teams, brand teams, and the IPSEN CARES Patient support hub to expand access and/or reduce barriers to access for Ipsen’s Neurology products.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
Patient Billing/Services Representative II - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II - Orthopedic SurgeryWashingtonThis role involves ensuring all check-in and registration is complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade .
Insurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central Administration Washington University in St LouisInsurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central AdministrationWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
Chargemaster Analyst Remote! Virginia Hospital CenterChargemaster Analyst Remote!Arlington, VARemoteThis role involves resolving charge and coding issues, managing databases and reports, The position requires strong knowledge of billing, coding, and financial operations, along with expertise in medical terminology and healthcare billing systems. Purpose & Scope: The role of the Chargemaster Analyst has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives.
NewMedical Assistant Apprentice Washington University in St LouisMedical Assistant ApprenticeWashingtonPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. We typically hire Medical Assistants to work the clinic back office where they room patients, document in electronic medical record, perform clinical skills associated with the specialty, perform blood draws, phone triage, schedule tests or order lab work, provide patients with follow-up instructions.
Statistician Code360StatisticianHyattsville, MarylandRemoteIdentifying data priorities in the areas of health care resources and utilization; Plan and implement sample surveys and evaluation studies to address data priorities; Develop survey methodologies that address the unique data collection requirements of national surveys of health care providers and institutions; Apply sampling theory and design to complex, multi-stage national probability surveys of health care providers and institutions; Develop data reduction methods and analysis of data from national surveys of health care providers and institutions; Apply and modify established methods, modeling techniques, and procedures in conducting analysis to improve sample surveys or experimental designs and to conduct evaluations of data collection, reduction and processing. Prepare reports, manuals and other directives necessary to convey medical coding information and improve the quality of our data; Design and develop new mathematical statistical models, methods and/or techniques such as sample and survey designs for related data collection; Evaluate data resulting from application of mathematical statistic tools, model, method and techniques to the public health area; Contribute to various project reports and presentations, including memos summarizing interim project findings; reports describing final algorithm methodology and application; and presentations to stakeholders and Federal partners; and.
Area Manager Healthcare Reimbursement Operations TalentBridgeArea Manager Healthcare Reimbursement OperationsBethesda, MDRemote$25–$34 / hourCandidates with leadership experience in one or more of the following environments are especially encouraged to apply: Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations . The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs , along with proven experience managing teams in a fast-paced environment.
Sr. Software Developer III 6681 Metrostar SystemsSr. Software Developer III 6681Washington, DC$184,000–$225,000 / yearSoftware Developer III, you will design, build, and deliver secure, reliable software solutions for a highly visible, mission-critical customer supporting national-level operations. What we want you to know: In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.