NewAttorney - 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.
NewSupervisory Veterans Claims Ex U.S. Department of Veterans AffairsSupervisory Veterans Claims ExWashington, DC$167,560–$197,200 / yearMINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below: GS-15 Grade Level: Specialized Experience: The applicant must document knowledge and/or experience in serving as the Assistant leader for the Procedures staff in Compensation Service by providing oversight for all legislative and regulation products and ensuing policy changes, providing authoritative technical advice concerning the formulation of VA policies and procedures in connection with the adjudication regulations to members of Congress, national representatives of Veterans Service Organizations, staff officials/representatives, other agencies and the public. The applicant must also document knowledge and/or experience in promoting and participating in Department level collaborations, various leadership forums, serving in the absence of the Deputy Executive Director (DED) and/or executive leaders, evaluating work performance, advising and/or counseling subordinate employees on work and administrative matters, interviewing candidates for positions, recommending appointments, promotions, reassignments, and hearing/resolving employee complaints and grievances.
Claims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a BlueCard/ITS claims Specialist, this role ensures accurate, compliant adjudication across complex BlueCard claims, translates BlueWeb and Association changes into operational action, partners closely with Regence and InterPlan stakeholders, and monitors and improves IPP (InterPlan Program) performance. The Claims Specialist/BlueCard Hybrid serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory U.S. Department of Homeland SecurityClaims Management Program Analyst (O-4 Billet) Non-SupervisoryWashington, DCAssist in developing, evaluating, and coordinating CMP related functions to ensure adherence to industry practices in eligibility verification, authorization of care, claims management denials and appeals to minimize adverse outcomes related to timely filing and maintaining a Provider Network to provide quality specialty care to illegal aliens. This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director for Healthcare Compliance, Office of Health Plan Management Unit (HPMU).
Healthcare Claims Operations Team Lead - Washington, DC (On-site) Gainwell Technologies LLCHealthcare Claims Operations Team Lead - Washington, DC (On-site)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.
Bilingual Claims Administrator - R2710 Fort Myer Construction CorpBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary:The Bilingual Claims Administrator manages the intake, processing, and resolution of workers compensation claims from the initial report of injury through claim closure.
NewSenior Product Owner - Claims Adjudication Humana IncSenior Product Owner - Claims AdjudicationDCRemote$94,900–$130,500 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. This role partners closely with Product Management, business stakeholders, and delivery teams to ensure the right work is prioritized and delivered to achieve meaningful business outcomes.
Bilingual Claims Administrator - R2710 Fort Meyer Construction CompanyBilingual Claims Administrator - R2710Washington, DCIf you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family. Summary: The Bilingual Claims Administrator manages the intake, processing, and resolution of workers' compensation claims from the initial report of injury through claim closure.
Stop Loss Claims Specialist Marsh McLennanStop Loss Claims SpecialistWashingtonThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE : Minimal of High School Graduate with Associate’s Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
NewCommercial Auto Claims Adjuster - Remote CSAA Insurance GroupCommercial Auto Claims Adjuster - RemoteDCRemote$25.32–$28.13 / hourArizona - 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, Montana - Home Teleworkers {+ 19 more}. Your Role: As a Commercial Auto Claims Adjuster, you will handle routine non-complex to moderately complex non-injury Commercial and Specialty claims.
Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DCDCPHYSICAL 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.
Claims 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.
Claims 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 ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewClaims Representative - 533968 Metro Public AdjustmentClaims Representative - 533968Washington, DCIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
NewProperty Claims Inspector - 533968 Metro Public AdjustmentProperty Claims Inspector - 533968Washington, DCIf you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session. Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled to from their insurance claim.
Claims 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.
Senior Claims Examiner Core Specialty Insurance ServicesSenior Claims ExaminerWashingtonExcellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy. Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.
Property Claims Adjuster Specialist - Field USAAProperty Claims Adjuster Specialist - FieldSpokane Metro, WashingtonProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Senior Claims Adjuster, TPA Oversight The Fortegra Group IncSenior Claims Adjuster, TPA OversightDC$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.
NewCommercial Senior Auto Claims Adjuster- Remote CSAA Insurance GroupCommercial Senior Auto Claims Adjuster- RemoteDCRemote$27.55–$30.61 / hourAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - 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, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistDCRemote$137,496–$164,934 / 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. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
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.
Claims Representative, Auto | Property Damage Sedgwick Claims Management Services, Inc.Claims Representative, Auto | Property DamageDC$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.
Claims Consultant, Life Sciences CNA Financial CorpClaims Consultant, Life SciencesWashington, DC$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of 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 complex manage litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&ODC$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.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, 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.
TEMP-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. Rockwood has become a leading underwriter of workers' compensation for the mining industry by offering workers' compensation insurance with a commitment to providing the best service on loss control and claims, collaborating across all departments with this common goal.
TEMP- 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.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterDC$48.65–$57.59 / 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 limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
TEMP-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.
TEMP- 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.
NewClaims Examiner, Auto | PIP | Litigation Required Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | PIP | Litigation RequiredDC$75,000–$80,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult Personal Injury Protection Claims to determine benefits due; to work with high exposure claims involving litigation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Skills: excellent oral and written communication, including presentation skills, PC literate including Microsoft Office products, analytical and interpretive skills, excellent negotiation skills, ability to work in a team environment and meet or exceed Service Expectations.
Manager, Claims & Risk Management HITT ContractingManager, Claims & Risk ManagementWashington DC, District of Columbia$95,000–$140,000 / yearBachelor’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• Minimum of 6-8 years of experience handling property & casualty insurance claims• Experience in the architecture/engineering/construction (AEC) field or commercial real estate development highly desirable• Adept with Microsoft Excel for data analytics and financial summaries• Knowledge of insurance regulations and industry best practices• Excellent written and verbal communication skills• Able to work independently and manage multiple tasks• Previous experience managing a team preferredThis position reports out of HITT’s Headquarters in Falls Church, VA with a 4-day in office schedule. Independent 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.
Senior Claims Adjuster, TPA Oversight Fortegra FinancialSenior 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.
NewSocial Insurance Specialist (Claims Specialist) ICTAP TEMPORARY Social Security AdministrationSocial Insurance Specialist (Claims Specialist) ICTAP TEMPORARYWashington, DC$75,489–$98,141 / yearIn addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. In addition to the minimum qualifications, applicants must be eligible under the following category: Displaced or surplus Federal employees eligible under the Interagency Career Transition Assistance Plan (ICTAP) who have held a GS-11 or above, and in the commuting area of the listed duty locations.
Claims Adjuster I (Remote) Blue Cross and Blue Shield AssociationClaims Adjuster I (Remote)DCRemote$36,576–$67,056 / yearVerifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. Note: 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.
Claims 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.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteDCRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - 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, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteDCRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Enterprise Architect, Senior Advisor Peraton IncEnterprise Architect, Senior AdvisorDC$176,000–$282,000 / yearThe ideal candidate combines deep expertise in Facets platform architecture with hands-on AWS cloud engineering experience, enabling the design of scalable, secure, and HIPAA-compliant solutions for high-volume Medicare claims processing environments. Responsibilities: Lead the architecture, design, and implementation of Facets platform environments on AWS, including compute (EC2, ECS), storage (S3, Oracle), and networking (VPC, Direct Connect) components.
NewSupervisory Veterans Service Representative (VSCM) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (VSCM)Washington, DCRemote$126,384–$164,301 / yearThe Supervisory Veterans Service Representative (Veterans Service Center Manager of the Military Sexual Trauma Operations Center) manages the Veterans Service Center (VSC) operations through a staff of personnel responsible for claims processing, providing information, advice, and assistance on all types of VA benefits to veterans and their dependents and for providing outreach services to stakeholders. Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or CTAP documentation (for displaced VA employees).
NewSoftware Development, Associate Peraton IncSoftware Development, AssociateDC$86,000–$138,000 / yearAs the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Additionally, you will help install software changes into internal testing regions, troubleshoot and resolve discovered defects, and assist in keeping technical documentation current.
Sr. 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, DCFull timePosition 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.
NewSenior 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.
Accounts Receivable Lead SarnovaAccounts Receivable LeadWashington DC, DCThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
Legal Administrative Specialist (Contact Representation) U.S. Department of Veterans AffairsLegal Administrative Specialist (Contact Representation)Washington, DC$67,970–$88,356 / yearPlease use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). Specialized Experience: One year of specialized experience (equivalent to the GS-09 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSAs) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization.
Supervisory Veterans Service Representative (Assistant Coach) U.S. Department of Veterans AffairsSupervisory Veterans Service Representative (Assistant Coach)Washington, DC$89,508–$116,362 / yearYou will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): COMMUNICATION: Effectively expresses information to multiple audiences through clear, convincing oral and written communications; demonstrates logical thinking when describing facts and concepts, and shapes communications to meet the needs of a specific audience; actively listens to others and demonstrates understanding of their comments and/or questions. Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).
Director, Healthcare - Payment Integrity West Monroe Partners, LLCDirector, Healthcare - Payment IntegrityDC$200,000–$250,000 / yearWorking alongside leaders across our National Healthcare Practice, this role will be responsible for developing and growing client relationships, identifying and pursuing new business opportunities, leading complex consulting engagements, and delivering exceptional value to clients. This role will focus on delivering business and technology consulting solutions for payer organizations, with a specialization in Payment Integrity, claims operations, reimbursement methodologies, and healthcare finance transformation.
NewMedical Assistant Trinity Washington UniversityMedical AssistantWashington, DC$65,000–$75,000 / yearThe Medical Assistant also provides clinical support to healthcare providers, maintains accurate electronic health records, performs medical coding and billing functions, coordinates insurance activities, and assists in delivering high-quality primary care and women's health services. Responsibilities & Functions: Clinical: Assist the clinical staff in the examination and treatment of routine primary care and women's health services for enrolled students including point of care testing.
Document Management Technician Amentum Services IncDocument Management TechnicianDCIn 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. This role will serve as a Document Management Technician (DMT) assigned to the Radiation Exposure Compensation Act (RECA) program of the DOJ Civil Division and will work under the direction of a Project Manager.