Care Manager (Remote) Blue Cross and Blue Shield AssociationCare Manager (Remote)DCRemote$72,360–$143,715 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. 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.
Senior Software Engineer (Remote Sensing) UmbraSenior Software Engineer (Remote Sensing)Arlington, VARemote$155,000–$185,000 / yearUmbra’s ecosystem operates through three business units: Remote Sensing (the data), Space Systems (the components), and Mission Solutions (the platforms).Together, our teams develop capabilities that deliver persistent access, resilient performance, and mission-ready solutions, advancing U.S. space leadership while keeping the world safe and informed. This engineer will contribute to software systems across our mission planning, scheduling, command, control, and communications domains, partnering with product owners and multidisciplinary engineering teams to develop and operate the services that enable spacecraft operations at scale.
Provider Credentialing Specialist I (Remote) Blue Cross and Blue Shield AssociationProvider Credentialing Specialist I (Remote)DCRemote$38,520–$70,620 / yearMaintains the provider file, the Provider Information Control (PICS) inventory workflow system and electronic provider files with updated provider information during processes, such as credentialing, recredentialing, demographic updates, terminations and all other provider file maintenance activities. 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.
NewSenior Quality Analyst (Remote) Blue Cross and Blue Shield AssociationSenior Quality Analyst (Remote)DCRemote$72,432–$143,858 / yearLead and support complex medical record retrieval, provider outreach, intake, routing, upload, documentation, abstraction, overread, quality review, and pend research activities for prospective and retrospective HEDIS projects, Stars initiatives, Risk Adjustment support, supplemental data validation, and other quality or regulatory initiatives. Experience monitoring productivity, quality, retrieval, abstraction, overread, outreach, pend management, or project trends to recommend workflow improvements, escalation, training, operational strategies, supplemental data validation, primary source verification, and audit-readiness workflows.
Reimbursement Analyst (Remote) Blue Cross and Blue Shield AssociationReimbursement Analyst (Remote)DCRemote$53,928–$107,107 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in HealthCare Administration, Business Administration, Finance or related field 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. PURPOSE: This position is responsible for preparing analyses associated with the development of reimbursement policy, strategies, cost of care impacts and work flows for healthcare providers'' reimbursement fee levels.
Outpatient Therapist English/Bilingual (On Site, Hybrid, Remote) DirecthireOutpatient Therapist English/Bilingual (On Site, Hybrid, Remote)MarylandRemoteEnsure clinically appropriate client visit frequencies (weekly, bi-weekly, bi-monthly, or monthly). Licensed or willing to transfer your license to the State of Maryland as LMSW, LGPC, LGSW, LCSW, LCSW-C, or LPC through reciprocity.
Diagnostic Radiologist - Nighthawk (Evening and Night Shift, Remote) MedStar HealthDiagnostic Radiologist - Nighthawk (Evening and Night Shift, Remote)DCRemoteMedStar Health, the largest healthcare system in the Maryland and Washington, D.C. region, is expanding our Nighthawk Radiology Division and is seeking evening and night-shift Diagnostic Radiologists to support this expansion. Compared to other emergency radiology roles, shifts are slightly shorter, typically 8 hours.
Senior Financial Analyst, Remote Aledade IncSenior Financial Analyst, RemoteArlington, VARemoteWe were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many roles.
DoW SkillBridge - Remote Mission Systems Engineering Support Fellow BAE Systems PlcDoW SkillBridge - Remote Mission Systems Engineering Support FellowRockville, MDRemoteAbout BAE Systems Intelligence & Security BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. Job Description BAE Systems is offering a DoW SkillBridge opportunity for transitioning military members interested in gaining hands-on experience in remote mission systems engineering support, technical documentation, maintenance planning, data analysis, and program support.
Remote Nurse Practitioner (Cardiology) Auxira Health, Inc.Remote Nurse Practitioner (Cardiology)Columbia, MDRemoteAs a core member of our clinical team, your daily responsibilities will include: Managing Chronic Care: Diagnose and treat conditions such as Hypertension, Hyperlipidemia, Coronary Artery Disease, Heart Failure and Arrhythmias. Patient Education & Collaboration: Empower patients through lifestyle guidance and education, while coordinating closely with cardiologists and sub specialists (EP, Interventional, Imaging) when escalation is needed.
Manager, Transformation, Remote Aledade IncManager, Transformation, RemoteArlington, VARemoteAdvanced Excel skills strongly preferred, including the ability to work with large, complex, & often incomplete data sets; conduct one-off complex analyses quickly; and utilize Index / Match, XLOOKUP, FILTER, and other advanced formulas. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Account Executive - Fully Remote Banyan SoftwareAccount Executive - Fully RemoteWashingtonRemoteReporting to the Vice President of Sales & Marketing, you will proactively seek new leads, creatively position our offerings, and maintain a laser focus on achieving your ambitious sales goals. Identify and Pursue New Business Opportunities: Conduct independent research and leverage industry insights to target high-potential prospects, focusing on expanding non-radio revenue.
Healthcare Customer Service Team Lead (Remote) GetixHealthHealthcare Customer Service Team Lead (Remote)WashingtonRemoteAs a Customer Service Team Lead at GetixHealth, you will oversee a team of Customer Service Representatives who manage high-volume patient inquiries related to billing, payments, medical claims, insurance coverage, and benefits. We’re hiring a Customer Service Team Lead to oversee a high-performing team supporting our healthcare clients with early-out account services, patient inquiries, and billing support.
Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote! Sentara Healthcare IncManager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote!VARemote$48.79–$81.31 / hourCare Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, Nursing, Managed Care, MCO, Health Plan, Virginia, Remote, Licensed Clinical Social Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP), Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP), Registered Nurse (RN) License (Compact or Virginia), Long-Term Services and Supports, LTSS, Home and Community-Based Services (HCBS), Nursing Facility. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Talent Acquisition Specialist - Fully Remote Silverthorne Advisory Group LLCTalent Acquisition Specialist - Fully RemoteCrystal City, VARemoteFull timeSilverthorne Advisory Group is seeking a highly organized and proactive Talent Acquisition Specialist to support recruiting operations for a growing data, cloud engineering, management and IT consulting firm. Performance-Based Bonus System – In addition to base compensation, this position participates in a variable compensation program designed to reward achievement of talent acquisition goals, workforce planning initiatives, candidate quality, and strategic hiring support.
Sr. Process Improvement Engineer/ LSSBB for the Health Plan - Remote Sentara Healthcare IncSr. Process Improvement Engineer/ LSSBB for the Health Plan - RemoteVARemoteWorks closely with cross-functional teams to design and implement process enhancements, monitor outcomes, and ensure the sustainability of improvements. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Account Manager, Personal Risk (Wilmington, NC or EST remote) NFP CorpAccount Manager, Personal Risk (Wilmington, NC or EST remote)Reston, VARemote$35,000–$60,000 / yearA remote option may be considered only for highly experienced, P&C-licensed professionals who live outside a regular commuting distance but remain within the EST/Mid-Atlantic region and are able to report to the office when necessary. While in this role, you will be developing and maintaining relationships with clients and carrier contacts and working proactively to effectively and efficiently deliver services to clients.
LABOR RELATIONS MANAGER (REMOTE-DC) Compass Group North AmericaLABOR RELATIONS MANAGER (REMOTE-DC)DCRemote$125,000–$145,000 / yearVolume CBA Negotiation Experience: Ability to manage and negotiate multiple CBAs simultaneously, with a track record of achieving cost-competitive, strategic outcomes. Union Partnership & Education: Collaborate with HR and Operations to educate employees on organized labor issues, providing insight into company policies, procedures, and labor-related best practices.
Remote Facilities Systems Administrator Compass Group North AmericaRemote Facilities Systems AdministratorGaithersburg, MDRemote$90,000–$100,000 / yearESFM is the corporate facilities management (FM) division of Compass Group USA, a Gold-level Corporate Sustaining Partner of the International Facility Management Association (IFMA), and a Platinum Corporate Member of the Association of Energy Engineers (AEE). Our portfolio of solution categories includes Facilities Maintenance & Engineering, ESG Programming, Laboratory Support Services, Janitorial & Industrial Cleaning, Landscaping & Grounds Management, Workplace Solutions and Managed Services.
Pharmacy Benefit & Compliance Specialist - Remote in Virginia Sentara Healthcare IncPharmacy Benefit & Compliance Specialist - Remote in VirginiaVARemoteThis position will strongly collaborate with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.