Customer Service Advocate I (Remote) Blue Cross and Blue Shield AssociationCustomer Service Advocate I (Remote)DCRemote$32,256–$59,136 / yearUses knowledge of products and the contractual provisions that govern administration to provide customer service and education, to interpret contractual language to the customer for the purpose of providing benefit utilization and limitations, to determine the need for managed care initiatives, and to administer all types of services to customers within the business segment through telephonic inquiries, written and/or electronic inquiries and claims adjustments, if applicable. ESSENTIAL FUNCTIONS: Provides first- level problem resolution to member, provider & broker inquiries via telephone by gathering and researching information; examine claim submissions verifying claim and system accuracy as well as liability, validate customer understanding of information and resolves issues based on applicable policies and procedures.
NewOperations Supervisor (Remote) Blue Cross and Blue Shield AssociationOperations Supervisor (Remote)DCRemote$63,648–$131,274 / yearFunctional areas may include but not limited to: installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. 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.
Health Analytic Consultant - Remote In The East Region UnitedHealth Group Inc.Health Analytic Consultant - Remote In The East RegionWashington, DCRemote$91,700–$163,700 / yearThe Analytic Consultant provides year-round strategic consultative services with an integrated focus on the UnitedHealthcare Value Story by diving deep into the analytics of health plan performance to further support UnitedHealth Group's position as a trusted advisor and carrier of choice. Collaborate with the broader Account Management Team (AMTs) and other internal business partners to solve complex customer analytic needs and serve as a strategic analytic subject matter expert.
Capstone Clinical Nursing Instructor Covista IncCapstone Clinical Nursing InstructorArlington, VARemoteWe are presently accepting applications to meet potential future need in the following areas of specialization: Capstone Final Clinical: As our student's final clinical before graduating, this course facilitates the student's transition into professional nursing through an exploration of trends and issues in professional nursing and participation in experiential-based nursing experiences. Our College of Nursing offers a Bachelor of Science in Nursing (BSN) degree program at 23 locations and online post-licensure degree programs and certificates including RN to BSN, RN to MSN, a Master of Science in Nursing (MSN) with six Specialty Tracks, and a Doctor of Nursing Practice (DNP).
Vice President, Maritime Business Area (Remote) American Systems CorpVice President, Maritime Business Area (Remote)McLean, VARemoteHands-on experience with key US Navy organizations (e.g.,NAVSEA, Naval Undersea Warfare Center (NUWC) Division Newport, Naval Surface Warfare Center (NSWC) Division Carderock, PEO IWS.) and advanced technology domains. This role leads all activities required to deliver successful outcomes for current customers while identifying opportunities to expand the company's presence within established customer relationships and closely related mission areas.
Clinical Quality Performance Specialist Senior AmeriHealth CaritasClinical Quality Performance Specialist SeniorWashington, DCRemote$92,200–$125,600 / yearManages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorCheltenham, MarylandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Urgent Care Nurse Practitioner Included HealthUrgent Care Nurse PractitionerWashington, DCRemote$59.13–$65.04 / hourIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We're seeking board certified Nurse Practitioners licensed in Washington AND other state(s) with broad clinical expertise and a passion for improving healthcare access and quality.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorWashington, DCRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Utilization Management Reviewer AmeriHealth CaritasUtilization Management ReviewerWashington, DCRemote$86,000–$117,300 / hourMinimum of 3 years of diverse independent clinical practice experience as a Registered Nurse in outpatient surgery, Medical-Surgical, Critical Care, Skilled Nursing Facility (SNF), Rehabilitation, or Long-Term Acute Care (LTAC) settings. Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs.
Integrated Case Manager- Registered Nurse Sentara HospitalsIntegrated Case Manager- Registered NurseWoodbridge, VirginiaRemoteThe Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices.
Vice President, Client Success SS&C Technologies Holdings IncVice President, Client SuccessAnnapolis, MDRemote$190,000–$230,000 / yearThe Vice President of Client Success is responsible for developing and executing the strategy that drives long-term client satisfaction, retention, growth, and advocacy across our health plan, PBM, provider, and healthcare technology clients. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology.
Medical Science Liaison CORE - Mid-Atlantic Azurity Pharmaceuticals IncMedical Science Liaison CORE - Mid-AtlanticDCRemoteMedical Affairs at Azurity Pharmaceuticals, a privately held company delivering innovative medicines for overlooked patients across 50+ countries, drives scientific and clinical initiatives with a portfolio of 40+ brands spanning 10 dosage forms and 9 therapeutic areas. As an industry leader in providing unique, accessible, and high-quality medications, Azurity leverages its integrated capabilities and vast partner network to continually expand its broad commercial product portfolio and robust late-stage pipeline.
Sr. Manager, Payment and Coverage Policy eatrightPROSr. Manager, Payment and Coverage PolicyWashington DCRemoteIn this highly visible role, you will advance the Academy's payment, coverage, and coding priorities by leading operational support for nutrition services policy initiatives, developing regulatory comments and member resources, and supporting the Academy's participation in the American Medical Association (AMA) Current Procedural Terminology (CPT) and Relative Value Scale Update Committee (RUC) processes. Advance Payment and Coverage Advocacy by collaborating with Academy leaders, members, healthcare organizations, payers, and coalition partners to identify and address barriers to provider recognition, reimbursement, and patient access to nutrition services.
Business Development Director, Multi-Omics (DTC)Busin Tempus AI IncBusiness Development Director, Multi-Omics (DTC)BusinWashington, DCRemote$150,000–$200,000 / yearRequired Skills: Prior project experience with at least 10+ years working on US Federal projects or programs, with at least 5 years successfully serving in a VA business development or capture management role with a successful sales track record. Perform market research to qualify new business opportunities, including analysis of customer budgets, capabilities required, current customer preferences, competitive environment assessments, and incumbent strengths and weaknesses.
Senior Revenue Cycle Management Project Manager (Systems, Reporting, SLA experience) MicroHealth, LLCSenior Revenue Cycle Management Project Manager (Systems, Reporting, SLA experience)Vienna, VARemoteFull timeThis senior-level position requires a dynamic leader with extensive hands-on management experience (10+ years minimum) who can drive cross-functional teams to streamline patient access, billing, and collections processes while optimizing technology platforms and ensuring regulatory compliance to maximize cash flow and minimize claim denials. Key Responsibilities Apply formal project management methodologies (Agile, Waterfall, Hybrid) to manage scope, timelines, budgets, and risks across complex front-, middle-, and back-end revenue cycle programs.
Contact Center Supervisor La Clinica Del PuebloContact Center SupervisorHyattsville, MDRemoteTechnology & Tools Management: Ensure the team effectively utilizes all required technology platforms, including Dialpad telephony software, electronic health records (EHR), AI-assisted tools, scheduling systems, and KPI dashboards. Reporting: Generate and analyze daily, weekly, and monthly performance reports and KPI dashboards, providing actionable insights to management and stakeholders regarding operational effectiveness, patient experience, workforce productivity, and performance trends.
Medical Science Liaison Immunology - Admilparant (MD. DE, DC) Bristol-Myers Squibb CoMedical Science Liaison Immunology - Admilparant (MD. DE, DC)Washington, DCRemote$166,090–$201,262 / yearCollect and provide meaningful medical insights and/or impact by communicating these back to the medical and commercial organizations to support strategy development and business decisions Contribute to the Medical Plan Develop geography-specific Field Medical and TL Interaction plans based on therapeutic area objectives and TLs needs Adopt institution/account planning approach and contribute to cross-functional institution/account plans Contribute to development and delivery of scientifically meaningful medical programs/projects in line with the local Medical and Field Medical plan Provide Medical Support Establish a customer-centric, compliant collaboration with cross-matrix field teams within assigned geography As necessary and appropriate, support the initial and ongoing medical /scientific area and product specific training and provide key scientific updates to internal stakeholders (e.g. Work-life benefits include: Paid Time Off US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees) Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays Based on eligibility , additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Research Program Coordinator Goldbelt IncorporatedResearch Program CoordinatorMDRemote$75,000–$95,000 / yearPreferred candidates will have current or prior experience supporting the Defense Health Agency (DHA), Hearing Center of Excellence (HCE), National Military Audiology and Speech Pathology Center (NMASC), Defense Centers for Public Health (DCPH), Military Health System (MHS), Veterans Health Administration (VHA), military treatment facilities (MTFs), hearing conservation programs, auditory readiness initiatives, or other military health and public health programs. Summary: The Research Program Coordinator supports planning, execution, coordination, tracking, and administration of hearing research studies, public health initiatives, regulatory activities, and stakeholder engagement efforts supporting military hearing health programs.
New["Territory Manager - Philadelphia North","Territory Manager - Philadelphia North"] Fujifilm Corporation["Territory Manager - Philadelphia North","Territory Manager - Philadelphia North"]WashingtonRemoteThis includes creating primary market demandfor FUJIFILM Sonosite products by networking, cold calling, and educating users in hospitals and the physician office market on the value of FUJIFILM Sonosite's hand-carried compact ultrasound systems and tools. Create primary market demand for FUJIFILM Sonosite products by networking, cold calling, and persuading users, departments, and institutions on the value of Sonosite hand carried compact ultrasound systems and tools.