NewPharmacy Technician Actalent IncPharmacy TechnicianWashington, DCRemote$20–$24 / hourUsing established guidelines, this role reviews and processes requests related to prescription drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical pharmacists and other healthcare professionals to ensure accurate, compliant, and timely handling of pharmacy benefits and claims. The Pharmacy Technician supports multiple pharmacy operations, including formulary management, pharmacy audit and recovery, pharmacy service center functions, prior authorization, Medicare Part D and Part B operations, state health programs pharmacy operations, oversight and audit support, and appeals.
Safety Manager ArchKey Solutions LLCSafety ManagerClinton, MDFull timeThe Safety Manager plays a key role in providing project teams, subcontractors, safety teams, and trade partners with guidance, mentoring and training on health and safety programs and confirms that the project site complies with all customers, industry, local, state, and federal guidelines, and regulations. As the Safety Manager, you will be responsible for providing oversight and project safety leadership of all aspects of occupational safety management including planning, implementing, managing, and maintaining comprehensive environmental safety and health (ES&H) policies and procedures on assigned regional projects in all project site location(s).
PT Employed Optometrist- Derwood, MD- Pearle Vision EssilorLuxottica SAPT Employed Optometrist- Derwood, MD- Pearle VisionDerwood, MDCommunicates effectively with all store associates to ensure a seamless eyecare experience and beneficial patient outcome by: Uncovering patients' multiple needs and prescribing products and services to meet those needs. If you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com.
BILLING SPECIALIST Universal Home Health Care LlcBILLING SPECIALISTCheverly, MDFull timeThis position will work closely with the administrative team to verify service documentation, identify billing discrepancies, track outstanding claims, and maintain accurate billing records. High school diploma or equivalent required; Associate’s or Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field preferred.
Regional Manager Avenue5 Residential IncRegional ManagerSilver Spring, MDWe're looking for a talented regional manager who will be responsible for the overall operations of several properties, ensuring the efficient operations, overseeing vendor contracts and maintenance, lease administration, monthly reporting and ensuring a positive experience for the residents, associates and property owners in conjunction with the property leadership team. Responds to escalated resident complaints and issues and serve as liaison to residents and corporate office regarding the administration of common area maintenance and the enforcement of landlord rules and regulations.
Business Analyst Iconma LLCBusiness AnalystVAAnalyze the end-to-end claims lifecycle (intake EDI edits pend resolution adjudication pricing COB payment remittance) and drive gap closure and automation. Responsibilities: Elicit and document business/functional requirements for claims adjudication, pricing, and payment systems - BRDs, FRDs, user stories with acceptance criteria, business rules, and traceability matrices.
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.
\n Dental Front Office Coordinator\n Heartland Dental Care\n Dental Front Office Coordinator\nGaithersburg, MD$17–$25.76 / hourMore about the roleGreet and welcome patients as they enter the office to create a great first impression of our teamManage front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potential What You'll Gain Competitive benefits including health insurance, retirement savings plans, six paid holidays, and PTO (paid time off)Front loaded education and training, providing you the opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily Pay About Muddy Branch Dental GroupMuddy Branch Dental Group, like each Heartland Dental supported office, is unique to the community and the patients they serve. Job Details Req ID: 120832 Supported Practice: Muddy Branch Dental Group Category: Business Assistant Location: 808 Muddy Branch Rd, Gaithersburg, MD 20878 Salary: $17.00 - $25.76 per hour Position Summary: Supporting our front office as a Dental Front Office Coordinator with Muddy Branch Dental Group, you'll be surrounded by camaraderie and partnership - where patients come first, and continuous learning is encouraged!
Program Assistant II Faculty Practice Clinic Position Control Number PA2-22-700-02 U M FDSP Associates PAProgram Assistant II Faculty Practice Clinic Position Control Number PA2-22-700-02Baltimore, MD$19 / hourUnder direct supervision, handles day to day payment transactions makes change; receives checks; processes credit card transactions; issues receipts; writes outcome assessments for identified accounts. Skilled in filing documents according to alphabetic and numeric sequences; in operating manual and automated office equipment; Ability to apply close attention to detail in performing routine clerical tasks.
Director of Risk Management Sheppard Pratt CareersDirector of Risk ManagementTowson, MarylandThis position oversees risk management processes, supports litigation and claims management activities, facilitates regulatory and accreditation readiness, administers the Enterprise Risk Management (ERM) platform, provides risk-related education and reporting, and serves as a key resource to the General Counsel on legal and compliance-related matters. Support litigation and claims management activities by preparing employees subpoenaed as witnesses, maintaining legally appropriate claim files, assisting with discovery requests, and reviewing external counsel pleadings, motions, and other legal documents for accuracy, professionalism, and consistency with organizational interests.
Senior Facets Technical Consultant Cognizant Technology Solutions CorpSenior Facets Technical ConsultantBaltimore, MDRemote$99,000–$115,000 / yearYou will be a valued member of the Healthcare Consulting team and work collaboratively with product owners, business stakeholders, development teams, operations teams, and healthcare domain experts to deliver scalable, high-quality solutions. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world.
NewCriminal Investigator (Special Agent) U.S. Department of Homeland SecurityCriminal Investigator (Special Agent)Washington, DC$76,745–$149,494 / yearAssisting in conducting investigations such as those involving computers, networks, and servers to identify potential transnational criminal activities, commercial fraud, intellectual property theft, illegal trade practices, transnational criminal gangs, VISA security programs, identity and benefit fraud, human rights violations and war crimes, cultural property/arts and antiquities, and worksite enforcement. Conducting investigations such as those involving computers, networks, and servers to identify potential transnational criminal activities, commercial fraud, intellectual property theft, illegal trade practices, transnational criminal gangs, VISA security programs, identity and benefit fraud, human rights violations and war crimes, cultural property/arts and antiquities, and worksite enforcement.
Pharmacy Pre-Grad Intern - WM 5968 WalmartPharmacy Pre-Grad Intern - WM 5968Washington, WashingtonProvides Pharmacy products and services to Customers in accordance with local state and federal laws and Company policies and procedures by assisting with processing prescription andor overthecounter OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information andor filling prescriptions completing maintaining and securing paperwork forms and required documentation. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Pharmacy Pre-Grad Intern - WM 5227 WalmartPharmacy Pre-Grad Intern - WM 5227Burke, VirginiaProvides Pharmacy products and services to Customers in accordance with local state and federal laws and Company policies and procedures by assisting with processing prescription andor overthecounter OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information andor filling prescriptions completing maintaining and securing paperwork forms and required documentation. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Pharmacy Pre-Grad Intern - WM 3035 WalmartPharmacy Pre-Grad Intern - WM 3035Washington, Washington$23.50–$36.50 / hour310 RIGGS RD NE, WASHINGTON, DC 20011-2534, United States of AmericaWalmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. For information about PTO, see https://one.walmart.com/notices .Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities.
Pharmacy Pre-Grad Intern - WM 5129 WalmartPharmacy Pre-Grad Intern - WM 5129MarylandProvides Pharmacy products and services to Customers in accordance with local state and federal laws and Company policies and procedures by assisting with processing prescription andor overthecounter OTC orders and purchases stocking and securing Pharmacy supplies and merchandise entering prescription information andor filling prescriptions completing maintaining and securing paperwork forms and required documentation. Respect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent.
Legal Administrative Specialist (Contact Representation) U.S. Department of Veterans AffairsLegal Administrative Specialist (Contact Representation)Washington, DC$67,970–$88,356 / yearThe incumbent may have contacts in-person or via telephone, email, video, or chat with the public for the purposes of (1) advising and providing information on benefits and rights; (2) explaining pertinent legal provisions, regulations, and related administrative practices and their application to specific cases; and (3) assisting individuals regarding how best to provide needed documents and evidence required, and/or (4) initiating inquiries to resolve errors, delays, or other problems in obtaining benefits. CUSTOMER SERVICE: Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services.
Legal Counsel, Risk Litigations and Patient Rights Children's National HospitalLegal Counsel, Risk Litigations and Patient RightsWashington, DC$131,060.80–$218,441.60 / yearPlease note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). About the Role: The Risk, Litigation and Patient Rights Counsel reports directly to the Chief Legal Officer for Legal Issues and to the Executive Director of Risk Management for risk management and insurance related matters.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystBaltimore, MDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
NewSenior QA Automation Lead - Healthcare Domain Cognizant Technology Solutions CorpSenior QA Automation Lead - Healthcare DomainRockville, MDRemote$71,100–$112,500 / yearOur deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. 10+ years of strong Healthcare Payer domain expertise, including Claims Adjudication, Payment Integrity, Reimbursement & Pricing Validation, Provider Network Validation, Eligibility Determination, and Claims Lifecycle Processing.