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The CERT program plays a vital role in safeguarding the integrity of the Medicare Fee-for-Service (FFS) program by ensuring that taxpayer-funded healthcare payments are accurate, appropriate, and compliant with federal requirements. Serco is preparing to support the Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) contract and is seeking incumbent talent with direct program knowledge and experience.

Serco, Inc. is the North America division of Serco Group, plc, one of the world’s leading service companies. At Serco we serve every branch of the U.S. Military, federal, state and local governments, Canadian and provincial governments, as well as commercial customers. We are a leading provider of professional, technology, engineering, trades, and management services, and we support the public service areas of Defense, Citizen Services, and Transportation.
Headquartered in Herndon, Virginia, Serco has over 9,000 employees working at over 100 sites across the U.S. and Canada. Serco is a business where people and values matter. Our workplace culture is one that embraces diversity and fosters equity, respect, and belonging for every individual. Put simply, Serco is a place you can count on. We embody a holistic approach to wellbeing and offer our employees a suite of benefits that enable you to achieve your physical, emotional, financial, social, community and career goals.
Serco is a place where you can make a difference because every contribution matters. So while your place at Serco may vary depending on your role, we know you will find your place here. You are invited to come discover your place in our world.

Serco Group plc

Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) Contract

Ensure our marketing initiatives are achieved and that consistent communication of our products and services are provided to our retail and wholesale brokers. Further develop existing broker relations as well as establish new relationships in targeted territories to attract business opportunities.

YEAR

Argo Group International Holdings Ltd.

Senior Underwriter, General Construction

ea_via_bold

Argo Group International Holdings Inc

At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership Team. Provides leadership in healthcare management to ensure day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure.

Concentra Inc.

Physician Center Medical Director

CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Domain Principal Architect (Remote)

As the first point of contact for patients and insurance representatives, the Medical Billing Office Receptionist plays a key role in ensuring exceptional customer service and supporting the daily operations of our billing department. Cirrus Integrated Practice Management (CiPM) is seeking a dedicated and customer-focused Medical Billing Office Receptionist to join our growing team.

Cirrus iNtegrated Practice Management

Medical Billing Office Receptionist

Extraordinary teams building inspiring projects: Since 1898, we have helped customers complete more than 25,000 projects in 160 countries on all seven continents that have created jobs, grown economies, improved the resiliency of the world''s infrastructure, increased access to energy, resources, and vital services, and made the world a safer, cleaner place. Project Overview: Bechtel Manufacturing and Technology (M&T) is an exciting and growing business that serves the increasing demand of EPC services for customers in the semiconductor (manufacturing facilities and supply chain); data center, electric vehicle (batteries, charging infrastructure, and production); and life sciences markets.

Bechtel Corp

Project Controls Manager

As a Civilian Pay Technician (OA), (at the full performance level) you will perform the following duties: Coordinate and provide technical assistance and training for timekeeping and related payroll activities; Provide guidance and assistance to employees on various payroll programs and actions; Review and reconcile a variety of bi-weekly payroll reports; Respond to pay and leave inquiries; Audit payroll and leave accounts to determine accuracy and, if required, initiate action to process an adjustment; and. GS-05: You qualify for the GS-05 grade level if you possess one of the following: Experience: One (1) year of specialized experience, equivalent to the GS-04 grade level in the federal service, performing duties such as: Providing courteous and timely customer service by phone and email; Maintaining files to include uploading documentation electronically in an organized format for specialist or supervisory reference and review; and.

U.S. Department of Homeland Security

Civilian Pay Technician (OA)

ADAPTED_NOW

The role involves reviewing the claim, performing focused assessments of claimed injuries, reviewing medical records, and potentially rendering a medical opinion based on the record review and completed Compensation & Pension (C&P) exam. Conduct Comprehensive Medical Disability Examinations: Perform thorough and focused medical evaluations of Veterans, including reviewing their medical history, conducting physical examinations, and assessing the impact of disabilities on their daily life and functional abilities.

OUR MISSION is to be the partner of choice for government agencies by providing a solid foundation, quality processes, and precise outcomes through rapid recruitment and deployment of personnel services.

OUR VISION is to create a culture by empowering people to be treated as partners in order to create effective solutions in which we can all call OUR SUCCESS.

OUR NAME "Loyalty is willing in that it is freely given, not coerced. It is chosen after personal consideration, not something that one is born into. Loyalty is practical in that it is practiced. It is actively engaged upon, not passively expressed merely as a strong feeling about something. Loyalty is thoroughgoing in that it is not merely a casual interest but a wholehearted commitment to a cause." – Royce

Loyal Source

Examiner Physician Assistant

Examiner Nurse Practitioner

certifications, seminars, courses, annual conferences, mentorship; 28 Vacation Days, 12+ State Holidays, and 4 Days to volunteer; Medical, Dental and Vision Health Benefits to meet the needs of employees and their eligible family members from the Commonwealth of Virginia as well as optional FSA; Participation in the Virginia Retirement System (VRS) and other retirement saving options; Parental and Caregiver Leave, Short Term Disability (STD), Disability Insurance, Voluntary Long Term Care Insurance, and Employee Assistance Program. Mission: To reduce the state cancer burden for all Virginians by addressing the confluence between biological, social, and policy drivers through high-impact, cutting-edge research; person-centered care across the continuum, from prevention through survivorship; community integration; and training the next generation of community-centric researchers and healthcare professionals.

Commonwealth of Virginia

Research Scientist & Tobacco Treatment Program Manager

Quickly and accurately takes customer orders over the phone and online, invoice customer orders, direct efforts to accurately pick and stage parts for delivery, and route delivery specialists to ensure customers receive their orders in a consistent and timely manner. If you require a reasonable accommodation during the application or employment process, please send an email to: rar@oreillyauto.com or call (800) 471-7431 option 1, and provide your requested accommodation, and position details.

HOUR

It started with a father and son - Charles Francis "C.F." and Charles H. "Chub" O’Reilly. Together they had the courage and confidence to venture out on their own. Along with 11 others who shared the same desire to offer great customer service and auto parts availability, the doors of O’Reilly Automotive, Inc. opened on December 2, 1957.

Now, more than 61 years later, the 77,000-plus team members at O’Reilly Auto Parts are proud of the company’s achievements over the years.

During our early years, we focused on sales and slow and steady growth. At the end of our first year, sales totaled $700,000, and by 1961 volume reached $1.3 million. For the first seven years of operation, there was one store in Springfield, MO, until the second opened in July 1964. In March 1975, annual sales volume rose to $7 million and a 52,000 square-foot facility was built in Springfield for the O’Reilly/Ozark warehouse operation. By that time, the company had nine stores, all located in southwest Missouri.

The long range plans and stability of the company were solidified by a public offering of company stock in April 1993. Since that time, the Company has grown through new store and distribution center openings, as well as numerous mergers and acquisitions. O’Reilly currently operates stores in 47 states, including Alaska and Hawaii, and distribution centers in 27 locations.

Dramatic changes in technology, inventory control, facilities, and sheer size mark the O’Reilly growth and success story. But, it is our spirit of teamwork - how important it was then and how important it remains - that drives our performance. The company’s values and culture that started with the original 13 employee/owners remain evident and strong as we expand and develop Team O’Reilly.

We serve two distinct customer bases - the professional (installer) customers who provide auto repair services to their customers (DIFM - do it for me), and retail "walk-in" customers (DIY - do it yourself). Our dual-market strategy continues to differentiate us from the competition and is a major factor in our ongoing success. Depending on a store’s professional versus retail customer mix, more than 95 percent of our locations have team members dedicated to our professional customers, offering them separate counters, phone lines, and a delivery fleet that totals 18,455 vehicles. We also have a professional sales team, consisting of territory sales managers and in-store sales specialists, responsible for calling on our professional customers and building sound business partnerships to ensure O’Reilly is the First Call for their auto parts needs.

O'Reilly Automotive Inc

14 - $14 an hour Shift differential(extra $1/hr nights & wkds) Work hours- 9:00am-6:00pm (EST); Work Days- Mon-Fri Paid Training - typically 1 week in length from 9:00am-6:00pm (EST) Status- Full Time 40 hours Five Star Solutions values diversity and is committed to cultivating a professional, diverse workforce by hiring the best people available and providing the best service possible to our customers. Join our team as a Medical Billing Customer Service Representative and help patients navigate their billing questions with professionalism, patience, and care!

Five Star Solutions

Medical Billing Customer Service Representative

As a Senior Agentic AI Engineer, you will design, build, and operationalize the LLM- and SLM-powered systems behind real healthcare decisioning - the reasoning, orchestration, retrieval, memory, and control layers that let intelligent agents operate reliably across the hardest decisions in the industry: clinical reasoning, prior authorization and claims integrity, care navigation, and the operational workflows that run across payers, providers, and life sciences. Deloitte brings together AI researchers, modeling and platform engineers, architects, clinical and domain specialists, and product leaders to build, deploy, and operate verticalized AI systems across software, data, models, and cloud infrastructure - engineered for one of the most complex operating environments in the world.

Deloitte Touche Tohmatsu Ltd

Senior Agentic AI Engineer - Healthcare AI

As an Agentic AI Engineer, you will design, build, and operationalize the LLM- and SLM-powered systems behind real healthcare decisioning - the reasoning, orchestration, retrieval, memory, and control layers that let intelligent agents operate reliably across the hardest decisions in the industry: clinical reasoning, prior authorization and claims integrity, care navigation, and the operational workflows that run across payers, providers, and life sciences. Deloitte brings together AI researchers, modeling and platform engineers, architects, clinical and domain specialists, and product leaders to build, deploy, and operate verticalized AI systems across software, data, models, and cloud infrastructure - engineered for one of the most complex operating environments in the world.

Deloitte

Agentic AI Engineer - Healthcare AI

FULL_TIME

OTHER

Serve as the designated lead for HIPAA compliance, managing Business Associate Agreements (BAAs) and leading breach response protocols per the Capital One process; ensure appropriate actions are reported, gaps are closed and communicated as appropriate. Plan Documentation and notices: Partner with vendors and/or internal partners to structure and write all required plan documentation and notices, including, Summary of Material Modifications (SMMs), SBCs, benefit booklets, maintaining Summary Plan Descriptions (SPDs), etc.

Insurance Claims Specialist Jobs in Virginia

Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) Contract Serco Group plc

Senior Underwriter, General Construction Argo Group International Holdings Ltd.

Senior Underwriter, General Construction Argo Group International Holdings Inc

Physician Center Medical Director Concentra Inc.

Domain Principal Architect (Remote) Blue Cross and Blue Shield Association

Medical Billing Office Receptionist Cirrus iNtegrated Practice Management

Project Controls Manager Bechtel Corp

Civilian Pay Technician (OA) U.S. Department of Homeland Security

Examiner Physician Assistant Loyal Source

Examiner Nurse Practitioner Loyal Source

Research Scientist & Tobacco Treatment Program Manager Commonwealth of Virginia

iss O'Reilly Automotive Inc

Medical Billing Customer Service Representative Five Star Solutions

Senior Agentic AI Engineer - Healthcare AI Deloitte Touche Tohmatsu Ltd

Agentic AI Engineer - Healthcare AI Deloitte

Senior Agentic AI Engineer - Healthcare AI Deloitte

Principal Associate, Plan Management and Governance Compliance Capital One

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