Healthcare Provider Account Manager Quest Diagnostics IncHealthcare Provider Account ManagerWashington D.C., DC$63,000–$100,000 / yearThe HCP Account Manager has call point ownership of accounts within their assigned geography and will partner with specialty account executives to assist in upselling testing in various physician segments. The Healthcare Provider Account Manager is responsible for driving territory growth and profitability through providing service and resolution of issues in support of several sales territories.
Principal Financial Implementation Consultant (Healthcare) Workday IncPrincipal Financial Implementation Consultant (Healthcare)MD$140,300–$210,500 / yearWe know that flexibility can take shape in many ways, so rather than a number of required days in-office each week, we simply spend at least half (50%) of our time each quarter in the office or in the field with our customers, prospects, and partners (depending on role). As an experienced financial functional consultant, you will play a key role in ensuring the successful implementation of Workday's financial solutions for our healthcare customers and guiding them through transforming their financial operations.
NewSenior Support Service Owner - Healthcare , Federal OracleSenior Support Service Owner - Healthcare , FederalArlington, VASenior Support Services Owner Manages Client relationships with broad scope and prolonged duration and manages the engagement milestones and scope of services. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_mb@oracle.com or by calling 1-888-404-2494 in the United States.
Business Change Management Consultant (Healthcare) Lumen Solutions Group, Inc.Business Change Management Consultant (Healthcare)Baltimore, MDRemoteSeeking an experienced Business Change Management Consultant with 8+ years of Organizational Change Management (OCM) experience and strong Health Insurance industry experience. The consultant will lead change initiatives for technology, business process, and organizational changes while ensuring business readiness and successful adoption.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareWashington, DC$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
NewGovernment Healthcare Provider Rate Setting Lead Consultant Marsh & McLennan Companies IncGovernment Healthcare Provider Rate Setting Lead ConsultantWashington, DC$151,000–$302,500 / yearThe Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn more while helping team members with critical workloads and making a difference to our clients.
Healthcare Manager - Transaction Services Embark Consulting LLCHealthcare Manager - Transaction ServicesWashington DC, DC$140,000–$160,000 / yearIdentifying key accounting issues and deal risks - including the identification, calculation, and documentation of quality of earnings and net working capital adjustments. Experience in Big 4/public accounting performing audits and related services for a diverse client base, and at least 3-5+ years of transaction services / due diligence experience (in healthcare).
Healthcare Market Finance Lead Humana IncHealthcare Market Finance LeadMD$104,000–$143,000 / yearTo 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. The Market Finance Lead will also partner with actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/MarketPoint and value-based care providers.
16yrs Sr Project Manager-Continuous Improvement with healthcare GoIntellects16yrs Sr Project Manager-Continuous Improvement with healthcareWashington, District of Columbia$100–$110 / hourEnsures follow-up on improvement events are completed, including scheduling, and facilitating on-going status reviews with all vested parties This role will be responsible for driving the culture of sustainable continuous improvement, operational excellence and delivering business expectations Delivering and monitoring quantifiable KPIs including Waste Reduction, Efficiency Improvements, Quality Pass Rate, and process controls. Replies within 24 hours Role: Sr PM - Continuous ImprovementClient: DC GovernmentLocation: Washington, DC (Onsite)Job Description: Complete Description:This position is housed under the Department of Health Care Finance in direct support of the DC Access System (DCAS).
Head of Healthcare Sales 10PearlsHead of Healthcare SalesDCThis role is particularly well-suited for leaders who have served as consulting principals, client partners, or transformation leaders within healthcare consulting or digital transformation firms and are ready to apply that experience within a high-growth technology partner environment. Successful candidates typically come from consulting or transformation backgrounds where they have shaped complex client engagements, built executive relationships, and translated strategic challenges into large-scale programs.
Commercial Construction Assistant Superintendent - Healthcare HITTCommercial Construction Assistant Superintendent - HealthcareFalls Church, VA$79,200–$132,000 / yearJob Description: The Assistant Superintendent (Assistant Supt.) supports managing work flow consistent with the project schedule, communicates project priorities to field staff and subcontractors, maintains daily log/report of all activities and site conditions, and manages the punch list and closeout process through owner/architect acceptance. Ensure complete, accurate daily documentation of work orders/tickets, understand subcontractor scope of work to avoid unnecessary change orders, and identify problems early and act immediately to provide solutions.
Commercial Construction Assistant Project Manager - Healthcare HITTCommercial Construction Assistant Project Manager - HealthcareFalls Church, VA$77,000–$110,000 / yearGather data, interpret it into meaningful information, and relay that information through clear, concise communication strategies; ability to see how pieces and processes fit into and affect the bigger picture/business model. Job Description: An Assistant Project Manager (APM) obtains, evaluates, coordinates and distributes the information and authorizations necessary to construct projects on time, within budget and to the quality specified.
Commercial Construction Senior Superintendent - Healthcare HITTCommercial Construction Senior Superintendent - HealthcareFalls Church, VA$132,000–$181,500 / yearEnsure complete, accurate daily documentation of work orders/tickets, understanding subcontractor scope of work to avoid unnecessary change orders, and identifying problems early and act immediately to provide solutions. provides leadership and serves as the liaison between project team members to promote the interest of both the business and clients in all matters, as well as demonstrate the characteristics of a mid-level leader.
Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations Amazon.com IncRevenue Cycle Manager - Medicare Value Based Care, Healthcare Financial OperationsArlington, VADive deep to identify root causes of claim and payment defects, distinguish symptoms from systemic issues, and prioritize the highest-value defects for resolution by partnering with clinical and revenue cycle teams to implement upstream fixes. We manage the full claims lifecycle-from charge capture and coding through denial management and payment posting-partnering with healthcare technology vendors to build automation, improve first-pass resolution rates, and scale efficiently.
Sales Executive - Healthcare Alertus TechnologiesSales Executive - HealthcareBaltimore, MDA Day in the Life: Allocate a significant portion of your day engaging in salesforce activities, including qualifying leads, developing opportunities, scheduling demos, and closing deals. As the leader in mass notification, we are committed to providing customizable, scalable, and cost-effective solutions, as we know even a few seconds of warning can help save lives during an emergency.
Auditor (Healthcare Fraud) U.S. Department of JusticeAuditor (Healthcare Fraud)Washington, DC$111,338–$144,741 / yearCompletion of the requirements for a degree that included substantial coursework in Accounting or Auditing, e.g., 15 semester hours, but that does not fully satisfy the 24-semester-hour requirement of paragraph A, provided that (a) the applicant has successfully worked at the full-performance level in Accounting, Auditing, or a related field, e.g., Valuation Engineering or Financial Institution Examining; (b) a panel of at least two higher level professional Accountants or Auditors has determined that the applicant has demonstrated a good knowledge of accounting and of related and underlying fields that equals in breadth, depth, currency, and level of advancement that which is normally associated with successful completion of the 4-year course of study described in paragraph A; and (c) except for literal nonconformance to the requirement of 24 semester hours in Accounting, the applicants education, training, and experience fully meet the specified requirements. Typical work assignments will include: Conducting audits and investigations to identify violations of federal law (primarily the False Claims Act, 31 U.S.C. §§3729-3733, the Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b)(1)(A), and the Stark Law, 42 U.S.C. § 1395nn(a)) involving health care fraud against the Government; Analyzing Medicare and Medicaid claims data (as well as, on occasion, data involving other, similar government programs) and designing data techniques to detect fraud using CMS databases; Researching a variety of informational resources to query, gather and analyze patient-level data related to the provision of and reimbursement for health care services; Conducting investigations to make net worth determinations regarding the ability of individuals and organizations to pay settlements and judgments; and.
Licensed Healthcare Insurance Agent - Remote USA TTECLicensed Healthcare Insurance Agent - Remote USAArlington, VARemoteWebcam participation is expected during all instructor led TTEC and client required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
Federal Healthcare Programs Subject Matter Expert Sparksoft CorpFederal Healthcare Programs Subject Matter ExpertMDThe FHPSME will work collaboratively with the product manager, product owners, business owners, program management team and the data and reporting services teams to deliver business value in support of the Centers for Medicare & Medicaid Services (CMS) in detecting and preventing fraud, waste, and abuse within government-sponsored health programs. Analyse federal and industry data sources, including SSA, Treasury, State Medical Boards, Department of Justice, HRSA, Board Certification, and State Medical Boards, to support provider screening, sanctions, and fraud, waste, and abuse (FWA) detection activities.
Director, Healthcare Services - M&A Alvarez & Marsal Holdings LLCDirector, Healthcare Services - M&AWashington, DC$165,000–$180,000 / yearDepending on the client project the responsibilities of a Director may include: Leading clients and internal teams through the full M&A lifecycle, including operational/synergy due diligence, carve-outs and integration planning and execution Working closely with other A&M teams working on deals, such as financial, HR and IT due diligence and integration teams, analytics teams, and offshore support teams. Technology Assessment: Whether for due diligence, self-assessment, or transformation objectives we support the review and analysis of platform, data and system architectures, and related applications / products, integrations, infrastructure, processes (PLC, SDLC, compliance), data (architecture, governance, BI, etc.), security, IT teams for scale, capability, cost, resilience, maintainability risk related issues and value opportunities.
Information Technology - Architect, Solutions Pn Ampcus IncorporatedInformation Technology - Architect, Solutions PnBaltimore, MDRemote$90–$97 / hourHealthcare Payer and PBM Operations: Deep knowledge of and experience with health insurance and Pharmacy Benefit Management (PBM) business models, processes, capabilities, and supporting information systems, including pharmacy benefit design, formulary management, drug pricing, pharmacy networks, eligibility, claims, rebates, utilization management, specialty pharmacy, and member/provider services. Pharmacy Benefit Administration: Strong understanding of the end-to-end pharmacy benefit lifecycle, including benefit configuration, formulary and drug list management, prior authorization, step therapy, quantity limits, accumulator management, specialty drugs, pharmacy network administration, claims adjudication, reversals, coordination of benefits, and payment/reconciliation.