NewSr Commissioning Engineer (Data Centers) – Remote JobotSr Commissioning Engineer (Data Centers) – RemoteSterling, VARemote$120,000–$165,000 / yearSuccessful candidates will have experience in Electrical Systems & Equipment with a focus in Data Centers and Mission Critical Facilities; experience and an understanding of Building MEP Systems Design, Construction, and Commissioning of Critical Systems ranging in size, rating, and complexity; Commissioning, Testing and Troubleshooting of Electrical Systems and related controls. Knowledgeable with common mechanical, and controls-related building equipment, including: Engine generators / Uninterruptible power supplies & battery systems / Medium and low-voltage electrical switchgear/ PLC controls and sequences of operations / Automatic transfer switches / Static transfer switches / Power distribution units / Busways.
Research Scientist – Value-based payment (VBP) and delivery system transformation - Chicago, Washington DC or Remote NORC at the University of ChicagoResearch Scientist – Value-based payment (VBP) and delivery system transformation - Chicago, Washington DC or RemoteWashington, D.C.Remote$106,000–$130,000 / yearOur expert team includes social scientists that acquire, collect, and analyze data from health care organizations and patients; evaluators; health services researchers; health-policy analysts; and professionals with first-hand experience running and supporting health care programs. The successful candidate will support projects such as analyzing Medicare and Medicaid policy changes, informing program design and operations, and helping clients understand how payment structures, incentives, and performance measurement drive cost, quality, and access outcomes.
Senior Data Scientist II – Health Care Analytics - Chicago, DC or Remote NORC at the University of ChicagoSenior Data Scientist II – Health Care Analytics - Chicago, DC or RemoteWashington, D.C.Remote$160,000–$190,000 / yearThe Senior Data Scientist II (SDS II) plays a strategic, hands-on role in delivering high-quality analytics for complex health care initiatives by leading large-scale data efforts, providing technical leadership to multidisciplinary teams, establishing resources and best practices for health care data work across NORC, and taking leadership on relevant business development initiatives. Lead projects and manage major project workstreams including but not limited to advanced analytic work supporting the implementation, evaluation, and monitoring of CMS Innovation Center (CMMI) models, including alternative payment models and delivery system reforms.
Senior Sales Engineer - Healthcare (Remote East Coast) Zebra Technologies CorpSenior Sales Engineer - Healthcare (Remote East Coast)Washington, DCRemote$105,680–$158,520 / yearWe are committed to providing our employees with a benefits program that is comprehensive and competitive - including healthcare, wellness, inclusion networks, and continued learning and development offerings. Job Posting Statement: To protect candidates from falling victim to online fraudulent activity involving fake job postings and employment offers, please be aware our recruiters will always connect with you via @zebra.com email accounts.
Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote) Greenberg-Larraby, Inc. (GLI)Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote)Washington, DCRemoteThe Scrum Master / ServiceNow Project Manager for the Healthcare Platform will be responsible for managing the implementation and enhancement of ServiceNow solutions within the healthcare sector. • Collaborate with cross-functional teams to ensure successful implementation of ServiceNow solutions tailored for healthcare environments.
ServiceNow Integration Engineer - Healthcare Systems / CDW (Remote) Greenberg-Larraby, Inc. (GLI)ServiceNow Integration Engineer - Healthcare Systems / CDW (Remote)Washington, DCRemoteThe ServiceNow Integration Engineer focused on Healthcare Systems/CDW will be responsible for designing and implementing integration solutions that connect ServiceNow with various healthcare systems and applications. Greenberg & Larraby, Inc. will never send offer letters of employment unless a thorough interview process has taken place and all other internal processing has taken place.
Principal Solutions Architect - Healthcare Pharmacy (Remote) Blue Cross and Blue Shield AssociationPrincipal Solutions Architect - Healthcare Pharmacy (Remote)Baltimore, MDRemote$155,600–$278,135 / yearMust have recent solution/domain architecture experience with care management, provider management including EDI, prior authorization, network management, and/or pharmacy benefit management platforms, Must have experience working with health services, pharmacy, clinical operations, care management, utilization management, and/or provider networks/relationships business functions either in a commercial or government area (both preferred). Has an expert knowledge of integration solutions and communicates with business owners, domain architects, other Solution Architects, technical delivery staff, and key technical stakeholders, including Security, Data, and Technology Centers of Excellence.
NewFraud AI / Data Healthcare Senior Consultant (remote) GuidehouseFraud AI / Data Healthcare Senior Consultant (remote)Tysons Corner, VirginiaRemoteHands-on experience with financial crime compliance technology and data solutions, e.g., Oracle Mantas, Actimize, Fircosoft, LexisNexis Bridger, World-Check, Dow Jones, Chainalysis, Elliptic, TRM Labs, etc. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Senior Director, Strategic & Named Accounts - Healthcare - Remote InfobloxSenior Director, Strategic & Named Accounts - Healthcare - RemoteWashington DC, DCRemoteHere, how we empower our people is extraordinary: Glassdoor Best Places to Work 2025, Great Place to Work-Certified in five countries, and Cigna Healthy Workforce honors three years running — and what we build is world-class: recognized as CybersecAsia’s Best in Critical Infrastructure 2024 — evidence that when first-class technology meets empowered talent, remarkable careers take shape. This role requires a proven enterprise sales executive with a track record of scaling high-performing organizations, developing leaders, building executive customer relationships, and consistently exceeding aggressive growth targets within cybersecurity, networking, cloud, SaaS, or adjacent enterprise technology markets.
NewREMOTE SALES REPRESENTATIVE – Virtual Healthcare Programs (Nationwide) CompassionMDREMOTE SALES REPRESENTATIVE – Virtual Healthcare Programs (Nationwide)Alexandria, VARemote$500–$1,500We are rapidly expanding nationwide and are actively searching for driven Sales Representatives who can introduce our subscription-based healthcare programs to people and organizations in their networks. Our mission is simple: affordable, direct access to medical professionals with transparent pricing—no middlemen, no wait times, and no confusion.
Senior Healthcare Data Consultant, Quality Measurement - Remote UnitedHealth Group IncSenior Healthcare Data Consultant, Quality Measurement - RemoteDCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
NewFraud AI / Data Healthcare Senior Consultant (remote) Guidehouse IncFraud AI / Data Healthcare Senior Consultant (remote)McLean, VARemote$113,000–$188,000 / yearHands-on experience with financial crime compliance technology and data solutions, e.g., Oracle Mantas, Actimize, Fircosoft, LexisNexis Bridger, World-Check, Dow Jones, Chainalysis, Elliptic, TRM Labs, etc. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Healthcare Senior Data Analyst Consultant, Quality Measurement (CMMI) - Remote UnitedHealth Group IncHealthcare Senior Data Analyst Consultant, Quality Measurement (CMMI) - RemoteWashington D.C., DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
Healthcare Senior Data Analyst Consultant, Payment Model Implementation (CMMI) - Remote UnitedHealth Group IncHealthcare Senior Data Analyst Consultant, Payment Model Implementation (CMMI) - RemoteWashington D.C., DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
Healthcare Data Analytics Consultant, Quality Measurement - Remote UnitedHealth Group IncHealthcare Data Analytics Consultant, Quality Measurement - RemoteReston, VARemote$91,700–$163,700 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements.
NewSenior Healthcare Data Consultant, Payment Model Implementation (CMMI) - Remote UnitedHealth Group IncSenior Healthcare Data Consultant, Payment Model Implementation (CMMI) - RemoteWashington D.C., DCRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
NewRegistered Nurse (RN) - Day Triage Runner (Not Remote) Capital CaringRegistered Nurse (RN) - Day Triage Runner (Not Remote)Washington, District of ColumbiaRemoteTriage RN's who experience technical issues not caused by the company equipment or network (i.e. offsite power outage, personal internet outage) are required to report the situation to leadership immediately, and have 30 minutes to resolve the technical issue. Clients include current and prospective patients, friends, or family members, Powers of Attorney, care providers, physicians, nursing staff, nursing homes and Assisted Living Facilities (ALFs), hospital staff, and others, as appropriate.
Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia Sentara Healthcare IncQuality Improvement Coordinator /Registered Nurse (RN) - Remote in VirginiaVARemoteAssists in developing focused and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas, and periodically monitors and evaluates related performance goals. Quality Improvement Coordinator, Registered Nurse, RN, Nursing, Remote, Health Plan, Healthcare, MCO, Managed Care, Health Insurance, Quality Improvement, Regulation, Accreditation, DMAS, CMS.
Healthcare Financial Advisory Manager - Decision Support & Cost Accounting Huron Consulting Group IncHealthcare Financial Advisory Manager - Decision Support & Cost AccountingDCRemote$165,000–$215,000 / yearDemonstrated experience building and delivering service line margin analyses, service line P&Ls, or DRG-level cost models using step-down allocation methodologies; Time-Driven Costing (TDABC) experience strongly preferred. Hurons industry-leading Healthcare Financial Advisory Services team works with healthcare leaders to prevent financial management missteps and prioritize business decisions that reset the financial trajectory of their organizations.
Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteSilver Spring, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteColumbia, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
NewLicensed Practical Nurse (LPN) Runner - Not Remote Capital CaringLicensed Practical Nurse (LPN) Runner - Not RemoteWashington, District of ColumbiaRemotePerforms Central Venous Line (CVL) site observation/inspection; venous access device dressing, cap change and flushing venous access device; IV medication and fluid administration, IV pushes (per procedure) and venipuncture. Job Responsibilities: Under the direction of an RN, provides nursing tasks to patients and families such as continuous care, dressing changes, catheter changes as identified in the plan of care developed by the Interdisciplinary Group (IDG).
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselMDRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseWashington, DCRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Healthcare Planner - Royal Oak, MI AHU Technologies IncHealthcare Planner - Royal Oak, MIWashington, DCRemoteThis role acts as a key liaison between healthcare clients, clinical staff, and design teams to ensure efficient, patient-centered, and code-compliant facility planning. This role offers high visibility and direct involvement in healthcare strategy, facility planning, and clinical operations alignment across complex healthcare projects.
Principal Analytics Analyst - Healthcare Data SureScripts LLCPrincipal Analytics Analyst - Healthcare DataDCRemote$152,900–$186,900 / yearEvidence of leading complex, cross-functional analytics that drove material product, commercial, or strategic outcomes; preferred experience with medication adherence analytics, prior authorization and utilization management analytics, health economics and outcomes research (HEOR), and/or growth marketing analytics. Masters degree in Data Science, Statistics, Epidemiology, Health Economics, or related field required; 8+ years of experience in advanced analytics, with substantial healthcare analytics experience preferred.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantMDRemote$78,400–$107,800 / yearWork at Home Requirements To 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Clinical Appeals Nurse (Remote) Blue Cross and Blue Shield AssociationClinical Appeals Nurse (Remote)DCRemote$67,320–$133,705 / yearESSENTIAL FUNCTIONS: Investigates, interprets, and analyzes written appeals and reconsideration requests from multiple sources including applicants, subscribers, attorneys, group administrators, internal stake holders and any other initiators. Investigates, interprets, analyzes and prioritizes appeal requests using nursing expert knowledge and all available clinical information for both medical and behavioral health conditions, as well as medical policies, to determine if the adverse coverage and adverse decisions are appropriate.
Director, Hospital & Health System, Center of Excellence, Remote Aledade IncDirector, Hospital & Health System, Center of Excellence, RemoteArlington, VARemoteThis role drives performance outcomes for hospital and health system partners by designing, operationalizing, and scaling high-impact interventions, including clinical training, peer-to-peer learning networks, and on-demand resources. Serving as a subject matter expert in the complexities of hospital operations, the Director ensures that Aledade's performance strategies align with the specific financial models, stakeholder environments, and policy landscapes unique to the H&HS segment.
Medicaid Economics Data Analyst - Full Time - Remote Role GD ResourcesMedicaid Economics Data Analyst - Full Time - Remote RoleSterling, VARemoteFull timeRequired QualificationsBachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related fieldEquivalent experience considered. The ideal candidate has hands-on experience working with large healthcare datasets, payment methodologies, and cross-functional stakeholders, with exposure to actuarial or medical economics workstreams.
Clinical Navigator (Remote) Blue Cross and Blue Shield AssociationClinical Navigator (Remote)Baltimore, MDRemote$72,216–$143,429 / yearUtilizing experience and skills in both care management and utilization management, the Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate levels of care, and case management to engage members/enrollees, their families, and other support systems in discharge planning. The role will function as a liaison, working telephonically with the hospital care team, including case managers, social workers, and discharge planners, to ensure CareFirst members/enrollees receive the appropriate level of care and partner to address any potential barriers to discharge.
Supervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in Virginia Sentara Healthcare IncSupervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in VirginiaVARemoteKeywords: Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternal Health, Perinatal, OB-GYN, Labor and Delivery, Mother-Baby, Postpartum, Maternity, L&D, Winchester, Shenandoah, Frederick, Rockingham, VA, Virginia, Member Engagement, Discharge Planning. Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experience highly preferred.
On Call Coordinator - West Coast Weekends Remote/Bilingual Maxim Healthcare Services IncOn Call Coordinator - West Coast Weekends Remote/BilingualColumbia, MDRemote$60–$100 / yearThe On-Call Coordinator provides scheduling and client coordination during non-business hours and provides support to the branch recruiters in staffing and coordinating issues after normal business hours. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Account Executive – VA Accounts (Remote Opportunity) VetsEZAccount Executive – VA Accounts (Remote Opportunity)Arlington, VARemoteThis individual will serve as a senior customer-facing leader responsible for developing and expanding relationships across VA organizations, identifying new business opportunities, shaping account strategy, and supporting long-term growth initiatives. The ideal candidate has extensive experience working within the VA ecosystem and a strong understanding of Veterans Health Administration (VHA), Office of Information and Technology (OIT), Electronic Health Record Modernization (EHRM), healthcare interoperability, and federal healthcare modernization efforts.
Senior Analyst, Edits | Payment Integrity (Remote) CGI IncSenior Analyst, Edits | Payment Integrity (Remote)Fairfax, VARemote$75,000–$100,000 / yearHowever, 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 CGI's legal duty to furnish information. You'll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.
Consulting Manager - Innosight Healthcare Provider Strategy & Innovation Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & InnovationWashington DC, DCRemote$190,000–$220,000 / yearResponsibilities: This is a high-responsibility and high-impact role that requires the Manager to be a thought leader and problem-solver on the team, leading team efforts working closely with the Partner and/or Principal and day-to-day client contact to ensure the project work stays on track and drives impact. Proven leadership in enterprise-level strategic engagements for healthcare provider organizations, including long- and near-term strategic planning, growth initiatives, enterprise transformation, market entry, service line strategy, M&A/strategic partnerships, and system-level margin or cost optimization.
Healthcare Financial Advisory Services Associate Huron Consulting Group IncHealthcare Financial Advisory Services AssociateDCRemote$120,000–$165,000 / yearMinimum of 2 years of consulting experience in healthcare financial advisory supporting provider clients such as health systems, hospitals, and other acute care organizations, or comparable experience within a health system or provider organization in a strategic financial leadership capacity. Huron's industry-leading Healthcare Financial Advisory Services team works with healthcare leaders to prevent financial management missteps and prioritize business decisions that reset the financial trajectory of their organizations.
Consulting Director - Innosight Healthcare Provider Strategy & Innovation Huron Consulting Group IncConsulting Director - Innosight Healthcare Provider Strategy & InnovationWashington DC, DCRemote$215,000–$250,000 / yearDemonstrated experience leading enterprise-level strategic engagements for healthcare provider organizations, including long-term and near-term strategy, growth initiatives, enterprise transformation, market entry, service line strategy, M&A/partnerships, and margin or cost optimization. Expert-level knowledge of the healthcare provider industry, including experience working with diverse provider organizations such as Hospital Systems, Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc.
REMOTE Cleared DLA IT Positions Tryfacta, IncREMOTE Cleared DLA IT PositionsFort Belvoir, VARemoteTryfacta is a leading, nationally renowned Workforce Management Solution provider for private and public sector firms across the U.S. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems. Required/Preferred Qualifications: Extensive hands-on OIG/OIM/OAM experience, relevant Oracle Identity Governance or Oracle Access Management certification, CompTIA Security+ CE, Federal/DoD IAM experience, and required security clearance.
Director of Sales Engineering & Effectiveness, Remote Aledade IncDirector of Sales Engineering & Effectiveness, RemoteArlington, VARemoteThe Director will lead, coordinate and assign Deal support / customization for key accounts to the Sales Engineers; collaborate with Marketing team to inform segment specific campaigns and share learnings; evaluating ACO performance and assessing ROI and sales performance of initiatives using Salesforce CRM and other workflow and analytical tools. This leader is a strong operator & manager of SMEs foremost, able to run cross-functional weekly meetings, performance reviews, plus manage special projects & deliverables for executives, particularly GEL("Growth Executive Leadership" team) & Glue.
NewClinical Medical Review Nurse (Remote) Blue Cross and Blue Shield AssociationClinical Medical Review Nurse (Remote)DCRemote$67,320–$133,705 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in Nursing 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: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication.
US Mental Health Therapist (Contractor) - Remote Spring HealthUS Mental Health Therapist (Contractor) - RemoteWashington DC, DCRemote$70–$150 / hourProvide psychotherapy to clients with benefits ranging from short-term goal-focused EAP, to employer health plans allowing many sessions as medically necessary. Our clinically validated technology, Precision Mental Healthcare, empowers us to deliver the right care at the right time—whether it’s therapy, coaching, medication, or beyond—tailored to each individual’s needs.
Remote Certified Medical Interpreter CLOVEHITCHRemote Certified Medical InterpreterWashington, DCRemotePriority languages may include, but are not limited to: Spanish, Korean, Japanese, French, Vietnamese, Filipino/Tagalog, Samoan, Turkish, Portuguese, and other languages as needed. Interpreters will provide over-the-phone interpretation and/or video remote interpretation for patient-provider communication in a military medical environment.
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.
Oracle GoldenGate Remote PeopleNTech LLCOracle GoldenGate RemoteAlexandria, VARemote3) GoldenGate Microservices (HA/DR & Monitoring)1) Design & implement real time CDC pipelines (Extract/Pump/Replicat, trail files) for healthcare datasets (claims, eligibility, provider). 2) Operate microservices architecture across on prem/OCI/hybrid; monitor lag/throughput and automate restarts.
Senior Director, Compliance (Remote) National PACE AssociationSenior Director, Compliance (Remote)Alexandria, VARemote$100,000–$140,000The Senior Director serves as a subject matter expert on regulatory requirements, supports education and capacity-building for PACE organizations, and leads the development of systems, tools, and processes that promote high levels of compliance and quality performance. In addition, this position provides strategic leadership and functional oversight of the Quality and Compliance department, including establishing priorities, guiding team performance, and ensuring alignment with organizational goals.
Sales & Business Development Interns (UnPaid) - Remote EMFOI INCSales & Business Development Interns (UnPaid) - RemoteHerndon, VARemoteThe Role We are looking for a high-energy Sales Intern to help grow our healthcare software network. In the Field: Visiting clinics in person to pitch our software to doctors and managers.
NewSenior Data Engineer (Secret Clearance) - Remote Praescient Analytics LLCSenior Data Engineer (Secret Clearance) - RemoteFairfax, VARemote$120,000–$165,000 / yearDatabase & Warehouse Proficiency: Deep knowledge and comprehensive experience working across any and all SQL database technologies (including but not limited to Oracle, PostgreSQL, Microsoft SQL Server, MySQL, and cloud-native relational systems) for schema design, optimization, and complex querying. Data Orchestration & Ingestion: Deeply engage with automated orchestration tools (e.g., Apache Airflow, AWS Step Functions) and secure data streaming (e.g., Kinesis, Kafka) to seamlessly ingest complex datasets built by internal and third-party systems.
NewSenior Data Scientist (Secret Clearance) - Remote Praescient Analytics LLCSenior Data Scientist (Secret Clearance) - RemoteFairfax, VARemote$135,000–$175,000 / yearEducation & Experience: * Bachelor's degree in Data Science, Statistics, Computer Science, Mathematics, or a related quantitative field with 10-12 years of relevant data science and machine learning experience OR Master's degree in a related field with 8-10 years of relevant experience OR PhD in a related field with 5-7 years of relevant experience. Position Overview: Praescient Analytics is seeking a highly skilled and visionary Senior Data Scientist to provide enterprise-level analytical leadership, advanced statistical modeling, and machine learning oversight for the National Background Investigation Services (NBIS) and Enterprise Information Technology (EIT) application development suites.
NewSenior Data Architect (Secret Clearance) - Remote Praescient Analytics LLCSenior Data Architect (Secret Clearance) - RemoteFairfax, VARemote$135,000–$175,000 / yearPosition Overview: Praescient Analytics is seeking a highly skilled and visionary Data Architect - Senior to provide enterprise-level technical leadership, data strategy, and big-picture oversight for the National Background Investigation Services (NBIS) and Enterprise Information Technology (EIT) application development suites. Cloud Modernization & Evolution: Author the blueprints for migrating and modernizing complex legacy data systems into highly distributed, cloud-native storage and analytical solutions specifically optimized for AWS GovCloud.