NewCompliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291Performs concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Clinical Quality Improvement Specialist- Fairfax, VA Vitas HealthcareClinical Quality Improvement Specialist- Fairfax, VAFairfax, VAPerforms quality monitoring activities (tracking, trending, and analysis) including, but not limited to: Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures. Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.
Programs Education Specialist CFSPrograms Education SpecialistGlen Burnie, MD$61,000–$64,000 / yearSupports collaboration with program and digital teams to edit, produce, and publish enduring educational content across a variety of digital platforms, including learning management systems, video channels, and podcast platforms, to maximize educational reach and engagement. Coordinates planning meetings, identifying subject matter experts, developing educational and promotional materials, obtaining required disclosures, managing agreements, coordinating logistics, conducting evaluations and outcomes assessments, and maintaining documentation to ensure compliance with accreditation requirements.
Project Document Control Spec. - Construction Mgmt. & Inspection Whitman, Requardt & Associates, LLPProject Document Control Spec. - Construction Mgmt. & InspectionWashington, DC$50–$58 / hourFull timeThis role will support active public-sector construction contracts by maintaining project records, managing document control workflows, supporting contract administration, and ensuring project documentation is complete, accurate, timely, and accessible. Maintain a comprehensive record of quantities, changes, payments, and supporting payment documentation such as material certifications, subcontractor and supplier affidavits, insurance certificates, stored material invoices, and related records.
Billing Manager - Digitech SarnovaBilling Manager - DigitechWashington DC, DCAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
Claims Specialist-WC Crawford & CompanyClaims Specialist-WCFairfax, VAFull timeKeeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. Verifies policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
Senior Claims Specialist, Remote - CA Workers Compensation Great American Insurance Group (DBA)Senior Claims Specialist, Remote - CA Workers CompensationNew Mexico, MDRemote$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistMDRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Field Office - Claims Specialist Social Security AdministrationField Office - Claims SpecialistWashington, DC$40,736–$80,243 / yearGS-7: One (1) year of specialized experience at the GS-5 level (or equivalent) that demonstrates the ability to (1) assist individuals in establishing their entitlement to receive benefits (e.g., retirement, disability, public aid, insurance, taxes, etc.); (2) adjudicate, authorize or reconsider claims; (3) explain benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) entitlements or requirements to the general public; (4) evaluate benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program operations to assess the integrity and quality; or (5) interpret benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program requirements to formulate policies, procedures or guidelines. If you are using experience to qualify, you must have: GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) review problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing.
Claims Specialist Social Security AdministrationClaims SpecialistWashington, DC$44,410–$87,482 / yearGS-7: One (1) year of specialized experience at the GS-5 level (or equivalent) that demonstrates the ability to (1) assist individuals in establishing their entitlement to receive benefits (e.g., retirement, disability, public aid, insurance, taxes, etc.); (2) adjudicate, authorize or reconsider claims; (3) explain benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) entitlements or requirements to the general public; (4) evaluate benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program operations to assess the integrity and quality; or (5) interpret benefit (e.g., retirement, disability, public aid, insurance, taxes, etc.) program requirements to formulate policies, procedures or guidelines. If you are using experience to qualify, you must have: GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) review problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing.
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.
Claims Loss Specialist Restoration Estimator & Project Manager PuroSystems LLCClaims Loss Specialist Restoration Estimator & Project ManagerRockville, MD$60,000–$80,000 / yearThe Claims Loss Specialist is expected to take ownership of assigned jobs, prepare accurate estimates, communicate with all parties involved, sell the job and help manage the project through production and closeout. Please submit your resume and a brief summary of your relevant experience in estimating, project management, restoration, reconstruction, construction, commercial work, multifamily work, or property claims.
Property Claims Adjuster Specialist - Field USAAProperty Claims Adjuster Specialist - FieldOlympia Metro, Washington$69,920–$133,620 / yearProactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
NewVeterans Claims Examiner (Training and Quality Specialist) U.S. Department of Veterans AffairsVeterans Claims Examiner (Training and Quality Specialist)Washington, DC$89,508–$116,362 / yearVolunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Information about ICTAP and CTAP eligibility is on OPMs Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/ .
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedBaltimore, MD$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionColumbia, MD$64,965.62–$99,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 20707 20723 20759 20763 20777 20794 20861 20862 20866 20868 20905 21029 21036 21042 21043 21044 21045 21046 21056 21060 21061 21075 21076 21077 21090 21104 21122 21144 21163 21223 21227 21228 21229 21240 21244 21723 21737 21738 21784 21794. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
["Learning & Development Specialist (Claims Trainer / Customer Service Trainer)","Learning & Development Specialist (Claims Trainer / Customer Service Trainer)"] Lumen Solutions Group["Learning & Development Specialist (Claims Trainer / Customer Service Trainer)","Learning & Development Specialist (Claims Trainer / Customer Service Trainer)"]BaltimoreThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteDCRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
NewAuto Adjuster (MMR Claims) Allstate Insurance CompanyAuto Adjuster (MMR Claims)MD$53,500–$86,400 / yearAnalytical Thinking, Auto Insurance Claims, Automobile Accidents, Case Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Data Representation, Desktop Management, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Insurance Coverage, Insurance Coverage Analysis, Insurance Policies, Insurance Policy Review, Investigative Skills, Learning Agility, Negotiation, Organizing, Results-Oriented. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Claims Representative I Elevance HealthClaims Representative IBaltimore, MarylandLocation: Virtual - This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
Senior Property Adjuster (Commercial Property Claims) - Washington, DC Engle Martin & Associates, Inc.Senior Property Adjuster (Commercial Property Claims) - Washington, DCWashington, DCPHYSICAL ACTIVITIES AND REQUIREMENTS: In addition to the working conditions and associated physical activities and requirements above, the incumbent may be required to climb, balance, stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, finger, grasp, or feel, especially in the course of investigating and assessing property damage; these requirements may include the need to lift weights of up to 50 pounds, including a ladder. The work requires close visual acuity, with or without correction, to prepare reports containing words, symbols, and numerical figures; the incumbent is required to view a computer terminal, use a keyboard, read printed documents, make detailed visual inspections, perceive color, perceive depth, and have a sufficient field of vision to carry out all inspection and related duties.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAFull timeThe ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.
Billing Specialist CCI Health & Wellness ServicesBilling SpecialistSilver Spring, MDPOSITION SUMMARY: The Billing Specialist will perform a range of responsibilities requiring data analysis, critical evaluation, and sound judgment, including maintaining billing software, appealing denied claims, and recording late payments. Coordinate communications with payers to ensure accurate billing practices, enhance reimbursement opportunities, achieve cash collection targets, and maintain accounts receivable (A/R) over 120 days at or below target levels.
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteMDRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - 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 {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Paralegal Specialist U.S. Department of Homeland SecurityParalegal SpecialistWashington, DC$43,106–$99,404 / yearSuperior Academic Achievement is based on:(1) Class Standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses; OR (2) Grade-Point Average (G.P.A.) - Applicants must have a grade-point average of either (a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on your official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. Special Instructions for Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"] Signature Performance["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"]BaltimoreRemote$23–$24 / hourIn the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.
NewSr Deceased Account Servicing Specialist TowerSr Deceased Account Servicing SpecialistLaurel, MarylandThis role serves as the primary point of contact for surviving family members, estate representatives, attorneys, and internal business partners to ensure deceased member accounts are administered accurately, compassionately, and in compliance with all applicable legal, regulatory, and probate requirements. The ideal candidate possesses extensive loan servicing experience across consumer and mortgage portfolios, a strong understanding of probate and estate administration processes, and the emotional intelligence necessary to guide survivors through sensitive and often complex account resolution matters.
Case Specialist, Supplemental Health Sun Life Financial IncCase Specialist, Supplemental HealthBaltimore, MD$55,300–$83,000 / yearThrough 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. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Billing & Reconciliation Specialist Release RecoveryBilling & Reconciliation SpecialistWashington, DC$65,000–$75,000 / yearThis individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.
NewSupervisory Health System Specialist (PRC) US Department of Health and Human ServicesSupervisory Health System Specialist (PRC)Washington, DC$93,629–$121,720 / yearMINIMUM QUALIFICATIONS: GS-12: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level (GS-11) in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: coordinating patient care through referred care systems; analyzing, monitoring and forecasting program funds; ensuring third party resources are utilized effectively; processing and coordination of Catastrophic Health Emergency Fund (CHEF) cases; issuing and reconciling purchase orders; assisting in coordination of case management; conducting vendor outreach efforts and negotiating referred care vendor contracts; ensuring compliance with eligibility requirements and establishing proper medical priorities for referred care; long and short range program planning; establishing and implementing performance improvement goals. Specialized Experience: coordinating patient care through referred care systems; analyzing, monitoring and forecasting program funds; ensuring third party resources are utilized effectively; processing and coordination of Catastrophic Health Emergency Fund (CHEF) cases; issuing and reconciling purchase orders; assisting in coordination of case management; conducting vendor outreach efforts and negotiating referred care vendor contracts; ensuring compliance with eligibility requirements and establishing proper medical priorities for referred care; long and short range program planning; establishing and implementing performance improvement goals.
NewFull Stack Developer Specialist Pinnacle Technical ResourcesFull Stack Developer SpecialistMcLean,, Virginia$100–$110 / hourContractorDesign and implement Java-based microservices, REST APIs, front-end applications, and integration services using modern technologies such as Java, Spring Boot, AWS, Angular or React, SQL, CI/CD pipelines, and automated testing frameworks. Proven experience leading multiple agile squads and delivering complex technology initiatives across full-stack applications, APIs, microservices, and platform modernization.
Senior Medical Coding Specialist (Remote) Blue Cross and Blue Shield AssociationSenior Medical Coding Specialist (Remote)DCRemote$67,464–$133,991 / yearThis role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
Medical Billing Specialist MedVanta Interco, LLC.Medical Billing SpecialistBethesda, MD$21 / hourPart 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. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
Medical Billing Specialist MedVanta CareersMedical Billing SpecialistBethesda, 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. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
NewMedical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VAFull timeBirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session.
Paralegal Specialist (Remote - Virginia) Allstate Insurance CompanyParalegal Specialist (Remote - Virginia)VARemote$28.03–$42.99 / hourThe Paralegal Specialist facilitates all phases of the litigation process, including drafting discovery, coordinating experts, reviewing documents, obtaining information from clients, maintaining litigation files, and supporting trial preparation. Attorney Support, Claims Litigation, Insurance Defense, Legal Analysis, Legal Discovery, Legal Software, Legal Strategies, Legal Writing, Litigation, Litigation Support, Paralegal Duties, Pre Litigation, Prioritization, Scheduling, Time Management.
Senior Logistics Specialist Leonardo DRS IncSenior Logistics SpecialistGermantown, MD$83,552–$108,618 / yearSeveral factors can influence the pay scale, including but not limited to: Federal contract labor categories and contract wage rates, collective bargaining agreements, geographic location, business considerations, scope, and responsibilities of the position, local or other applicable market conditions, and internal equity. The Senior Logistics Specialist will work closely with Production Operations, Supply Chain, Procurement, Receiving, Warehouse, and external freight providers to ensure timely, compliant, and cost-effective movement of material.
NewMedical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CWashington, DCThis position reviews medical documentation, assigns appropriate diagnosis and procedure codes, supports compliance with federal and payer regulations, and helps maintain the integrity of the organization's electronic medical record and billing systems. Under the supervision of the Medical Billing Coding Manager, the Coding Specialist plays a critical role in ensuring accurate medical coding, charge capture, and reimbursement for healthcare services.
Senior Safety Specialist Structural Group IncSenior Safety SpecialistWashington, DCSTRUCTURAL offers a wide range of specialty repair and maintenance services and is the largest concrete repair contractor in the United States, with roughly 2,500 employees working from locations nationwide and in select international markets. STRUCTURAL integrates technology-driven solutions with specialty contracting services to improve, protect, and enhance the existing infrastructure of owners directly, and in partnership with designers and contractors.
Risk Adjustment Coding Specialist (Hybrid) Blue Cross and Blue Shield AssociationRisk Adjustment Coding Specialist (Hybrid)Baltimore, MD$51,984–$95,304 / yearPURPOSE: The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines. QUALIFICATIONS: Education Level: Associate degree in Health Information Technology, Business or related field OR in lieu of a Associate degree, an additional 2 years of relevant work experience is required in addition to the required work experience.
Program Specialist (PSOB) U.S. Department of JusticeProgram Specialist (PSOB)Washington, DC$121,785–$158,322 / yearThe duties and responsibilities for a GS- 0301-13 generally include, but are not limited to, the following: Serves as a Program Specialist (PSOB) with the responsibility of reviewing PSOB applications and claims, conducting detailed medical reviews, analyzing medical causation and forensic evidence, performing related program activities, and implementing the federal benefit programs. OJP provides federal leadership, funding, and other critical resources to directly support law enforcement, combat violent crime, protect American children, provide services to American crime victims, and address public safety challenges, including human trafficking and the opioid crisis.
Technical Information Specialist US Department of Health and Human ServicesTechnical Information SpecialistMontgomery County, MD$70,623–$133,142 / yearOne (1) year of specialized experience equivalent to at least the GS-07 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1.) Preparing literature review summary reports for team review; 2.) Organizing information using library applications/databases and reference tools such as cataloging and indexing systems; 3.) Researching scientific and technical publications, bibliographies, indexes, card catalogs, scientific journals, and reference books; and 4.) Assisting staff operating microcomputer software and hardware. In addition, in order to qualify for a Technical Information Specialist, GS-1412 position at the GS-12 level, you must have: One (1) year of specialized experience equivalent to at least the GS-11 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1.) Analyzing scientific or statistical data to prepare reports for management (e.g., literature reviews).
Estimate Review Specialist Sr. (Repair Solutions) Sedgwick Claims Management Services, Inc.Estimate Review Specialist Sr. (Repair Solutions)MD$55,000–$57,000 / yearPRIMARY PURPOSE: To review all estimates and supporting documentation submitted by contractors/adjusters, using Xactimate, Symbility, and other estimating applications; to ensure estimates follow client and regulatory requirements and meet Sedgwick Repair Solutions' guidelines while replacing a field adjuster if needed, and to serve as a subject matter expert on property restoration scope. Required/Preferred Experience: Candidates should have experience in one or more of the following areas: interior and exterior property restoration, roofing, water mitigation, mold remediation, fire and smoke damage restoration.
Senior Purchasing Specialist (6080) SubCom LLCSenior Purchasing Specialist (6080)Baltimore, MDWhether you're a seasoned applicant seeking a new and exciting challenge, or you're new to the workforce and looking for a flexible, rewarding, and fast-paced position with an innovative and stable organization (since 1953), SubCom has opportunities to advance your career. We are seeking a detail-oriented and proactive Senior Purchasing Specialist to manage and coordinate the procurement of maritime supplies, spare parts, equipment, and services required for vessel operations.
Senior Fraud, Waste and Abuse (FWA) Specialist PacificSource Health PlansSenior Fraud, Waste and Abuse (FWA) SpecialistVA$65,296.83–$111,004.62 / yearThis position leads program administration activities, partners with operational teams and regulatory agencies, and develops processes that strengthen the organization''s ability to detect, prevent, investigate, recover, and report fraud, waste, abuse, and payment integrity concerns. The Senior Fraud, Waste and Abuse (FWA) Specialist serves as the organization's subject matter expert responsible for supporting and advancing PacificSource''s Payment Integrity and FWA programs.
Dental Billing Specialist Howard UniversityDental Billing SpecialistWashington, DC$43,641–$48,006 / yearResearches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.
NewSafety and Occupational Health Specialist U.S. Department of Veterans AffairsSafety and Occupational Health SpecialistWashington, DC$74,678–$97,087 / yearThis position has the following Individual Occupational Requirement (IOR): Undergraduate and Graduate Education: Major study -- safety or occupational health fields (safety, occupational health, industrial hygiene), or degree in other related fields that included or was supplemented by at least 24 semester hours of study from among the following (or closely related) disciplines: safety, occupational health, industrial hygiene, occupational medicine, toxicology, public health, mathematics, physics, chemistry, biological sciences, engineering, and industrial psychology. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
NewSecurity Specialist US Department of StateSecurity SpecialistArlington, VA$121,785–$158,322 / yearYou will be assessed on the following job-related competencies (knowledge, skills, abilities, and other characteristics): Non-Supervisory: Oral Communication, Writing, Interpersonal Skills, Problem Solving, Teamwork, Technology Orientation, Customer Service, Attention to Detail and Self-Management. If you are currently on active duty and applying based on eligibility under the Veterans Opportunity to Work (VOW) Act, you must provide a certification on letterhead from your military branch which contains your military service dates, expected date of discharge or release, and the character of service to show that your military service was performed under honorable conditions.
NSA Billing & Collections Specialist Globus Medical Inc.NSA Billing & Collections SpecialistColumbia, MDReview paid claims, identify claims that meet No Surprises Act requirements, retrieve documents for NSA submissions, initiate NSA submissions, work with 3rd party vendors, maintain logs, and meet all Federal and State deadlines. Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role.
Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services Adventist HealthCareReimbursement Specialist (Hybrid), Day Shift, Patient Financial ServicesGaithersburg, MD$20.51–$27.21 / hourNicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.