Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Case Manager - Cost Optimization & Claims Analysis

ullico inc.

Ullico Inc. is actively recruiting a Case Manager for the Silver Spring, MD office. The role involves analyzing claims for potential financial exposure, gathering clinical information, and providing recommendations. Ideal candidates will possess a BSN and RN license with at least 5 years of clinical experience. Benefits include health insurance, a pension plan, and a 401K. The company has been a proud partner of the labor movement for over 95 years, ensuring protection for its customers. #J-18808-Ljbffr ullico inc.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Case Manager - Cost Optimization & Claims Analysis in Bethesda, MD vacancy
  • $78k - $82k

    Position Title: Medical Case Manager EI (Remote) 2026-1476 Location: Orlando...  ...preferred 3 years related clinical experience with at least 1...  ...set, level of experience, and cost of a specific location. For the...  ...confidently manage risk and claims. With decades of experience... 
    Claims
    Full time
    For contractors
    For subcontractor
    Work at office
    Local area
    Remote work
    Work from home
    Home office
    Flexible hours

    Sedgwick Government Solutions

    Bethesda, MD
    2 days ago
  • $132k - $198k

     ...strong background in optimization to join our growing team...  ...experts, product managers) to integrate optimization...  ...validation, and performance analysis of optimization...  ...available at little to no cost to employees) ensures...  ...fraudulent outreach claiming to be from Anduril, please... 
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Washington DC
    6 hours ago
  •  ...Company is actively recruiting a Case Manager for our Silver Spring, MD...  ...trigger reports” and high dollar claim referrals to identify...  ...physician charges, specialty drug costs, usage and provide potential...  ...alternatives. Gather and analyze clinical information and medical... 
    Claims
    Work at office

    ullico inc.

    Bethesda, MD
    2 days ago
  • $108k - $145k

    Overview As a Senior Cost Manager at Linesight, you will work with highly experienced, culturally...  ...tender/bid documentation through analysis and reporting Manage the change management...  ...accounts, including the handling of any claims to ensure the client gets best value from... 
    Claims
    Contract work

    Linesight

    Washington DC
    3 days ago
  •  ...reporting to the Clinical Ancillary Services...  ...financial impact analysis, revenue forecasting...  ...and gross revenue optimization. Independently works...  ...Pharmacy revenue management issues, analyze...  ...measurement, and cost; ensure compliance...  ...medication-related claim denials and outstanding... 
    Claims
    Temporary work
    Work at office
    Flexible hours

    Children's National Health System

    Silver Spring, MD
    2 days ago
  • We are seeking a Cost Estimator to support large-scale capital construction...  ...cost estimating, change management, and the development of standardized...  ...and performing what-if cost analysis Participate in and support change order and claims negotiations with contractors Facilitate... 
    Claims
    Full time
    For contractors

    RJM Technologies

    Alexandria, VA
    1 day ago
  • $89.07k - $162.8k

     ...Serves as a member of the Case Management Team and applies RN clinical expertise and medical...  ...the delivery of quality cost effective patient-centered...  ...resources and works to achieve optimal clinical and resource...  ...service surveys LOS data analysis charge/discharge data comparison... 
    Temporary work
    Relocation

    MedStar Health

    Washington DC
    6 hours ago
  •  ...generating assets under management. This position helps...  ...understand the operations and optimization of solar assets,...  ...for financial cost of purchasing, storing...  ...and support insurance claims Interface with the origination...  ...and underperformance analysis. Perform project... 
    Claims
    Contract work
    Work at office
    Local area
    Remote work

    Summit Ridge Energy

    Arlington, VA
    5 days ago
  • $168.1k - $268.7k

     ...directly influence clinical development decisions...  ...world evidence, and cost-effectiveness analysis, you’ll play a pivotal...  ...outcomes (PRO) to optimize clinical development...  ...alignment with labeling claims Prepare...  ...support US Account Management teams, Medical Science... 
    Claims
    Worldwide

    Biontech

    Gaithersburg, MD
    2 days ago
  •  ...Description Job Description Job Title: Case Manager Location: Tysons - VA About Us:...  ...and Letters of Protection (LOPs), file claims, and ensure timely case documentation in...  ...providers to verify balances and reduce costs for clients. Case Resolution: Collaborate... 
    Claims
    Remote work

    Rodriguez Law Firm

    Vienna, VA
    a month ago
  • $70.34k - $115.57k

     ...The RN Clinical Consultant serves as a clinical resource...  ...medical reviews and analysis of long-term and or short-term disability claims. The Clinical...  ...medical data, to assist the Case Managers in determining claim liability...  ...care and ensure optimal treatment outcomes and... 
    Claims
    Full time
    Temporary work
    H1b
    Work at office
    Remote work
    Visa sponsorship
    Work visa
    Flexible hours

    Guardian Life

    Washington DC
    3 days ago
  • $123.59k - $167.21k

     ...Federal Regulations. This is a professional-level position operating independently. Work situations are varied and require initiative, analysis, interpretation of information from a variety of sources, a service-oriented individual, and the use of discretion and good... 
    Full time
    Contract work
    Local area
    Monday to Friday
    Shift work

    MultiCare Health System

    Washington DC
    3 days ago
  •  ...regulations. The officer will work closely with management and employees to promote a culture of...  ...safety regulations. Perform root cause analysis for incidents and accidents to prevent...  ...of contact for workers' compensation claims and ensure compliance with relevant laws... 
    Claims
    Local area

    Seymour Staffing Inc

    Alexandria, VA
    1 day ago
  •  ...Financial/Actuarial Associate Manager As a Healthcare Financial/Actuarial...  ...and measurement and financial analysis of the full spectrum of...  ...plan analysis, design, cost avoidance, risk and funding strategies...  ...accurate and reliable claim reporting and financial modeling... 
    Claims
    Temporary work
    Work at office
    Local area
    Remote work
    Flexible hours

    Willis Towers Watson

    Arlington, VA
    2 days ago
  • $80.3k - $133.9k

     ...covering valuation modeling, cost optimization, restructuring, government...  ...You’ll Do We are seeking a Claims Data Consultant to join our...  ...Translating research questions into analysis-ready definitions, including...  ...and circumstances of each case. A reasonable estimate of... 
    Claims
    Local area

    Deloitte

    Rosslyn, VA
    4 days ago
  • $115k - $165k

     ...Head of ClaimsJob Description:The Senior Manager, Claims & Risk Management leads HITT's...  ...adequacy, litigation oversight, and total cost of risk while leading the claims organization...  ...problem-solving skills.Proficiency in data analysis, Microsoft Excel, and translating... 
    Claims
    Full time
    For subcontractor
    Local area

    HITT CONTRACTING

    Falls Church, VA
    6 hours ago
  • $49.31 - $54.64 per hour

     ...Special Operations Case / Nurse Case Manager Part-Time (National Capitol...  ..., and procedures in clinical settings in order to...  ...appropriate, cost effective care to Department...  ...in order to ensure optimal stewardship of resources...  ..., rending, and analysis. ~ Ability to design... 
    Temporary work
    Part time
    Local area
    Relocation package
    Flexible hours

    KBR

    Alexandria, VA
    a month ago
  • $42.2 - $55.42 per hour

     ...coordination of appropriate, cost-effective services that...  ..., help achieve his/her optimal level of independence,...  .... Effectively manages and coordinates assigned...  ...collaboration with the nurse case manager and other...  ...Minimum one (1) years of clinical social work experience... 
    Part time
    Work experience placement
    Work at office
    Local area
    Shift work

    Kaiser Permanente

    Silver Spring, MD
    2 days ago
  • $79k - $90k

     ...combine innovative technology, clinical expertise, and human...  ...hands-on workers' compensation case management training. Join our compassionate...  ..., ensure appropriate and cost-effective healthcare services...  ...medical recovery and return to an optimal level of work and functioning... 
    Full time
    Part time
    Local area
    Home office
    Flexible hours

    Genex Services

    Washington DC
    4 days ago
  • $2,507 - $2,668 per week

     ...Case Manager Job #1909164 Silver Spring, MD $2507-2668/week* 40...  ...and the support of a dedicated clinical team. Required Qualifications...  ...continuum, ensuring optimal use of resources and improved...  ...teams to provide efficient, cost-effective, and high-quality patient... 
    Temporary work
    Shift work

    Fusion Medical Staffing

    Silver Spring, MD
    5 days ago
  • $75k - $105k

     ...Brault is a practice management, billing and coding company...  ...account follow-up to optimize collections per visit....  ...monthly written analysis of month end key metrics...  ...monitoring daily and weekly claims processing; provide...  ...Maintain services and costs within established... 
    Claims
    Contract work
    Remote work

    GrabJobs

    Washington DC
    3 days ago
  • $66.58k - $142.58k

     ...community at a time. This RN Case Manager position is 100% remote and...  ...integration. Through the use of clinical tools and information/data review (e.g., assessments, claims, etc…) conducts an evaluation...  ...stock purchase plan. No-cost programs for all colleagues including... 
    Claims
    Hourly pay
    Full time
    Temporary work
    Live in
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    CVS Health

    Washington DC
    2 days ago
  • $166k - $220k

     ...simulation including Monte Carlo analysis, recorded sensor playback,...  ...to production C/C++ code optimized for real-time operational systemsSupport...  ...(available at little to no cost to employees) ensures you’re...  ...or fraudulent outreach claiming to be from Anduril, please report... 
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Washington DC
    3 days ago
  • $146k - $194k

     ...environmentsAnalyze and optimize algorithms for EO/IR...  ...including Monte Carlo analysis, recorded sensor playback...  ...requirements management, trade studies, and verification...  ...at little to no cost to employees) ensures...  ...or fraudulent outreach claiming to be from Anduril, please... 
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Washington DC
    3 days ago
  •  ...The Pursuits Scheduling Manager role involves implementing...  ...of Time impact Analysis, Mitigations/Recovery Analysis and Claim Analysis. DUTIES AND...  ...with means and methods to optimize the schedule. Identify...  ...resources to Revenue and Cost load Project Baseline schedule... 
    Claims
    Work at office
    Local area

    S&B USA Construction

    Washington DC
    4 days ago
  • $110.7k - $372.9k

     ...making has become slow, costly, and adversarial —...  ...and paperwork, claims that misfire, clinical decisions made without...  ...integrity and care management. Retrieval, grounding...  ...mode and regression analysis, and sandboxed test...  ...-tuned or reasoning-optimized models. • Translate... 
    Claims
    Local area
    Visa sponsorship

    Deloitte

    McLean, VA
    2 days ago
  • $191k - $253k

     ...novel approaches and optimizations for complex operational...  ...including Monte Carlo analysis, recorded sensor playback...  ...engineers, program managers, and customersPREFERRED...  ...at little to no cost to employees) ensures...  ...or fraudulent outreach claiming to be from Anduril, please... 
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Washington DC
    1 day ago
  • $160k - $190k

     ...recruiting process. If anyone claiming to represent X-energy...  ...Mechanical Engineering Manager (Pressure Vessel) to...  ...design, analyze, and optimize complex systems, structures...  ...the mechanical design, analysis, and evaluation of...  ...consideration differences in cost of living and may not... 
    Claims
    Full time
    Work at office
    Monday to Friday

    X Energy

    Rockville, MD
    3 days ago
  • $129k - $171k

     ...Manufacturing Finance Manager with 5-7 years of experience...  ..., and growth teams to optimize cost management, pricing,...  ...models, business case analyses, and decision...  ...financials and resource analysis across functions such...  ...or fraudulent outreach claiming to be from Anduril,... 
    Claims
    Full time
    Work experience placement
    Immediate start
    Afternoon shift

    Anduril Industries

    Washington DC
    1 day ago
  •  ...experienced Workers Comp Field Case Managers! Must be an RN and have a...  ...CANDIDATE? Apply your medical/clinical or rehabilitation knowledge...  ...being used in a timely and cost-effective manner in order to...  ...the world’s leading risk and claims administration partner, which... 
    Claims
    Work at office
    Remote work
    Work from home
    Relocation package

    Sedgwick

    Washington DC
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Case Manager - Cost Optimization & Claims Analysis. Be the first to apply!