June 8, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com.
Gaithersburg, MD4 days ago
June 24, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
We are a team of forward-looking professionals in need of a strong candidate with these key required skills: Modern Development (Python, Java, PHP), Structured Data (XML, XSD, XSLT, JSON, CSV), Agile / Scrum development, AI-Assisted Development, relational databases (PostgreSQL, MySQL, Oracle).
HII - Mission Technologies is currently seeking a SME Information System Security Manager (ISSM) to work out of Fairfax, VA in support of the DoD/DoW Advana War Data Platform designed to aggregate operational, intelligence, logistics, and sensor data from multiple domains, enable Joint All-Domain Command and Control (JADC2) by providing a common data fabric, and support AI/ML applications for predictive analytics, targeting, and mission planning. • 15 years relevant experience with Bachelors in related field; 13 years relevant experience with Masters in related field; 10 years relevant experience with PhD or Juris Doctorate in related field; or High School Diploma or equivalent and 19 years relevant experience.
Accounting, Code Compliance, Coding Compliance, Compliance Management, Healthcare Auditing, Health Care Regulation, Health Insurance Portability & Accountability Act (HIPAA), ICD Coding, Medical Billing and Coding, Organizing, Supervisory Management, Trend Analysis, Trend ReportingGrade.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
This 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.
li>Advanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. DUTIES AND RESPONSIBILITIES.
- Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
p style="text-align:inherit"/>All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
li>Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
li>Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
This individual owns the quality assurance process for all medical record reviews, manages inter-reviewer reliability to ensure consistent and defensible clinical decisions across the review team, and serves as the primary point of contact with CMS on medical review operations. Maintain current working knowledge of Medicare coverage rules, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), Medicare payment policy, and applicable CMS program integrity guidance.
District of Columbia30+ days ago
div>Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
li>Under the direction of the Coding Manager assist with coding related tasks such as associate onboarding system testing writing reports working outstanding PFS (Patient Financial Services) accounts monitoring staff productivity or quality etc. Responsible for assisting Inpatient Coding Operations Manager with daily activity to include assisting coding associates with coding questions scheduling and mentoring.
Under the direction of the Coding Manager assist with coding related tasks such as associate onboarding system testing writing reports working outstanding PFS (Patient Financial Services) accounts monitoring staff productivity or quality etc. Responsible for assisting Inpatient Coding Operations Manager with daily activity to include assisting coding associates with coding questions scheduling and mentoring.
With the Hilltop Campus located in the heart of the historic Georgetown neighborhood, and the Capitol Campus, just minutes from the U.S. Capitol and U.S. Supreme Court, Georgetown University offers rigorous academic programs, a global perspective, and unparalleled opportunities to engage with Washington, D.C. Our community is a close-knit group of remarkable individuals driven by intellectual inquiry, a commitment to social justice, and a shared dedication to making a difference in the world. Supporting data collection needs with software/recruitment databases/neuroimaging scheduling and accounts; training lab members in the use of SONA, Qualtrics, and other GU-approved platforms; setting up accounts for equipment use.
li>Conduct medical reviews of Individual Case Safety Reports (ICSRs), including Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs), Adverse Drug Reactions (ADRs), causality assessments, signal detection, case narratives, aggregate reports, and safety data listings, and communicate all applicable comments to the Pharmacovigilance Lead. Conduct medical reviews of clinical trial documents including clinical trial protocols, informed consent forms, Investigator's Brochure and other essential study documents and plans, and provide input to Clinical Development, Medical Writing, and Clinical Operations teams.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser Permanente
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsHyattsville, MD26 days ago
p>Essential Responsibilities: - Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities.
- Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Williamsburg, New York27 days ago
p>Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. ENT and Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians practicing across 70+ clinical locations in New York, New Jersey, Pennsylvania, and Texas.
Description: Job Summary: For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
Description: Job Summary: For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
p>Description: Job Summary:
For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life.
Essential Responsibilities:
- esponsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Gaithersburg, MD30+ days ago
p>Description: Job Summary:
For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
Gaithersburg, MD30+ days ago
p>Description: Job Summary:
For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life. Completes comprehensive psychosocial assessment to evaluate patient goals, social support systems, resources, health status, functional limitations, psychological status, environmental factors, and response to treatment so as to decrease inappropriate utilization of medical services.
Hyattsville, MD26 days ago
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Gainesville, VA30+ days ago
Must have knowledge of Value Based Care and Quality Improvement processes to provide excellent health care to patients of all ages (newborn to 100+) and Medical Spa clients. The ideal candidate is highly organized with excellent written and verbal communication skills and a friendly demeanor.
p>Job Summary: For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve his/her optimal level of independence, and enhance quality of life.
Essential Responsibilities:
- Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.
Identify and explore areas where real‑world clinical practice, systems of care, or patient experience may diverge from established evidence, guidelines, or evolving scientific understanding, and engage customers in scientific dialogue to better understand contributing factors and potential opportunities for improvement. Support patient‑focused discussions that highlight unmet needs, variability in care delivery, and barriers to optimal outcomes across diverse care settings, ensuring engagements remain grounded in scientific evidence and compliant medical exchange.
Identify and explore areas where real‑world clinical practice, systems of care, or patient experience may diverge from established evidence, guidelines, or evolving scientific understanding, and engage customers in scientific dialogue to better understand contributing factors and potential opportunities for improvement. Support patient‑focused discussions that highlight unmet needs, variability in care delivery, and barriers to optimal outcomes across diverse care settings, ensuring engagements remain grounded in scientific evidence and compliant medical exchange.
Atradius is our financial guarantor ensuring salaries and social charges of temporary workers in case of default in accordance with article L-1251-50 of the Labor Code. Staffmatch, interim group, declares its activity to DRIEETS (Regional Interdepartmental Directorate for Economy, Employment, Labor and Solidarity) in accordance with article R-124-1 of the Labor Code.
Chantilly, VA30+ days ago
p>In addition to the above, the minimum requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff IV) include: • A minimum of (7) years of hands-on experience in managing enterprise Windows systems, including Active Directory, Group Policy administration, configuration, troubleshooting, and security hardening to maintain a secure operational environment, is required.
Minimum Requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff III) include:
• Bachelor's of Science in Computer Science, Engineering, or a related field-or equivalent hands-on experience that demonstrates your technical expertise and innovative mindset is required.
p>GS-9 Experience Requirement: In addition to the basic requirements, you must possess the following: - One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient); OR,
- An associates degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR,
- Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR,
- Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement.
The Medical Records Technician (Clinical Documentation Improvement Specialist) (CDIS) is located within the Health Information Management Section (HIMS) of the Business Operations Service (BOS) at the Kansas City VA Medical Center (KCVAMC).Incumbent provides quantitative and qualitative review and analysis of medical records and encounter forms of both inpatient and outpatient encounters to ensure all diagnoses and conditions for which care is being rendered are documented by the provider in the proper sequence, and procedures have been documented and/or evaluation and management services.
p>This role reports to the VP of Web/Digital Engineering and is a key technical leadership role for someone who still enjoys staying close to the code while mentoring developers and improving how we deliver software. You will be deeply involved in code reviews, process improvement, and cross-functional collaboration with Product Owners, QA, and vendor partners to ensure high-quality, timely releases across multiple initiatives.
Silver Spring, MD19 days ago
5 years Five years of progressive experience in health information technology or healthcare operations, with a focus on revenue cycle front-end workflows such as patient registration, scheduling, and referral management and/or revenue cycle back-end workflows such as hospital billing, professional billing, charge capture, HIM and Coding. 3 years Minimum of three years in a leadership or senior systems support role, overseeing EHR applications, preferably in EPIC, and collaborating closely with operational stakeholders to optimize system performance, workflow alignment, and end-user adoption.
Bethesda, Maryland30+ days ago
Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. This role is the critical layer between the Senior Director and individual contributors—setting the bar for code quality, consistency, and accountability while ensuring velocity and quality improve together.
Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations; Strong written and verbal communication skills to communicate in clear, concise terms to management at all levels and the ability to articulate complex regulatory information in layman's terms. Creates materials and trains Service Line Analysts, revenue cycle site directors, committee members, and revenue cycle staff as necessary on denials-related trends and issues impacting assigned client(s) and operational area(s).
p>What You Will Do: The Remote Hospital Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
li>Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients;
Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows;
Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases;
Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards;
Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases;
Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes;
Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases;
Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams;
Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps;
Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and,
Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.
silver spring, MD30+ days ago
Experience Required: (5) Five years of progressive experience in health information technology or healthcare operations, with a focus on revenue cycle front-end workflows such as patient registration, scheduling, and referral management and/or revenue cycle back-end workflows such as hospital billing, professional billing, charge capture, HIM and Coding. Required Skills/Knowledge: Epic System Expertise \u2013 Strong understanding of Epic functionality, modules, and healthcare workflows, with the ability to configure and optimize Epic applications to meet organizational needs.
This senior-level position requires a dynamic leader with extensive hands-on management experience (10+ years minimum) who can drive cross-functional teams to streamline patient access, billing, and collections processes while optimizing technology platforms and ensuring regulatory compliance to maximize cash flow and minimize claim denials.
Required Qualifications- Bachelor’s degree in healthcare administration, Business, Finance, Health Information Management, or a related field required.
p>This role reports to the VP of Web/Digital Engineering and is a key technical leadership role for someone who still enjoys staying close to the code while mentoring developers and improving how we deliver software. You will be deeply involved in code reviews, process improvement, and cross-functional collaboration with Product Owners, QA, and vendor partners to ensure high-quality, timely releases across multiple initiatives.
District of Columbia30+ days ago
We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily.
p>Pharma Commercial Data Domain Expertise (Critical)This role requires demonstrated, working knowledge of the following IQVIA and third-party pharmaceutical data assets: Sales & Demand DataIQVIA DDD / NPA / NSP: Deep understanding of sub-national prescriber-level (DDD), national prescription audit (NPA), and national sales perspectives (NSP) data structures, including product hierarchies, outlet types, and projection methodologies. AI-Ready Data Architecture & EnablementFeature Store & ML-Ready Datasets: Design and build curated, governed feature stores and ML-ready datasets on Snowflake to accelerate data science workloads including patient propensity models, next-best-action engines, formulary prediction, and treatment-pathway classifiers.