Office of Employee Appeals - Washington, DC

The Office of General Counsel (OGC) is responsible for identifying and meeting the legal needs of the Department of Veterans Affairs (VA). The primary objective is to ensure the just and faithful execution of laws, regulations and policies administered by VA. · The General Counse ...

The Senior Manager oversees Managers/Staff to provide property tax compliance consulting and appeal services for assigned clients. · Award-Winning Culture · Generous Personal Time Off (PTO) Benefits · 14-Weeks of 100% Paid Leave for New Parents (Adoption Included) · Monthly Gym M ...

This position is responsible for working with CareOregon members their providers and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit.Core responsibilities include customer service claims processing assistance with prior authorizat ...

The Child and Family Services Agency (CFSA) is a cabinet-level agency within the District of Columbia government committed to protecting child victims family-focused services. This position serves as Program Manager for Facility Licensing Child Protection Register and Fair Hearin ...

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. · ...

The Senior Tax Consultant assists and supports team members in performing Real Estate and/or Business Personal Property assessment reviews for DMA clients, to achieve maximum tax savings and provide other state and local tax consulting services. · ...

+ This position serves as a trial attorney in the Office of the General Counsel. Primary duties include providing legal counsel on Federal Government contracts, contract claims and disputes, acquisition policy and information technology related subjects. The incumbent will also a ...

Come lead with us at Corporate. At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) m ...

The Registered Nurse – Utilization Management I supports one or more specific utilization management (UM) program functions within the Clinical Operations department.Maintain confidentiality of all discussions, · refer members to care coordination per policies · and procedures, · ...

This role is part of the District Department of Transportation (DDOT), Human Resources Division, Employee Relations Branch. The employee relations specialist serves as a trusted advisor and subject matter expert on workplace relations ensuring a positive productive and legally co ...

The Registered Nurse – Utilization Management I is responsible for supporting one or more specific utilization management (UM) program functions within the Clinical Operations department. UM program functions include Benefit Management, Benefit Review and Appeals and Grievances. ...

The Senior Tax Consultant assists and supports team members in performing Real Estate and/or Business Personal Property assessment reviews for DMA clients, · to achieve maximum tax savings and provide other state and local tax consulting services.Provide support for team members ...

The Property Tax Senior Consultant works with a team to identify property tax savings opportunities for clients and possesses an intermediate understanding of valuation techniques. · The ideal candidate will have analytical and problem-solving skills, · coupled with strong people ...

We are leaders in assisting front-line providers and engaging health care partners to improve care delivery and patient outcomes. · A national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than ...

+Park Hyatt Washington is looking for an experienced Banquet Server. · +Perform all aspects of food and drink service at hotel banquet functions · Ensure the event space is visually appealing... · ...

+ Lead coding specialists at Houston Methodist Primary Care Group.+ Abstract diagnosis and procedural services from physician records.+ Review charge review and claim edit related coding errors.<+ Mentor coding specialists,<+ Provide cross-training,+ Collaborate with management o ...

The Sr Coding Specialist position at Houston Methodist Primary Care Group is responsible for applying correct coding conventions to patient charge encounters in a clinical environment.Coding specialists abstract diagnosis and procedural services from physician records and review ...

Comagine Health is seeking a Board-Certified Pediatrician to work as a Medical Reviewer. This position is fully remote within the D.C. area and well suited for physicians looking for flexible, non-clinical work while maintaining an active or reduced clinical practice. · ...

Responsible for coordinating and directing the Co-worker Relations programs and functions. · Develops, implements, · and administers the co-worker relations area of the personnel program in an effort to improve co-worker relations. · ...

This job reviews requests for medication coverage determination for prior authorization review and appeals. · Makes coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. · Updates ...