- Immigration and Customs Enforcement (Washington, DC)
- …ensure adherence to industry practices in eligibility verification, authorization of care, claims management denials and appeals to minimize adverse outcomes ... Summary The Claims Management Program Analyst supports the Health Plan...management program analyst lead when necessary. Serves as CMP representative between IHSC, third-party administrator, CBP components, and ICE… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …or decisions. The CTA is vital to ensure that there is always a centralized representative on all active appeals even as other Government counsel are assigned ... the Department of Justice. The CTA is DLA's lead representative before the ASBCA. The CTA represents DLA in...litigating cases before the Armed Services Board of Contract Appeals , Court of Federal Claims , and Government… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... claim review team work, with a particular emphasis on claim and data management, claim assessment, knowledge management and training coordination. Working closely… more
- Highmark Health (Washington, DC)
- …of benefit billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more