Vice President, Ambulatory Revenue Cycle Shady Grove Adventist HospitalVice President, Ambulatory Revenue CycleGaithersburg, MD$249,144.83–$373,717.24 / yearThose testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. Adventist HealthCare seeks to hire an experienced Vice President of Revenue Cycle for our Ambulatory Revenue Cycle department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
Vice President Of Revenue Cycle & Managed Care Adventist HealthCareVice President Of Revenue Cycle & Managed CareGaithersburg, MD$249,144.83–$373,717.24 / yearThe VP ensures that what is negotiated at the contracting table is effectively realized at the billing and collections level, creating a cohesive revenue strategy that supports the organization's financial sustainability, operational efficiency, and value-based transformation goals. This leader is responsible for the strategic development, negotiation, and administration of payer contracts while simultaneously directing the operational functions of patient access, coding, billing, collections, and denial management.
Trauma Performance Improvement Coordinator Howard University HospitalTrauma Performance Improvement CoordinatorWashington, DC$75,000–$99,000 / yearBachelor of Science in Nursing (BSN) required; Master's Degree in Emergency/Trauma, Critical Care, or related field strongly preferred Current Registered Nurse (RN) licensure in the District of Columbia (or eligibility) Basic Life Support (BLS) certification through the American Heart Association Trauma Certified Registered Nurse (TCRN) certification required within one (1) year of hire Minimum five (5) years of nursing experience in Emergency, Trauma, or Critical Care Minimum three (3) years of quality improvement experience Working knowledge of trauma registry systems with the ability to abstract data for reports, presentations, and research Working knowledge of ICD-10 medical coding Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook Strong analytical, problem-solving, organizational, and communication skills. Analyze trauma data and generate reports using the trauma registry and other data systems to support decision-making Maintain accurate, secure documentation of PI activities, including meeting records, case reviews, and follow-up actions Prepare progress reports, dashboards, and presentations for trauma leadership and hospital committees.
NewSurgical Scheduler - Contract TalentBurst, Inc.Surgical Scheduler - ContractFairfax, VA$20.30–$25.37 / hourThis role receives scheduling requests from various sources, including providers, call centers, and clinics, and schedules the procedure following established guidelines and leadership directions. • Identifies and improves scheduling workflow deficiencies through collaboration with surgeons and clinical leadership, focusing on simplification, clarity, and ease of operation.
AI & Data Engineering Lead (Manager) - Pharma Commercial Data Warehouse Parab Consulting Group IncAI & Data Engineering Lead (Manager) - Pharma Commercial Data WarehouseWashington, DCPharma Commercial Data Domain Expertise (Critical)This role requires demonstrated, working knowledge of the following IQVIA and third-party pharmaceutical data assets: Sales & Demand DataIQVIA DDD / NPA / NSP: Deep understanding of sub-national prescriber-level (DDD), national prescription audit (NPA), and national sales perspectives (NSP) data structures, including product hierarchies, outlet types, and projection methodologies. AI-Ready Data Architecture & EnablementFeature Store & ML-Ready Datasets: Design and build curated, governed feature stores and ML-ready datasets on Snowflake to accelerate data science workloads including patient propensity models, next-best-action engines, formulary prediction, and treatment-pathway classifiers.
Risk Adjustment Manager - Prospective (Hybrid) Blue Cross and Blue Shield AssociationRisk Adjustment Manager - Prospective (Hybrid)Reston, VA$105,040–$194,981 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.
Full Stack Java developer (Back-end) Lumen Solutions Group, Inc.Full Stack Java developer (Back-end)Reston, VARemoteThe ideal candidate will have strong hands-on experience building scalable backend applications using Java , along with experience working with MongoDB and PostgreSQL . Frontend experience with Angular, HTML, and CSS is required at a working/familiarity level, but extensive frontend expertise is not necessary.
Medical Director - ENT CVS Health CorpMedical Director - ENTDC$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our 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.
Certified American Sign Language (ASL) Interpreter - Hybrid VECRA IncCertified American Sign Language (ASL) Interpreter - HybridBethesda, MDVECRA is seeking a Full-Time American Sign Language (ASL) Interpreter VECRA is seeking several highly qualified and certified American Sign Language (ASL) Interpreters (On Call) to provide professional sign language interpreting, transliterating, and/or sight translation services in support of Deaf and Hard of Hearing (HoH) NSWCCD employees. COMPANY DESCRIPTION VECRA, Inc. is a service-disabled veteran-owned small business (SDVOSB), woman-owned small business (WOSB), minority business enterprise (MBE) consulting firm implementing proven methodologies that help our clients drive growth, transform businesses, and innovate breakthrough ideas.
Registered Nurse ( Contractual Hourly ) University of MarylandRegistered Nurse ( Contractual Hourly )College Park, MD$40–$45 / hourPhysical Demands: While performing the duties of this job, the employee is regularly required to stand, walk, use fine motor skills, reach with hands and arms, talk and hear. Utilizes nursing skills and knowledge to provide general nursing care that meets the needs of patients and health providers.
Senior Managing Director, Health Care and Life Sciences, Clinical Coder Ankura Consulting Group LLCSenior Managing Director, Health Care and Life Sciences, Clinical CoderWashington D.C., DCRemoteThe team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries.
Sr. Nurse Reviewer (Medicare) DOMA TechnologiesSr. Nurse Reviewer (Medicare)VARemote$88,000–$115,000 / yearConduct the highest-complexity and escalated clinical medical reviews, including reassigned cases where the original reviewer is no longer available, consistent with SOW continuity requirements for Discussion & Education sessions. The Senior Nurse Reviewer performs complex medical record reviews of Medicare Part A/B and DMEPOS claims that require clinical judgment in order to assess the potential for overpayment or fraud.
NLM Health Scientist Lexical Intelligence LLCNLM Health ScientistBethesda, MDResponsibilities also include ensuring compliance with organizational security and privacy policies, protecting sensitive data and systems, reporting security incidents, and participating in required cybersecurity training. Our Natural Language Processing (NLP) and analytics software is used by policy and decision makers to evaluate and prioritize current and emerging areas of research.
Financial Specialist II - Client Team Supervisor Fairfax County VAFinancial Specialist II - Client Team SupervisorFairfax, VA$70,149.87–$122,762.22 / yearGraduation from an accredited four-year college or university with either a bachelors degree in accounting, business administration, public administration, public policy or related field; plus, two years of professional-level experience in finance, business administration, budgeting, or contract management, a master's degree in a related field or CPA may substitute for 1 year of experience. Advanced (Extensive knowledge of increasing productivity and improving efficiency by streamlining workflow; collaborating with others using workbooks; auditing worksheets; analyzing data; working with multiple workbooks; importing and exporting data, using Excel with the web).
Medical Assistant MedVanta CareersMedical AssistantRockville, MarylandThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. The Medical Assistant helps to ensure a positive patient experience while performing the analytical, technical and customer service skills necessary to support the care of the patient.
Medical Assistant The Centers for Advanced Orthopaedics LLMedical AssistantRockville, MDPart timeThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. The Medical Assistant helps to ensure a positive patient experience while performing the analytical, technical and customer service skills necessary to support the care of the patient.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DODC$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Senior Architect, Data Engineering West Monroe Partners, LLCSenior Architect, Data EngineeringWashington, D.C., DC$199,100–$223,400 / yearThis is an excellent opportunity to work with clients developing Big Data strategy and roadmaps, while gaining exposure to a variety of industries including Healthcare, Financial Services, Insurance, Consumer & Industrial Products, and Energy & Utilities. Proven experience in supporting business development efforts, including identifying client needs, crafting technical solutions, contributing to proposals, and participating in pre-sales activities to drive revenue growth.
NewCollibra Platform Engineer HarmonyTechCollibra Platform EngineerWashington, DCExperience supporting workflows built using Collibra Workflow Designer and Collibra Workflow Manager for Eclipse. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel.
Quality Management Specialist U.S. Department of CommerceQuality Management SpecialistWashington, DC$102,415–$133,142 / yearCurrent or former federal employees with competitive status (career or career-conditional), CTAP/RPL/ICTAP eligible candidates in local commuting area, VEOA eligible, 30 percent or more Disabled Veterans, Military Spouses, Interchange Agreement, People with Disabilities, Peace Corps and VISTA, Reinstatement eligible candidates and NOAA Corps under honorable conditions after 3+ years of continuous service. Special Appointing Authorities: Special Appointing Authorities: If you are applying under a special appointing authority (i.e., Schedule A, disabled veterans, or certain military spouses, NOAA Corps), you will be asked to submit documents showing eligibility to non-competitively apply under Merit Assignment announcements.