JobotNewAttorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearExperience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
USAANewSIU Investigator Senior (Major Case Unit) USAASIU Investigator Senior (Major Case Unit)Washington, DCRemote$93,770–$179,240 / yearLeads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized provider rings, staged accidents, large losses of significant exposure and broad scale PIP/Casualty Schemes) across multiple entities or functions. Processes large quantities of unstructured detailed information with high levels of accuracy by collecting evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.
System OneData Scientist System OneData ScientistWashington, DC$64.98–$64.98 / hourExperience in predictive modeling, data science, and machine learning, including techniques like support vector machines, neural networks, and gradient boosting. Develop algorithms, scripts, and predictive analytics using AWS Sagemaker, AWS Bedrock, AWS AgentCore, and other AI & ML tools to turn disparate data into objective decisions.
Blue Cross and Blue Shield AssociationClaims Processor I (Remote) Blue Cross and Blue Shield AssociationClaims Processor I (Remote)DCRemote$33,408–$61,248 / yearNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. The Claims Processor also use automated system processes to send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations to be generated using multiple systems.
U.S. Department of Veterans AffairsNewSupervisory Veterans Claims Examiner U.S. Department of Veterans AffairsSupervisory Veterans Claims ExaminerWashington, DC$167,560–$197,200 / yearHe or she serves as the primary leader for initial coordination and collaborative groups related to the Adjudication Procedures Manual updates involving the practical steps necessary to adjudicate claims based on the 38 Code of Federal Regulations, along with maintaining the platforms by which such guidance is communicated and revised to disseminate procedural changes affecting CS programs, field offices, and claims processing. MINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below: GS-15 Grade Level: Specialized Experience: The applicant must document knowledge of a complex field of laws, regulations and Federal legislation pertaining to the full range of Veterans benefits and a comprehensive and thorough knowledge of state, federal and local benefit programs in order to be able to explain them, both orally and in writing, to individuals of all educational backgrounds.
Blue Cross and Blue Shield AssociationNewOperations Supervisor - PPO Claims (Remote) Blue Cross and Blue Shield AssociationOperations Supervisor - PPO Claims (Remote)DCRemote$63,648–$131,274 / yearNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration.
Gainwell Technologies LLCHealthcare Claims Operations Team Lead - Washington, DC (On-site) Gainwell Technologies LLCHealthcare Claims Operations Team Lead - Washington, DC (On-site)Washington, DC$50,000–$55,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $50,000 - $55,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Price Benowitz LLPClaims Verification Paralegal Price Benowitz LLPClaims Verification ParalegalWashington, DCRemoteFull timePrice Benowitz LLP is seeking a dedicated and detail-oriented Claims Verification Paralegal to support our Personal Injury team in our Washington, D.C. This remote position plays a critical role in the early stages of case evaluation by verifying insurance coverage, confirming medical provider information, and ensuring that all necessary documentation is obtained to support a claim. Price Benowitz LLP is a mid-sized law firm headquartered in Washington, D.C. Our areas of practice include personal injury, medical malpractice, criminal defense, family law, and trusts and estates.
Gainwell Technologies LLCClaims and Finance Lead - Washington, DC - Onsite Gainwell Technologies LLCClaims and Finance Lead - Washington, DC - OnsiteWashington, DCRemote$35,900–$51,300 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Education & Experience: Bachelor's degree (or equivalent experience) in Business, Finance, Accounting, Healthcare Administration, or a related field; 5-7+ years in claims resolution, financial operations, or related roles, including 2-3+ years of leadership experience.
Ryder System IncClaims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEWashington, DCRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DCWashington, DCPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Ryder System IncClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEWashington, DCRemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&O CNA Financial CorpComplex Claims Consultant - Financial Lines/Public D&Owashington, DC$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex litigated claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team) Nationwide Mutual Insurance CoField Claims Adjuster III, PL Property (Flex Team)Washington$79,500–$148,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. Qualifications: · 5 years of insurance field/property claims handling or adjusting experience · Solid experience/proficiency with Xactimate · Solid experience writing own estimates and handling claims start to finish · Strong customer service competency · Strong written & verbal communication skills.
CNA Financial CorpComplex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OWashington, DC$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
CNA Financial CorpComplex Claims Consultant - EPL, Private & NFP D&O CNA Financial CorpComplex Claims Consultant - EPL, Private & NFP D&OWashington, DC$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheWashington$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, DCRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
Core Specialty Insurance ServicesNewSenior Claims Examiner Core Specialty Insurance ServicesSenior Claims ExaminerWashingtonTechnical Knowledge and Understanding:Working knowledge of Microsoft Word & Excel is required Strong analytical skills are required to effectively and efficiently analyze information. Excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy.
Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageTelecommuter, DC$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Education & Experience: Three (3) years of personal line or commercial line property claims management experience or equivalent combination of education and experience required to include knowledge of construction basics.
Sedgwick Claims Management Services, Inc.Claims Representative, Auto Sedgwick Claims Management Services, Inc.Claims Representative, AutoDC$50,000–$55,000 / yearProcesses auto property damage and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on the policy. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
The Fortegra Group IncNewSenior Claims Adjuster, TPA Oversight The Fortegra Group IncSenior Claims Adjuster, TPA OversightWashington, DC$100,000–$130,000 / yearThe Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals.
Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team Lead Argo Group International Holdings IncSenior Construction Defect Technical Claims Specialist Team LeadDCRemote$156,000–$187,500 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Qualifications / Experience Required: A deep knowledge of construction defect claims adjudication, along with an exceptional focus on customer service, typically achieved through: A minimum of seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.
Argo Group International Holdings IncNewSenior Environmental Technical Claims Specialist Argo Group International Holdings IncSenior Environmental Technical Claims SpecialistDC$99,200–$118,100 / yearAlternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.
Argo Group International Holdings IncTEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterDC$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Argo Group International Holdings IncTEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterDC$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Argo Group International Holdings IncTEMP Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP Workers' Compensation Claims AdjusterDC$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
Argo Group International Holdings IncTEMP- Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP- Workers' Compensation Claims AdjusterDCRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Summary: We are looking for a highly capable Workers' Compensation Claims Adjuster to help us with a temporary assignment with a projected end date of 9 October 2026, and work from any of the following office locations: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond (VA).
HITT ContractingNewManager, Claims & Risk Management HITT ContractingManager, Claims & Risk ManagementWashington DC, District of ColumbiaIndependent claims handling and shared coordination with direct reports for the major lines of coverage including but not limited to auto, general liability, workers’ compensation, builder’s risk, pollution liability, and professional liability. • Bachelor’s degree in Risk Management, Business, Finance, Economics, Safety, or related fields preferred, but not required; in lieu of a degree, additional work experience is acceptable.
District Of ColumbiaWorkers' Comp Claims Examiner District Of ColumbiaWorkers' Comp Claims ExaminerWashington, DCIncumbent serves as a Workers' Compensation Claims Examiner, responsible for providing first-line support on a broad range of medical only workers' compensation cases which includes controversial factual and medical issues. Residency Preference: When claiming residency preference, you are required, and must agree in writing, to maintain bona fide District residency for a period of seven (7) consecutive years from the effective date of employment.
CVS Health CorpClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, DC$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Williams & Connolly LLPClaims Counsel (Insurance Defense) Williams & Connolly LLPClaims Counsel (Insurance Defense)Washington, DC$165,000–$180,000 / yearResponsibilities include, but are not limited to:* Developing a case strategy* Answering complaints* Drafting and responding to discovery* Client communications* Handling all communications with opposing counsel* Hiring and managing expert witnesses as needed* Drafting motions and responses to motions* Conducting and defending depositions* Drafting mediation statements* Conducting mediations* Appearing in court as needed* Pre-trial preparations* Conduct trials* Drafting settlement agreements* Administrative duties related to case tracking and reporting . This position requires the ability and flexibility to manage a high-volume caseload in cooperation with firm management, partners, associates, other Claims Counsel, and firm employees in a professional manner as well as the ability to manage and prioritize a large volume of work assignments, meeting all deadlines.
State FarmClaim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionWashington, DC$64,965.62–$99,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 20701 20705 20706 20708 20710 20715 20716 20720 20721 20724 20737 20740 20742 20755 20769 20770 20771 20781 20783 20784 20785 21114 21054 20001 20099 20201 20599 20601 20603 20607 20608 20613 20616 20623 20695 20711 20714 20733 20735 20736 20744 20745 20746 20748 20751 20754 20758 20762 20764 20765 20772 20774 20776 20778 20779 20602 20611 20612 20617 20622 20637 20639 20640 20646 20658 20675 20677 20678 20689 20732. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
The Travelers Companies IncExperienced Outside Property Claim Representative - DC The Travelers Companies IncExperienced Outside Property Claim Representative - DCWashington, DC$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
ZemiTek LLCSr. TB Benefit and Membership Integration Advisor – PhilHealth, DOS LEAP Global – Philippines ZemiTek LLCSr. TB Benefit and Membership Integration Advisor – PhilHealth, DOS LEAP Global – PhilippinesWashington, Washington, DCPosition Description: Global Solutions Ventures (GSV) – a joint-venture partnership between ZemiTek, LLC and Dexis Consulting Group – is implementing the Long-term Exceptional Technical Assistance Project (LEAP Global), a mechanism originally used by USAID to battle against infectious diseases such as malaria, HIV/AIDS, tuberculosis, neglected tropical diseases, and pandemic influenza. The TB Benefit and Membership Integration Advisor – PhilHealth will support the Philippine Health Insurance Corporation (PhilHealth) in strengthening the end-to-end membership journey, with a focus on translating membership into effective access, navigation, and utilization of health services particularly for TB clients who are eligible to avail of the PhilHealth TB DOTS package.
AptiveProvider Relations Liaison AptiveProvider Relations LiaisonWashington, Washington, DCShould possess some knowledge of lnternational Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), current procedural terminology (CPT), diagnosis-related group (DRG), and other Centers for Medicare and Medicaid Services (CMS) coding/billing requirements. The United States Public Health Service (USPHS) Commissioned Corps Officers, civil service staff and contractors comprise the healthcare professionals working together to provide quality healthcare services.
Oral Surgery PartnersNewAccounts Receivable Specialist Oral Surgery PartnersAccounts Receivable SpecialistWashington, DC$25–$29 / hourThe specialist communicates regularly with internal teams and external customers to address outstanding balances, verify account information, and support efficient cash flow operations. The Accounts Receivable Specialist is responsible for managing the full cycle of accounts receivable processes to ensure accurate and timely collection of payments.
Macpower Digital Assets Edge Private LimitedSenior Data Engineer Macpower Digital Assets Edge Private LimitedSenior Data EngineerWashington, DC$157,000–$169,000 / yearKey Responsibilities: Maintain, troubleshoot, and modify complex SSIS packages for high-volume Medicaid claims, provider, and member data. Required Technical Skills (7+ years each): SQL Server including SSIS, SSAS, SSRS while deploying Azure cloud solutions.
Conduent IncNewBusiness Solution Architect Conduent IncBusiness Solution ArchitectWashington, DC$106,722–$138,600 / yearThis role partners with capture, systems engineers, and proposal teams to translate complex healthcare mission requirements (e.g., CMS, CDC, Medicaid/Medicare, public health systems) into cohesive, scalable, and high-impact solution designs. The Business Solution Architect plays a critical role throughout the opportunity lifecycle-from requirements analysis and solution strategy to proposal development and client presentations-serving as the solution authority and trusted advisor to internal stakeholders and clients.
University Health Services IncSR ADMISSIONS REP/REGISTRAR University Health Services IncSR ADMISSIONS REP/REGISTRARWASHINGTON, DCOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. In addition, GW Hospital receiving "High Performing" designations for the following 10 procedures: COPD, Diabetes, Heart Attack, Heart Failure, Kidney Failure, Leukemia, Lymphoma and Myeloma, Lung Cancer Surgery, Pneumonia, Prostrate Cander Surgery and Stroke.
Amentum Services IncDocument Management Technician Amentum Services IncDocument Management TechnicianWashington, DCIn accordance with the Health and Welfare provisions of the SCA and in addition to your base hourly rate, you may be eligible to receive an additional health and welfare payment for each hour you work to ensure compliance with the minimums set forth by the act. Must be knowledgeable user of the Governments office and network environment including but not limited to word processing, database, spreadsheet, imaging, and telecommunications systems.
AmentumDocument Management Technician AmentumDocument Management TechnicianWashingtonIn accordance with the Health and Welfare provisions of the SCA, and in addition to your base hourly rate, you may be eligible to receive an additional health and welfare payment for each hour you work to ensure compliance with the minimums set forth by the act. Must be knowledgeable user of the Government's office and network environment, including but not limited to, word processing, database, spreadsheet, imaging, and telecommunications systems.
Blue Cross and Blue Shield AssociationVice President, Business Software Development (Hybrid) Blue Cross and Blue Shield AssociationVice President, Business Software Development (Hybrid)Washington, DC$194,400–$291,600 / yearThis leader directs fusion teams across product management, engineering, and operations to convert priorities into executable backlogs and deliver measurable outcomes for Claims Processing, Enrollment Operations and Customer and Member Services, while ensuring secure, high-quality releases and reliable day-to-day product operations. Establishes an effective operating cadence (planning, delivery, release, and operational reviews), develops annual goals aligned to assigned product outcomes, and manages departmental budgets and vendor performance to meet delivery commitments.
LeidosParalegal LeidosParalegalWashington, District of ColumbiaFebruary 20, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
Leidos Holdings IncParalegal Leidos Holdings IncParalegalWashington, DCAdditional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
Ampcus IncorporatedSr. Instructional Designer Ampcus IncorporatedSr. Instructional DesignerWashington,, DC$50–$56.81 / hourESSENTIAL FUNCTIONS: 25% Designs, develops and delivers high quality Instructor-led, eLearning, and multimedia course materials including: course design documents, course outlines, course descriptions, presentation slides, diagrams, lab exercises, instructor guides, lab setup guides, job aids, and assessments. PURPOSE: Focuses on the systematic process employed to develop learning products for the organization through the analysis of learning/business needs, adult learning theory, partnering with subject matter experts, and the ongoing evaluation of programs to maintain accuracy and relevance.
Allstate Insurance CompanyTravel Property Adjuster - Field Estimating - Remote (Eastern Time Zone) Allstate Insurance CompanyTravel Property Adjuster - Field Estimating - Remote (Eastern Time Zone)MDRemote$68,000–$117,700 / yearYoull wear a few hats that will require a level of experience: The Customer Service Expert - youll live into Allstates Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. The Problem Solver - youll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
Engle Martin & Associates, Inc.General Liability Property Damage Adjuster - Washington DC/Baltimore Engle Martin & Associates, Inc.General Liability Property Damage Adjuster - Washington DC/BaltimoreWashington, DCYour EMpact: Determine appropriate methods and extent of needed investigation for all assigned claims, including conducting investigations through field visits and phone contact; obtaining contracts, job files, and appraisals; conducting insured, witness, and claimant interviews and/or statements, complete site inspections; scope, measure and write estimates, and using other fact-finding methods to evaluate liability, damages, and proper coverage. Investigate insurance claims in a variety of settings including, but not limited to: retail establishments, office buildings, residences, condominiums, apartments, hotels, corporate facilities, governmental facilities, schools, clinics, or hospitals; assess loss or damage resulting from various events including, but not limited to, inclement or catastrophic weather, construction defect, and fire.
Hillcrest Children and Family CenterDirector of Revenue Cycle Management Hillcrest Children and Family CenterDirector of Revenue Cycle ManagementWashington, DC$95,000–$110,000 / yearActing as the senior Billing Manager, they are responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue. The Director of Revenue Cycle Management is a strategic partner responsible for overseeing the organization's entire financial lifecycle, from initial provider credentialing and pre-billing through final claims adjudication.
DOMA TechnologiesMedical Director - Federal Health (CMS) DOMA TechnologiesMedical Director - Federal Health (CMS)Washington, DCRemoteThe CMD provides direct oversight of clinical review quality, participates in Discussion and Education (D&E) sessions when providers escalate disputes to the physician level, and represents CMS at Administrative Law Judge (ALJ) hearings to defend review decisions. Demonstrated capacity for active, substantive engagement in medical review activities, issue resolution, and CMS-directed meetings - this position requires consistent hands-on participation and is not a nominal or figurehead role.