General Clerk III ServiceSourceGeneral Clerk IIICapitol Heights, MDHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. This position completes routine enrollment tasks in support of the provider enrollment representatives and team; researches and controls incoming applications and correspondence to ensure the work is properly categorized; and reviews and processes a high volume of prospective provider enrollment applications.
NewOffice Manager (Hybrid) TestProsOffice Manager (Hybrid)Sterling, VA$70,000–$85,000 / yearSupport budgeting and financial administration, including tracking administrative expenses, reviewing invoices, monitoring renewals, maintaining vendor contract documentation, and preparing budget-related information for the corporate accountant/comptroller. Offer ConsiderationsTestPros considers several factors when extending an offer, including but not limited to, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, geographic location, education, and certifications.
Sr. Auto Appraiser - Field (Maryland) USAASr. Auto Appraiser - Field (Maryland)Baltimore Metro, Maryland$63,590–$121,530 / yearField Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Supports workload surges and catastrophe (CAT) response operations as needed, including required on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, DCTemporaryEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable .
Lead Project Manager (Training Lead) CACILead Project Manager (Training Lead)Washington, District of Columbia$94,400–$198,200 / yearBachelor’s degree in Training and Development, Education, Organizational Development, Business Administration, or a related field; 5+ years of progressive experience in training, learning and development, instructional design, or organizational change and leading, supervising, or managing a training team; Experience developing and implementing enterprise-level training programs and curricula, Ability to assess learning needs, identify knowledge gaps, and develop targeted training solutions; Experience designing and delivering initiatives; Excellent written, verbal, presentation, facilitation, and stakeholder-management skills. Job Title: Lead Project Manager (Training Lead)Job Category: TrainingTime Type: Full timeMinimum Clearance Required to Start: Public TrustEmployee Type: RegularPercentage of Travel Required: NoneType of Travel: None* * * The Opportunity The 9/11 Victim Compensation Fund (“VCF”) Team is engaging in a Transformation effort to optimize the processes and systems that support the 9/11 victims’ injury and loss claims.
Senior Test Automation Engineer Clearwaters.ITSenior Test Automation EngineerWashington, DCRemoteProficiency in defect tracking and test management tools (e.g., JIRA, TestRail, Bugzilla, HP ALM). Stay updated on emerging QA tools, trends, and methodologies, recommending new technologies and best practices.
Lead SIU Investigator Centene Management CompanyLead SIU InvestigatorWashingtonRemoteProvides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity. Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience.
NewBilingual Chiropractic Assistant / Receptionist ARTISAN CHIROPRACTIC CLINIC LLCBilingual Chiropractic Assistant / ReceptionistHyattsville, MDFull timeIn addition, you’ll be hands-on in supporting patients through their treatments, which may include tasks such as taking vitals, guiding patients through therapeutic exercises, assisting with stretches, and setting patients up on therapy equipment like traction or muscle stimulation. Support daily clinic operations: Answer phone calls and emails, manage inventory and supplies, and help maintain clean, organized treatment rooms and waiting areas.
Market Conduct Examiner (Health and PBM) RSMMarket Conduct Examiner (Health and PBM)MarylandThe Market Conduct Examiner will be responsible for performing reviews of major insurance companies’ operations, marketing, underwriting, mental health parity quantitative and non-quantitative treatment limits, pharmacy benefit management practices, rating, policyholder service, producer licensing, complaint handling and claims handling processes to verify compliance with states’ insurance statutes and regulations. This includes, but is not limited to, analyzing compliance pertaining to review of pharmacy audits conducted by PBMs, spread pricing, pharmacy reimbursement, dispensing fee requirements, annual reports, contract review, financial review, internal and external appeals, claims processing, and network adequacy.
Payment and Medical Policy Coordinator (Remote) Blue Cross and Blue Shield AssociationPayment and Medical Policy Coordinator (Remote)DCRemote$51,264–$101,816 / yearThis role ensures business readiness across impacted functions, including claims, configuration, provider communications and operations, and provides support during testing, implementation, and post-implementation validation. QUALIFICATIONS: Education Level: Bachelor''s Degree in Health Administration, Business, Finance or related discipline OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Senior .Net Developer Clearwaters.ITSenior .Net DeveloperWashington, DCRemoteThe ideal candidate will have a strong background in full-stack development, cloud computing, and Agile methodologies, working closely with cross-functional teams to deliver scalable and efficient software solutions. Strong proficiency in developing solutions in the following programming languages (.NET (backend development), Java, Python, JavaScript, C#, etc.).
Payroll Associate Sunrise Senior LivingPayroll AssociateMcLean, VAMinimum of 2 years of experience in payroll processing, including garnishments, off-cycle payments and payroll funding; experience with large, multi-state U.S. payrolls and Canadian payroll and year-end processes (e.g., W-2s, T4s) strongly preferred. As part of a collaborative payroll team, this role is also responsible for processing wage garnishments, managing workers’ compensation claims and resolving payroll-related inquiries with professionalism and efficiency.
Assistant Site Manager Spotless BrandsAssistant Site ManagerSevern, MarylandThe core responsibilities of the Assistant Site Manager remain consistent across all locations and while core duties do not change, the operational emphasis may vary slightly depending on the site type: Express Sites: Prioritize high-throughput exterior wash operations with a strong focus on speed, automation, and membership These sites typically operate with smaller, leaner teams where direct leadership is essential. The Assistant Site Manager (ASM), also known as Car Wash Manager at select flex locations, supports the Site Manager in executing daily operational tasks, leading the frontline team, and delivering exceptional customer experience at Spotless Brands locations.
Urologist University of Maryland Medical SystemUrologistLa Plata, MDHighly effective verbal, written and interpersonal communication skills to communicate effectively with all levels hospital staff, patients, visitors, and levels of staff. Assure compliance with applicable CRMG policies and procedures, including but not limited to personnel actions, payroll practices, orientation and training, charity care, accounts payable, coding, billing and claims processing.
Store Manager – Washington, D.C. Blu DotStore Manager – Washington, D.C.Washington, DCFull timeWHAT YOU WILL DO:Sales, Marketing and Merchandising:Represent and expand the customer's connection to the Blu Dot brand through a personable and professional demeanorDevelop and maintain relationships with all customer cohortsMeet monthly sales goals and maximize profitabilityUse product information and design knowledge to demonstrate merchandise features and benefitsSuggest additional items based on assessment of customer's needsSee sales through to completion and follow up with the customer as necessaryCommunicate accurate pricing, delivery expectations and tracking informationEnter customer orders according to company policy and proceduresActively prospect and cultivate relationships with new retail customers and trade clients. TITLE: Store Manager REPORTS TO: Regional Director ABOUT US: Blu Dot (www.bludot.com), an award-winning designer and maker of modern home furnishings, is currently searching for a Store Manager to join our dynamic and values-driven company.
Residential and Commercial Field Adjusters RAC AdjustmentsResidential and Commercial Field AdjustersWashington, DCContractorRAC Adjustments, Inc., has been a premier leader in the Insurance industry for adjusting, appraising and investigative services industry since 1980. We are seeking Independent Daily Adjusters, and CAT Adjusters to subcontract with.
Lead, 340B Growth & Partnerships Pharmacy First HealthLead, 340B Growth & PartnershipsWashington, District of ColumbiaThis person will identify eligible clinic and covered entity partners, engage them in commercial discussions, negotiate partnership agreements, and lead implementation with pharmacy teams. Evaluate which Pharmacy1st locations are best positioned for 340B partnerships based on local provider landscape, patient access needs, prescription volume, and operational readiness.
Roofing Sales Advisor, Northern Va. Noor Staffing GroupRoofing Sales Advisor, Northern Va.Reston, VA$120,000–$180,000 / yearYou will be using cutting edge drone technology to diagnose roof damage and advise homeowners on the best steps to repair or replace their roof. Due to their talented employees, white-glove customer experience, and their industry-leading platform, these guys are experiencing tremendous triple digit growth.
Senior Program Director PeratonSenior Program DirectorWindsor Mill, Maryland$176,000–$282,000 / yearFull timeResponsibilities: The Defense Mission and Health Solutions team, Benefits, Claims & Integrity Solutions Operating Unit seeks a Senior Program Director to support our Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) customer delivery and lead our CMS Consumer Information and Insurance Oversight (CCIIO) initiatives. The successful candidate will have extensive experience leading delivery of large-scale Federal programs as a results driven leader responsible for overseeing the P&L, program execution, and leading technical innovation as a key customer partner.