Pinnacle Technical ResourcesNewFinancial Business Analyst Pinnacle Technical ResourcesFinancial Business AnalystMcLean,, Virginia$60–$64 / hourContractorThis role involves analyzing business processes, gathering and documenting requirements, supporting financial reporting initiatives, and collaborating with stakeholders to enhance operational efficiency and enable data-driven decision-making. The successful candidate will work closely with teams across Finance, Accounting, Risk Management, Technology, and external partners to support strategic initiatives, regulatory reporting, process improvements, and system enhancements.
USAANewActuarial Analyst I USAAActuarial Analyst IChesapeake, VA$103,450–$197,730 / yearSelect and ensure quality of data used to perform trend analysis supports rate level indications; translate business problem into technical requirements; run catastrophe models and interpret and communicate results to support business activities while executing and enhancing a strong control environment with guidance from an experienced catastrophe modeler. As a dedicated Actuarial Analyst I, you will be a near-credentialed analyst responsible for independently applying complex technical and actuarial methodologies as well as requiring expert knowledge in one actuarial practice area (pricing, reserving, modeling, catastrophe risk, claims analytics, product management, etc.) to complete unstructured projects.
Sunrise Senior LivingNewSenior Payroll Analyst Sunrise Senior LivingSenior Payroll AnalystMcLean, VACorrespond electronically and via telephone with employees and third-party providers to resolve payroll inquiries, including moderate to complex questions related to paycheck, tax, or other payroll information. Work on various Workday projects including, but not limited to, system updates, special projects, and system migrations, including testing for changes to ensure output is working as intended.
Pinnacle Technical ResourcesSenior Database Analyst – SQL DBA & PostgreSQL Pinnacle Technical ResourcesSenior Database Analyst – SQL DBA & PostgreSQLRichmond, Virginia$50–$53 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. The ideal candidate will have over 10 years of hands-on experience in database administration, performance monitoring, query optimization, and backup and recovery operations in enterprise environments.
Pinnacle Technical ResourcesSenior Programmer Analyst (DataOps Engineer) Pinnacle Technical ResourcesSenior Programmer Analyst (DataOps Engineer)Richmond, Virginia$70–$75 / hourContractorThis position will focus on enabling scalable, reliable, and performant data platforms while implementing best practices for DataOps and ensuring platforms are production-ready and optimized for cost and reliability. The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment.
MANTECHNewWargame Data Analyst MANTECHWargame Data AnalystQuantico, VACollaborate with multi-functional teams consisting of military, government civilians, and contractors, including wargame Designers, Developers, ORSAs, and M&S developers and lead/coordinate a team of recorders and data collectors utilizing structured data collection methodologies and digital templates. Conduct background research and literature reviews in support of wargame design and post-game assessment and develop requirements for and collaborate with the Modeling & Simulation (M&S) and Operations Research Systems Analysts (ORSA) team regarding the application of analytical methods, models, and tools in support of wargame data collection, instrumentation, and analysis.
Mcdonough Bolyard Peck IncConstruction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Senior Construction Claims Analyst/Lead Construction Claims Analyst (Full Time)Richmond, VAMBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.
Ryder System IncClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTERichmond, VARemoteCompensation Information : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees : If you are a current employee at Ryder, please click here (http://wd5.myworkday.com/ryder/d/task/1422$3.htmld) to log in to Workday to apply using the internal application process.
Markel Group IncAssociate Claims Analyst Markel Group IncAssociate Claims AnalystRichmond, VAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
IAT Insurance GroupAuto Physical Damage and Property Damage Claims Analyst IAT Insurance GroupAuto Physical Damage and Property Damage Claims AnalystVirginia Beach, IllinoisCompletes timely handling of auto claims (total loss and non-total loss) to ensure proper valuations, timely settlement offers and responses to counteroffers as well as proper settlement outcomes according to state statutes and regulatory policy. IAT Insurance Group (IAT) has an immediate opening for an Auto Physical Damage and Property Damage Claims Analyst that can be located in one of the following IAT offices: Naperville, Illinois.
Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Arlington, VAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Markel CorporationAssociate Claims Analyst Markel CorporationAssociate Claims AnalystRichmond, VAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Markel Group (NYSE – MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Arlington, VAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
USAANewLead Business Operations Analyst - Claims Workforce Analytics USAALead Business Operations Analyst - Claims Workforce AnalyticsChesapeake, VA$114,080–$218,030 / year8 years of reporting and/or data management experience with accountability for complex tasks and/or projects leveraging applicable tools and languages (Example: SQL, Python, GGplot, Tableau)ORAdvanced degree in Science, Technology, Engineering or Mathematics (STEM) or related degree discipline with 6 years of reporting and/or data management experience with accountability for complex tasks and/or projects leveraging applicable tools and languages ((Example: SQL, Python, GGplot, Tableau). Workforce Analytics Expertise: Proven ability to consistently deliver insightful workforce analytics, including comprehensive reporting, effective data visualization and packaging, and compelling presentation of findings to various stakeholders.
SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeVAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Deloitte Touche Tohmatsu LtdInsurance Claims Business Analyst Deloitte Touche Tohmatsu LtdInsurance Claims Business AnalystMcLean, VA$128,000–$252,500 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - Remote CSAA Insurance GroupCommercial Claims Quality & Performance Analyst III - RemoteHome Teleworkers, VARemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 21 more}. Partners cross-functionally with Claims Operations Support, TPA relationship managers, business leadership, Legal/Compliance teams, and operational partners to identify risks, evaluate performance trends, and develop solutions that support operational excellence and regulatory compliance.
SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Professional Billing Admin and Professional Billing Claims - IT Services - Full TimeVAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
CVS Health CorpMedical Claim Analyst CVS Health CorpMedical Claim AnalystWork At Home-Virginia, VA$18.50–$38.82 / hourOrganized and prioritizes work to meet regulatory and claim turn-around times -Promotes communication, both internally and externally to enhance effectiveness of medical management services and health care team. -Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members.
Allstate Insurance CompanyAuto Telephone Claims Adjuster Allstate Insurance CompanyAuto Telephone Claims AdjusterVA$47,500–$61,600 / yearThrough our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Service, Detail-Oriented, Insurance Claims Investigations, Insurance Policies, Investigative Skills, Multitasking.
Saxon GlobalNewDirector of Claims Product Management Saxon GlobalDirector of Claims Product ManagementManassas, VADemonstrated ability to lead cross-functional teams and manage complex projects. Proven experience managing a team of Product Managers and Business Analysts.
GEICO GENERAL INSURANCE COMPANYManager, Claims Data Analytics GEICO GENERAL INSURANCE COMPANYManager, Claims Data AnalyticsFredericksburg, VAGEICO is looking for a highly motivated, innovative, and detailed leader to fill the role as a SIU Manager in enterprise fraud analytics who has a passion for managing individuals and building a best-in-class analytics and reporting suite. Must have the following education and experience: Must have 3+ years experience managing leadership associates while being responsible for the development, execution and outcomes of business plan initiatives.
The Cigna GroupNewPharmacy Technician Claim Auditor - Evernorth - Richmond, VA The Cigna GroupPharmacy Technician Claim Auditor - Evernorth - Richmond, VARichmond, VA$68,700–$114,500 / yearUtilizing personal knowledge of medications and available tools including the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate audit techniques, to efficiently and effectively address those risks. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
The Travelers Companies IncTechnical Specialist, Construction Claim The Travelers Companies IncTechnical Specialist, Construction ClaimChantilly, VA$85,600–$141,200 / yearDirectly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Elevance Health IncNewMedical Review Analyst II Elevance Health IncMedical Review Analyst IIRoanoke, VA$22.50–$40.51 / hourMinimum Requirements: Requires a HS Diploma or equivalent and a minimum of 5 years of claims processing or customer service experience with managing complex claims, provider, or member issues; or any combination of education and experience which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Sentara Healthcare IncBenefits Coding Analyst Sentara Healthcare IncBenefits Coding AnalystRichmond, VARemoteNote: CIC is required for advancement to Level 2 and Level 3. Experience: • 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required) • Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred) • Experience resolving billing and claims issues related to benefit to code assignment. • Thorough knowledge of anatomy and medical terminology • Expertise with NCCI (National Correct Coding Initiative) guidelines • Knowledge or direct experience processing Government program or commercial health claims for an MCO • Experience with ICD-10 CM, CPT, HCPCS, QNXT.
Markel Group IncBusiness Analyst Markel Group IncBusiness AnalystRichmond, VAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Operating as a key member of the ClaimCenter team within the broader Claims Technology and Operations organization, this individual will play a central role in supporting ongoing platform enhancements through detailed requirement gathering, analysis, and solution design.
QTS Realty Trust LLCSenior Analyst, Insurance and Risk - Construction QTS Realty Trust LLCSenior Analyst, Insurance and Risk - ConstructionAshburn, VACollaborate with internal teams such as Real Estate Program Management, Legal, Finance, Accounting, Development, EHS, and Procurement to execute on the coordinated approach to insurance management during the development cycle of campus infrastructure and ongoing operation of data center assets. Who You Are: The Senior Analyst, Insurance and Risk Management - Construction will serve as a key leader in executing corporate and risk management strategies for the development of large-scale data center campuses.
Sentara HospitalsBenefits Coding Analyst Sentara HospitalsBenefits Coding AnalystRichmond, VirginiaRemoteThe Benefits Coding Analyst will work closely with multiple teams across the Health Plan, including but not limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned with Program benefit offerings. Keywords: Talroo-Allied Health, Healthcare, Coding, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT, HCPCS, QNXT and Revenue coding in a managed care setting.
Ampcus IncorporatedSCB - C# Developer/Programmer Analyst 3 Ampcus IncorporatedSCB - C# Developer/Programmer Analyst 3Richmond, VAYou will work closely with lead developers and take ownership of specific modules, providing technical direction and guidance to other team members throughout the migration process. We are undertaking a strategic modernization of our flagship cloud-hosted (OCI) application, BADGE, transitioning it from a legacy desktop-based architecture to a scalable, web-based platform.
Argo Group International Holdings IncTechnical Data Analyst Argo Group International Holdings IncTechnical Data AnalystRichmond, VA$111,384–$132,498 / yearQualifications / Experience Required: A working knowledge of the claims business environment in order to effectively discuss and prioritize reporting needs through: A minimum of five years' experience focused on data and compliance in a claims environment or other equivalent experience working with data gathering and analysis. Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
Integrated Resources, IncProgrammer Analyst Integrated Resources, IncProgrammer AnalystRichmond, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Candidates must describe experience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications.
Apollo Technology Solutions LLCC# Developer/Programmer Analyst Apollo Technology Solutions LLCC# Developer/Programmer AnalystRichmond, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Candidates must describe experience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications.
Ally Behavior CentersNewEntry-Level Insurance and Revenue Cycle Analyst Ally Behavior CentersEntry-Level Insurance and Revenue Cycle AnalystMcLean, VA$50,000–$60,000 / yearThe department is responsible for ensuring that all clients are authorized for therapeutic services, all clinicians and center locations are credentialed with insurance payors, and is responsible for maintaining a healthy revenue cycle and cash flow. Our mission is to deliver the highest quality therapy to help our early learners reach their potential to communicate, improve social skills, and prepare for academic success.
University Health Services IncInsurance Underpayments Analyst University Health Services IncInsurance Underpayments AnalystRICHMOND, VAResponsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.https://jobs.uhs.com/atlantic-region-cbo. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
University Health Services IncVARIANCE ANALYST University Health Services IncVARIANCE ANALYSTRichmond, VAOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
Syntricate Technologies IncC# Developer/Programmer Analyst 3 Richmond, VA 23219 Syntricate Technologies IncC# Developer/Programmer Analyst 3 Richmond, VA 23219Richmond, VASkillRequired / DesiredAmountof ExperienceAngularRequiredYearsC# Programming experience (no API's)RequiredYearsSQL ServerRequiredYearsExperience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications. The candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports.
PeopleNTech LLCSCB - C# Developer/Programmer Analyst 3 PeopleNTech LLCSCB - C# Developer/Programmer Analyst 31390 Ridgeview Drive Allentow, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Max Submittals by Vendor: 2. Worksite Address: 102 Governor St. Richmond, VA 23219.
PeopleNTech LLCSCB - C# Developer/Programmer Analyst 3 - PeopleNTech LLCSCB - C# Developer/Programmer Analyst 3 -1390 Ridgeview Drive Allentow, VAThe candidate will be knowledgeable in transferring data between application screens, selecting and scrolling through large amounts of data, add/update/delete order-entry type of transactions, and building new screens and reports. Candidates must describe experience with large menu driven business systems, such as claims processing, payroll, medical, or insurance type applications.
CSAA Insurance GroupCommercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteHome Teleworkers, VARemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Marpai Administrators LLCReporting Analyst, PBM Marpai Administrators LLCReporting Analyst, PBMRichmond, VARemoteThis role will support MarpaiRx by translating pharmacy claims data into accurate, actionable reporting used for implementation, client readiness, clinical programs, performance guarantees, RFP support, and ongoing operational monitoring. Knowledge of PBM concepts such as claims adjudication, NDCs, drug spend, AWP, rebates, generic dispensing rate, specialty drugs, mail order, retail pharmacy, reject codes, and performance guarantees preferred.
SSGNewBusiness Analyst SSGBusiness AnalystNewport News, VirginiaRemoteProfessional CertificationsNone requiredYears of Professional Experience10 years of professional (an additional 10 years of experience may be substituted for education)Desired experienceExperience working in an Agile environment. Citizenship required for this specific opportunitySecurity Clearance RequirementsMust possess or qualify for a Public Trust (MBI)CRITICAL NOTES: SSG will not make assumptions regarding your qualifications.
Markel CorporationBusiness Analyst Markel CorporationBusiness AnalystRichmond, VAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Operating as a key member of the ClaimCenter team within the broader Claims Technology and Operations organization, this individual will play a central role in supporting ongoing platform enhancements through detailed requirement gathering, analysis, and solution design.
Syms Strategic Group, LLC (SSG)NewBusiness Analyst Syms Strategic Group, LLC (SSG)Business AnalystAshburn, VARemoteFull timeProfessional CertificationsNone requiredYears of Professional Experience10 years of professional (an additional 10 years of experience may be substituted for education)Desired experienceExperience working in an Agile environment. Citizenship required for this specific opportunitySecurity Clearance RequirementsMust possess or qualify for a Public Trust (MBI)CRITICAL NOTES: SSG will not make assumptions regarding your qualifications.
Elevance Health IncMedical Coding Appeals Analyst Elevance Health IncMedical Coding Appeals AnalystNorfolk, VAWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Argo Group International Holdings IncAnalyst, Business Process Outsourcing Argo Group International Holdings IncAnalyst, Business Process OutsourcingRichmond, VAArgo Group is growing, and were looking for a Business Process Outsourcing Analyst whos excited to improve processes, strengthen vendor partnerships, and help our business units operate more efficiently. If you enjoy solving problems, digging into data, and working closely with offshore teams, this role gives you the chance to make a real impact across the organization.
System OneLead Healthcare Business Analyst System OneLead Healthcare Business AnalystReston, VirginiaAs the Lead Business Analyst, you’ll act as a strategic partner to the business, helping define solutions that improve member experiences, streamline internal operations, and ensure compliance. Partner with business leaders to understand goals, issues, and operational needs across health?insurance functions such as claims, enrollment, benefits, provider data, and authorizations.
Integrated Resources, IncSystem Analyst - Testing Integrated Resources, IncSystem Analyst - TestingRichmond, VAWe are seeking a highly skilled Systems Analyst with strong technical and analytical expertise in healthcare claims processing and comprehensive knowledge of data across all functional areas of the Medicaid Management Information System (MMIS) or a similar large-scale claims processing system. Perform Agile testing activities, including participating in sprint planning and backlog refinement, designing test cases with development teams, validating user stories, and executing continuous integration testing within each sprint.
Apollo Technology Solutions LLCSystem Analyst Apollo Technology Solutions LLCSystem AnalystRichmond, VAHealthcare Claims Expertise: In depth knowledge of MMIS or similar large scale claims processing systems knowledge of MMIS or similar large scale claims processing systems. Perform data analysis related to data conversion from legacy systems to new platforms, including validation of mapping rules, data integrity checks, and reconciliation.