Business Operational Readiness Analyst - Underwriting Pinnacle Technical ResourcesBusiness Operational Readiness Analyst - UnderwritingMcLean,, Virginia$50–$55 / hourContractorThe Business Operational Readiness Analyst – Underwriting is responsible for ensuring the underwriting organization is prepared to successfully adopt new business capabilities, technology platforms, process improvements, and operational changes. 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.
NewGuide Transformation Analyst (AI & Governance) Pinnacle Technical ResourcesGuide Transformation Analyst (AI & Governance)McLean, Virginia$50–$55 / 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. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
Epic Resolute Professional Billing (PB) & Claims Analyst InterscriptsEpic Resolute Professional Billing (PB) & Claims AnalystChantilly, VirginiaThe ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing the Epic Resolute Professional Billing (PB) module, with expertise in claims management and physician revenue cycle workflows. The candidate will collaborate with billing, coding, revenue cycle, and operational teams to enhance billing accuracy, streamline claims processing, and improve reimbursement outcomes.
Epic HB/PB Resolute Claims Analyst InterscriptsEpic HB/PB Resolute Claims AnalystChantilly, VirginiaWe are seeking an experienced Epic Resolute Hospital Billing (HB),or Professional Billing (PB), and Claims Analyst to support, maintain, and optimize Epic Revenue Cycle applications. The ideal candidate will have hands-on experience with Epic Resolute HB, PB, Claims, and Revenue Cycle workflows, along with strong analytical and troubleshooting skills.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEWashington, DCRemoteCompensation 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 ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
Senior Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncSenior Construction Claims Analyst (Full Time)Vienna, VA$107,000–$150,000 / yearMBP is looking for Senior Construction 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.
Construction Claims Analyst/Lead Construction Claims Analyst (Full Time) Mcdonough Bolyard Peck IncConstruction Claims Analyst/Lead Construction Claims Analyst (Full Time)Vienna, VA$82,000–$115,000 / yearMBP is looking for Construction Claims Analyst/Lead Construction 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.
["Senior Construction Claims Analyst (Full-Time)","Senior Construction Claims Analyst (Full-Time)"] MBP["Senior Construction Claims Analyst (Full-Time)","Senior Construction Claims Analyst (Full-Time)"]Vienna$107,000–$150,000 / yearMBP is looking for Senior Construction 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.
NewBilling and Claims Analyst Porter CaresBilling and Claims AnalystAnnapolis, Maryland$58,000–$75,000 / yearDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. Our organization operates in a payer-contracted services model — delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits — billed through Athena in a mix of penny-claim/encounter-reporting and full-cost claim arrangements.
Claims Bluecard Analyst IV, Lead Healthcare Management AdministratorsClaims Bluecard Analyst IV, LeadWashingtonAs a Claims Bluecard Analyst Lead, this role ensures accurate, compliant adjudication across complex BlueCard claims, translates BlueWeb and Association changes into operational action, partners closely with Regence and InterPlan stakeholders, and monitors and improves IPP (InterPlan Program) performance. The Claims Bluecard Analyst Lead serves as an enterprise escalation point, leads cross-functional initiatives, and drives training, quality, and process improvements that safeguard claim outcomes and member experience.
EPIC 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 TimeMDEpic 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.
Claims Management Program Analyst (O-4 Billet) Non-Supervisory U.S. Department of Homeland SecurityClaims Management Program Analyst (O-4 Billet) Non-SupervisoryWashington, DCAssist in developing, evaluating, and coordinating CMP related functions to ensure adherence to industry practices in eligibility verification, authorization of care, claims management denials and appeals to minimize adverse outcomes related to timely filing and maintaining a Provider Network to provide quality specialty care to illegal aliens. This position is located within the Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Enforcement and Removal Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director for Healthcare Compliance, Office of Health Plan Management Unit (HPMU).
Healthcare Claims Functional Analyst Glint Tech Solutions LLCHealthcare Claims Functional AnalystBaltimore, MDThe role also involves providing operational support, root cause analysis, testing, and documentation to ensure efficient claims processing operations. Research and resolve operational and systems issues by gathering facts, identifying root causes, and facilitating practical solutions.
Healthcare Claims Functional Analyst Glint Tech SolutionsHealthcare Claims Functional AnalystBaltimore, MarylandThe role also involves providing operational support, root cause analysis, testing, and documentation to ensure efficient claims processing operations. Research and resolve operational and systems issues by gathering facts, identifying root causes, and facilitating practical solutions.
Stop Loss Claims Resolution Consultant Sun Life FinancialStop Loss Claims Resolution ConsultantBaltimore, MD$54,100–$81,200 / yearThis role combines deep technical expertise as a Stop Loss Health Claims Analyst with responsibility for managing end-to-end inquiry resolution, including research, claim determination support, documentation review, and clear customer communication. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Stop Loss Claims Specialist Marsh McLennanStop Loss Claims SpecialistWashingtonThe primary role of the Stop Loss Claims Analyst role is to manage the stop loss claims process for the MMA Stop Loss Center of Excellence including establishing the claims submission process in accordance with vendor processes, overall tracking and auditing to assure timely payment of eligible stop loss claims managed by the Center of Excellence. REQUIRED EDUCATION AND EXPERIENCE : Minimal of High School Graduate with Associate’s Degree in Risk Management & Insurance, Actuarial Science, Mathematics and/or other related field is preferred or equivalent experience preferred; Minimum of two years prior work experience the Benefits Brokerage, Consulting, or Insurance industry; Strong background in self-funding, stop loss or claims administration required.
IT Product Owner / Lead Business Analyst (Staff) - Incurred Cost Claim Lockheed Martin CorpIT Product Owner / Lead Business Analyst (Staff) - Incurred Cost ClaimManassas, VA$114,700–$198,720 / yearPay Rate: The annual base salary range for this position in California, Massachusetts, and New York (excluding most major metropolitan areas), Colorado, Hawaii, Illinois, Maryland, Minnesota, New Jersey, Vermont, Washington or Washington DC is $99,700 - $175,835. You will be responsible for system design, development, configuration, spec generation, unit testing, and operational assessment readiness; scrum master tasks; and the following: Authoring functional specifications for enhancements, conversions, interfaces, reports, and custom transactions.
Auto Claims Adjuster Allstate Insurance CompanyAuto Claims AdjusterMD$47,500–$69,800 / 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. National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.
NewPrincipal Data Scientist, Customer Protection Agentic Claims Data Science Capital OnePrincipal Data Scientist, Customer Protection Agentic Claims Data ScienceMcLean, VirginiaCurrently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, or a related quantitative field) plus 5 years of experience performing data analytics. As a Data Scientist at Capital One, you’ll be part of a team that’s leading the next wave of disruption at a whole new scale, using the latest in computing and machine learning technologies and operating across billions of customer records to unlock the big opportunities that help everyday people save money, time and agony in their financial lives.
["Director of Claims Product Management","Director of Claims Product Management"] Saxon Global["Director of Claims Product Management","Director of Claims Product Management"]ManassasDemonstrated ability to lead cross-functional teams and manage complex projects. Proven experience managing a team of Product Managers and Business Analysts.
Healthcare Account Analyst MedVanta Interco, LLC.Healthcare Account AnalystBethesda, MDPart timeThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client claim activities; disseminates necessary information and reporting to management and clients.
Healthcare Account Analyst MedVanta CareersHealthcare Account AnalystBethesda, MarylandThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client claim activities; disseminates necessary information and reporting to management and clients.
Senior Analyst, Insurance and Risk QTS Realty Trust LLCSenior Analyst, Insurance and RiskAshburn, VA$112,612.50–$172,214.54 / yearCollaborate 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 will serve as a key contributor responsible for executing development insurance and risk management activities supporting large-scale data center campuses.
Epic Revenue Cycle Application Analyst (Hospital Billing & Professional Billing) InterscriptsEpic Revenue Cycle Application Analyst (Hospital Billing & Professional Billing)Chantilly, VirginiaThe ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing Epic Revenue Cycle applications , with expertise in Resolute Hospital Billing (HB) and Resolute Professional Billing (PB) . The candidate will collaborate with revenue cycle, finance, billing, coding, and operational teams to enhance billing accuracy, claims processing, reimbursement, and overall revenue cycle performance.
2027 Bachelor''s/Master''s graduates Cyber & Forensic Technology Consulting Analyst/Associate CRA International Inc2027 Bachelor''s/Master''s graduates Cyber & Forensic Technology Consulting Analyst/AssociateWashington, DC$92,500–$100,000 / yearBachelor's or Master's degree candidates graduating December 2026/Summer 2027 with an academic focus in Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, Security Information Systems, or related field; Strong understanding of computer operating systems, software, and hardware; Ability to conduct detailed forensic investigations and analyses of computers, networks, mobile devices, and removable media; Experience with conducting digital forensic analyses using commercial and open-source forensic tools, including file system forensics, memory analysis, and network analysis; Experience with conducting static/dynamic malware analyses in a lab environment and threat hunting in a live environment; Strong understanding of proper evidence handling procedures and chain-of-custody; Experience with drafting technical and investigative reports and communicating technical findings; High-level familiarity with legal concepts related to intellectual property; Experience with utilizing automation tools and scripts to expedite analyses; Understanding of incident handling procedures, including preparation, identification, containment, eradication, and recovery-to-protect enterprise environments. Practices seeking to hire candidates with this profile include (hiring locations listed): Forensic Services/Cybersecurity & Digital Forensics (Boston, Chicago, Dallas, New York, Washington DC).
Senior Analyst, Insurance And Risk QTS Realty Trust, Inc.Senior Analyst, Insurance And RiskAshburn, VA$112,612.50–$172,214.54 / yearCollaborate 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 will serve as a key contributor responsible for executing development insurance and risk management activities supporting large-scale data center campuses.
Transportation Analyst DAP Global Inc.Transportation AnalystBaltimore, MD$50,000–$75,000 / yearFull timeYou will find DAP products in the hands of professional painters, remodelers, builders, and do-it-yourselfers, and in 60,000 retail outlets, ranging from home centers and mass merchandisers to your local hardware, pro contractor channels and paint stores. DAP is a market leading manufacturer, innovator and marketer of home repair and construction products including caulks, sealants, spray foam insulation, adhesives, and patch and repair products.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteMDRemote$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).
Entry-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.
Portfolio Operations Analyst ProSharesPortfolio Operations AnalystBethesda, MDComplete the processing, research and collection of all corporate action related activity including, but not limited to: Cash Dividends, Stock Dividends, Stock Splits, Spin Offs, Cash & Stock Mergers, Tender Offers, Rights Subscriptions, Full & Partial Calls, and Maturities. What Sets This Role Apart: Rare opportunity to develop expertise across virtually every major asset class-including ETFs, mutual funds, swaps, futures, options, fixed income, equities, repo, and global markets-rather than specializing in a single product area.
Transportation Analyst DAP Global IncTransportation AnalystBaltimore, MD$50,000–$75,000 / yearYou will find DAP products in the hands of professional painters, remodelers, builders, and do-it-yourselfers, and in 60,000 retail outlets, ranging from home centers and mass merchandisers to your local hardware, pro contractor channels and paint stores. DAP is a market leading manufacturer, innovator and marketer of home repair and construction products including caulks, sealants, spray foam insulation, adhesives, and patch and repair products.
NewCase Management Analyst - Field in Northern VA CVS Health CorpCase Management Analyst - Field in Northern VAVA$21.10–$40.90 / hourCase Manager Analyst is responsible for face to face and telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Leave of Absence Analyst - Baltimore Sysco CorpLeave of Absence Analyst - BaltimoreJessup, MDReturn to Work: Review and audit Return to Work process for claims, including Return to Work transitional program, process with external vendor and internal business units to ensure compliance including Return to Work transitional program. Job Summary: The Leave of Absence Analyst is responsible for managing employee leave and return to work processes, ensuring a smooth process for colleagues while adhering to legal requirements and company policies.
NewData Analyst - Healthcare StratAcuity Staffing Partners IncData Analyst - HealthcareHyattsville, MDIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
NewSenior Value-Based Care Data Analyst Somatus IncSenior Value-Based Care Data AnalystMcLean, VA$101,000–$110,000 / yearHow You'll Make an Impact: How You'll Make an Impact: Somatus is the nation's leading value-based kidney care company, partnering with health plans, health systems, employers, and providers to improve outcomes while reducing the total cost of care for individuals with chronic kidney disease (CKD), end-stage kidney disease (ESKD), and related chronic conditions. How You'll Make an Impact: Somatus is the nation's leading value-based kidney care company, partnering with health plans, health systems, employers, and providers to improve outcomes while reducing the total cost of care for individuals with chronic kidney disease (CKD), end-stage kidney disease (ESKD), and related chronic conditions.
Supervisory Program Analyst (Compliance Chief) U.S. Department of Veterans AffairsSupervisory Program Analyst (Compliance Chief)Washington, DC$107,446–$139,684 / yearMaintains close working relationships and coordination with other elements within and outside VA, to include other VBA staffs, Disability Evaluation Management Office (DEMO), Office of Field Operations (OFO), District Offices, Regional Offices, Veterans Health Administration, Veterans Experience Office, the Strategic Acquisitions Center, and vendors to facilitate exam improvements. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Planning and Evaluating: Organizes work, sets priorities, and determines resource requirements; determines short or long-term goals and strategies to achieve them; coordinates with other organizations or parts of the organization to accomplish goals; monitors progress and evaluates outcomes.
Portfolio Operations Analyst ProShares Trust IIPortfolio Operations AnalystBethesda, MDComplete the processing, research and collection of all corporate action related activity including, but not limited to: Cash Dividends, Stock Dividends, Stock Splits, Spin Offs, Cash & Stock Mergers, Tender Offers, Rights Subscriptions, Full & Partial Calls, and Maturities. What Sets This Role Apart: Rare opportunity to develop expertise across virtually every major asset class-including ETFs, mutual funds, swaps, futures, options, fixed income, equities, repo, and global markets-rather than specializing in a single product area.
Compliance Analyst II Maxim Healthcare Services IncCompliance Analyst IIColumbia, MDReceives repayment notifications from various departments (Compliance, Legal, etc.) and reviews repayment requests for completeness; calculates repayment total as needed and or confirms that the repayment was accurately calculated; determines method of repayment if necessary and or routes to the appropriate location. Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required.
PROGRAM ANALYST U.S. Department of DefensePROGRAM ANALYSTWashington, DC$62,392–$98,141 / yearYou may qualify at the GS-11, if you fulfill the following qualifications: A. One year of specialized experience equivalent to the GS-09 grade level in the Federal service as listed below: Apply a wide range of federal administrative laws, policies, regulations, and precedents applicable to acquisitions, Economy Act and Interagency Acquisitions, and government contracts; Providing support to the division Program Integration Specialists in the preparation and review of Simplified Acquisition Purchases (SAP) funding actions for accuracy, appropriate acquisition planning, Internal Government Cost Estimates and verifying sole source requests; Compiling program requirements, develop program/budget estimates, monitor and track funding to include Purchase Requests (PR) and Intra-Governmental Transactions (IGTs) to ensure funds are properly allocated and expended in timely and effective manner; Analyzing trends in spending and progress toward budgetary objectives to assure funds are used for designated purposes, to include tracking of unliquidated obligations (ULOs) to ensure PMs and POs are monitoring execution and addressing ULOs to either validate or de-obligate remaining fund; Ability to manage schedules to develop detailed plans for long-range implementation and administration of programs to support financial planning and acquisition of tests, assessments, programs and projects; Communicate both orally and in writing to provide analysis, information, data and other sources of information. You may qualify at the GS-09, if you fulfill the following qualifications: A. One year of specialized experience equivalent to the GS-07 grade level in the Federal service as listed below: Providing support to the division Program Integration Specialists in the preparation and review of Simplified Acquisition Purchases (SAP) funding actions for accuracy, appropriate acquisition planning, Internal Government Cost Estimates and verifying sole source requests; Compiling program requirements, develop program/budget estimates, monitor and track funding to include Purchase Requests (PR) and Intra-Governmental Transactions (IGTs) to ensure funds are properly allocated and expended in timely and effective manner; Analyzing trends in spending and progress toward budgetary objectives to assure funds are used for designated purposes.,
Senior Insurance Product Analyst I Geico InsuranceSenior Insurance Product Analyst IBethesda, MD$52,275–$157,850 / yearCandidate Qualifications and Skills: Bachelor's degree in Economics, Business, Math, Statistics, Data/Business Analytics, or other relevant quantitative field of study OR Bachelor's degree in any field of study plus prior experience. As an Insurance Product Analyst, you will: Develop, prepare, and interpret statistical analyses of insurance sales, claims experience, or other key business metrics to help support strategic decisions within the business unit.
Health Information Management (HIM) Analyst – Epic HIM / Solventum / Payor Platform InterscriptsHealth Information Management (HIM) Analyst – Epic HIM / Solventum / Payor PlatformChantilly, VirginiaThe ideal candidate will possess strong knowledge of health information management processes, medical records management, coding workflows, regulatory compliance, and healthcare technology systems. We are seeking a detail-oriented Health Information Management (HIM) Analyst with experience supporting HIM operations, Solventum (formerly 3M Health Information Systems), and healthcare payor platform workflows.
Benefits Analyst Rocket SoftwareBenefits AnalystWashington, DCRemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
Senior Value-Based Care Data Analyst Somatus, Inc.Senior Value-Based Care Data AnalystMcLean, Virginia$101,000–$110,000 / yearFull timeSomatus is the nation's leading value-based kidney care company, partnering with health plans, health systems, employers, and providers to improve outcomes while reducing the total cost of care for individuals with chronic kidney disease (CKD), end-stage kidney disease (ESKD), and related chronic conditions. This role is ideal for an experienced healthcare analyst who is passionate about leveraging data to improve patient outcomes, support value-based care programs, and influence strategic decisions across operations, clinical programs, client success, and executive leadership.
Policy Analyst (Addiction Prevention) Executive Office of the PresidentPolicy Analyst (Addiction Prevention)Washington, DC$85,447–$111,087 / yearYou may qualify for the GS-11 level if you possess at least one year (52 weeks) of full-time specialized experience equivalent to the GS-9 grade level in the Federal service or equivalent experience in the private sector performing all of the following: (1) Applying knowledge of public health and substance abuse disorder issues in order to assist in developing policies aimed at reducing drug use and its consequences; (2)Extracting, analyzing, or synthesizing key points from large datasets and materials to prepare reviewable documents; (3)Providing support on the development of drug policy related to primary prevention, access to evidence-based treatment, recovery services, or overdose response; and. As a Policy Analyst (Addiction Prevention), GS-0301-11, your typical work assignments may include but are not limited to the following under supervision: Provides support and assistance to the Chief Medical Officer (CMO)/Assistant Director (AD), OAP, and ONDCP leadership on issues related to drug policy and signature strategies aimed at reducing the negative consequences of illicit drug use, including by expanding access to primary prevention, treatment, recovery, and overdose rescue and response services.
Hospital Billing Analyst, Patient Accounting, Bethesda East, FT, 8A-4:30P Remote Baptist Health South Florida IncHospital Billing Analyst, Patient Accounting, Bethesda East, FT, 8A-4:30P RemoteBethesda, MDRemote$16.28–$21.16 / hourResponsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily Billing Specialist I is responsible for identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission Protects payer filing deadlines by utilizing all available resources to resolve held claims assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Program Analyst U.S. Department of CommerceProgram AnalystWashington, DC$121,785–$158,322 / yearCurrent federal employees with competitive status (career or career-conditional), CTAP/RPL/ICTAP eligible candidates in local commuting area, VEOA eligible, 30 percent or more Disabled Veterans, Military Spouses, Interchange Agreement, People with Disabilities, Peace Corps and VISTA, Reinstatement eligible candidates and NOAA Corps under honorable conditions after 3+ years of continuous service. n n Telework eligiblen Yes-as determined by the agency policy.n n n Remote jobn Non nn n Relocation expenses reimbursedn n Non n nn n Salaryn n $121,785 - $158,322 per yearn n nn n Pay scale & graden n.
Lead 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.
NewPrior Authorization/Financial Analyst II MedStar Health Research InstitutePrior Authorization/Financial Analyst IIWashington, DC$59,820–$101,836 / yearEstablishes and maintains regular contacts with agencies offering financial aid; develops efficient processes/procedure for candidates to follow to complete the application processAdhering to GPG GUH and departmental policies and procedures will access patient Medical Records / Electronic Health Records (MR/EHR) for work related activities only to complete proper patient documentation in the health record or to view needed information in the patient chart as necessitated by job role or function. Coordinates the referral pre-certification and authorization process for department including staff adherence to all GPG GUH and Managed Care Department requirements and contracts to ensure all patient appointments/treatments and contracts to ensure all patient appointments have required approvals in advance of the appointment.
Senior Healthcare Data Analyst Expert In Recruitment SolutionsSenior Healthcare Data AnalystWashington, DCRemoteThe ideal candidate will have strong experience with SQL, SAS or Python, and healthcare reporting (HEDIS, quality metrics, state/federal feeds) and be able to step in immediately, working independently to support regulatory reporting, identify high-risk or high-utilization patients, and analyze outcomes, utilization trends, provider performance, and cost of care. General Overview: This role will serve as the first dedicated, senior analytics hire, owning the full analytics lifecycle from pulling and validating data to managing ETL processes, building reports and dashboards, and delivering actionable insights to clinical, operational, and financial teams.
Sr. Program Financial Analyst Leonardo DRS IncSr. Program Financial AnalystGermantown, MD$86,885–$124,245 / yearWhen extending an offer of employment, Leonardo DRS considers factors such as (but not limited to) the scope and responsibilities of the position; any Federal Government contract labor categories and contract wage rates, the candidate's relevant work experience, education/training, certifications, and key skills; internal equity; and market and business considerations. Understand contract design and structure to include: FFP; CPIF; CPFF; CPAF; BOA; IDIQ; Foreign Military Sale (FMS); and International Direct Commercial Sale (DCS), and, competitive and sole source procurements.