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

Strategic Authorization & Referral Claims Lead

$94.9k - $130.5k

Humana Inc

Humana Inc. is looking for a Process Improvement Lead to enhance business processes and develop improvements. This role involves substantial collaboration with teams to translate business needs into technical requirements, requiring 2+ years of experience in claims processing and project management. The position involves analyzing operational data, facilitating workshops, and ensuring compliance in process enhancements. Remote work is available, with occasional visits to the office and a competitive salary range of $94,900 to $130,500 per year. Benefits include medical, dental, vision, and retirement savings plans. #J-18808-Ljbffr Humana Inc

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Strategic Authorization & Referral Claims Lead in Washington DC vacancy
  • $249.97k - $388.13k

     ...Director, Global Value Evidence Lead, is a strategic leader responsible for...  ...application processing fee, even if claimed you will be reimbursed,...  ...at: , or your local authorities. Otsuka America Pharmaceutical...  ...as a result of an agency referral where no pre-existing... 
    Claims
    Temporary work
    Local area
    Flexible hours

    Otsuka America Pharmaceutical Inc.

    Washington DC
    5 days ago
  • $54.21k - $90k

     ...difficult general liability claims to determine benefits...  ...backup for team lead when out of the office...  ...claims within designated authority. Calculates and...  .... Coordinates vendor referrals for additional investigation...  ...techniques including strategic vendor partnerships to... 
    Claims
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Washington DC
    3 days ago
  • $23.56 per hour

    ZAI is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our...  ..., the National Capital Region’s premier authority for appointment coordination and referral...  ...Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral U.S.... 
    Claims
    Hourly pay
    Contract work
    For contractors
    Work at office

    Kinsley Power Systems

    Bethesda, MD
    3 days ago
  •  ..., USA is seeking a Portfolio Manager for a part-time, fixed-term position until 30 June 2028. This role provides strategic leadership for the Authorization Redesign project within the Professional Development team. The ideal candidate will have substantial experience in... 
    Suggested
    Part time
    Fixed term contract
    Flexible hours

    International Baccalaureate

    Washington DC
    2 days ago
  • The Opportunity IntePros Federal is seeking a Strategic Growth Lead to identify, shape, capture, and win strategic contract opportunities across...  ...with your Form I‑9 information to confirm that you are authorized to work in the U.S. All qualified applicants will receive consideration... 
    Suggested
    Contract work
    Work at office
    Remote work

    Intepros Federal

    Washington DC
    2 days ago
  • $82k - $118k

    The Strategic Engagement Lead serves as the primary coordinator for strategic engagement planning activities supporting the federal client....  ...awarded the associated government contract and receiving authorization to proceed. Key Responsibilities Lead coordination for... 
    Full time
    Contract work
    Temporary work
    Work at office
    Remote work

    VetJobs

    Arlington, VA
    2 days ago
  •  ...surface vessel industrial activities. Public Policy and Strategic Engagement Lead Serving as a trusted advisor to the SIB Program Office in...  ...across the executive and legislative branches. Experience authoring or advancing federal legislation, familiarity with the legislative... 
    For contractors
    Work at office
    Flexible hours

    Serco

    Washington DC
    18 hours ago
  • Public Policy and Strategic Engagement Lead - U.S. Navy Submarine Industrial Base (SIB) Serco is seeking an experienced public policy professional...  ...the executive and legislative branches. Experience authoring or advancing federal legislation and familiarity with the... 
    Work at office
    Work from home

    Serco

    Arlington, VA
    4 days ago
  • $169.4k - $279.6k

     ...of AI and Emerging Technology Architecture, you'll be joining a strategic and collaborative team that is passionate about transforming...  ...capabilities and paving the way for best-in-class solutions. As a Lead Architect, you will collaborate with senior Technology and... 
    Claims
    Temporary work
    Work experience placement
    Local area

    Travelers Insurance

    Washington DC
    4 days ago
  • Gainwell Technologies is seeking a Claims and Finance Lead in Washington, DC. This leadership role focuses on overseeing claims management operations and financial accuracy, leading a team dedicated to timely claim adjudication and process optimization. The ideal candidate... 
    Claims

    Gainwell Technologies

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

     ...International Deployment Lead, Middle East Irvine, California, United States; Remote...  ...control center. As the world enters an era of strategic competition, Anduril is committed to...  ...any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately... 
    Claims
    Full time
    Work experience placement
    Immediate start
    Remote work
    Worldwide

    anduril

    Washington DC
    1 day ago
  • $25 - $29 per hour

     ...from home! The Bankruptcy Team Lead will be responsible for...  ...processes • May have signing authority to sign bankruptcy documents...  ...Motion for Reliefs, Proof of Claims, Transfer of Claims, Reaffirmations...  ...your career. Employee referral bonuses so you'll get the opportunity... 
    Claims
    Extra income
    Work experience placement
    Work from home

    Carrington

    Washington DC
    1 day ago
  • $152k - $242k

     ...reinsurance usage, underwriting authority standards, audit process and as part of the referral pathway. The position...  ...Services, Legal, Claims, Risk Control and...  ...practices.7. Implements strategic objectives, underwriting...  ...Property.12. May take lead responsibility for the... 
    Claims
    Temporary work
    Work experience placement
    Work at office

    CNA

    Washington DC
    1 day ago
  • $152k - $242k

     ...accordance with the company’s strategic plans. In this officer-level...  ...through a blend of underwriting, claims, and/or legal experience. You...  ...with enterprise strategy. Leads policy form development,...  ...Drives adherence to underwriting authority delegation, audit criteria and... 
    Claims
    Work experience placement
    Work at office

    CNA

    Washington DC
    1 day ago
  •  ..., and cost efficiency. Role Overview The Lead, 340B Growth and Partnerships will be responsible...  ...partnerships based on revenue potential, strategic value, and implementation feasibility....  ...required workflows, documentation, claims processes, replenishment procedures, and... 
    Claims
    Contract work
    Local area

    Pharmacy First Health

    Washington DC
    2 days ago
  • $137.28k - $171.6k

     ...The Environmental Health & Safety (EHS) Lead develops, implements, and monitors company...  ...objectives for the EH&S program(s) to ensure strategic business objectives are met. May also...  ...Provide support for worker’s compensation claims including intake, investigation,... 
    Claims
    Temporary work
    For contractors
    Work experience placement
    For subcontractor
    Local area

    Role, Inc.

    Washington DC
    18 hours ago
  • As a BI Lead Analyst, you will be responsible for working closely with many divisions of...  ..., Technology, Performance, Growth, and Strategic Payer Partnerships. This position develops...  ...experience working with healthcare data (e.g. claims, EHR, clinical) Experience analyzing... 
    Claims

    Aledade, Inc.

    Washington DC
    2 days ago
  • $89k - $117k

    Contingent upon contract award. Strategic Communications Lead and Deputy Program Manager serves as the principal strategic communications advisor...  ...the associated government contract and receiving authorization to proceed. Key Responsibilities Support development of... 
    Full time
    Contract work
    Temporary work
    For subcontractor
    Work at office
    Local area
    Remote work

    LMD Agency

    Arlington, VA
    2 days ago
  • $174k - $210k

     ...pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status. The Strategic Partnerships Lead is responsible for building, managing, and operationalizing Istari's ecosystem of strategic technology partners-... 
    Permanent employment
    For contractors
    Remote work
    Home office
    Flexible hours

    Istari Digital

    Washington DC
    4 days ago
  •  ...Ivyhill has an immediate need for Referral Management Reviewers (Non-Nurse) for...  ...Proactively collaborates with team leads, Product Line Leaders, Appointing Center...  ...Management, Referral Management, Authorization/Denials, Medical Claims Processing/Insurance Referral. Qualified... 
    Claims
    Temporary work
    For contractors
    Immediate start

    Ivyhill Technologies LLC

    Bethesda, MD
    more than 2 months ago
  •  ...is currently seeking to hire Referral Management (Non-Nurse) Reviewers...  ...’ premier coordinating authority for appointing and referral management...  ...referral process to team lead as needed. # Completes and...  .../Denials, or Medical Claims Processing/Insurance Referral... 
    Claims
    Contract work
    Temporary work
    For contractors
    Currently hiring

    Ivyhill Technologies LLC

    Bethesda, MD
    28 days ago
  •  ...A leading technology solutions provider is seeking a Technical Relationship Manager (TRM) to manage customer relationships and assist with the strategic adoption of technology solutions. Candidates should have at least 5 years of experience supporting enterprise customers... 
    Remote work

    IGEL Technology

    Washington DC
    2 days ago
  • $285k - $305k

     ...Strategic Medical Director, PM&R / Post-Acute Care & DME United...  ...services. What You'll Do: Lead the vision and evolution of...  ...continuumincluding policy, prior authorization, payment accuracy, and...  ...authorization data with post-service claims validation, we're creating a... 
    Claims
    Remote work
    Flexible hours

    Cohere Health

    Washington DC
    18 hours ago
  • $15.75 - $18.5 per hour

    Cardinal Health is looking for a Benefits Eligibility & Authorization Coordinator in Washington, D.C. In this role, you will support the Hold...  ...records and entering documentation into systems to facilitate claim processing. You will also be responsible for reviewing... 
    Claims
    Hourly pay

    Cardinal Health

    Washington DC
    1 day ago
  •  ...A leading recruiting firm is seeking a Proposal & Strategic Communications Specialist in Bladensburg, MD. The role involves developing proposals, strategic communication, and collaboration across departments. Ideal candidates have a Bachelor's degree and at least three... 
    Full time
    Work at office

    Clientmind Recruiting

    Bladensburg, MD
    2 days ago
  • $86.3k - $118.7k

     ...this position the Dental Fraud and Waste Lead for the Humana Dental SIU Team will complete...  ...investigation with law enforcement authorities as well as assembles evidence and documentation...  ...or auditing experience of dental related claims ~ Knowledge of Medicare regulations ~... 
    Claims
    Full time
    Temporary work
    For contractors
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana, Inc.

    Washington DC
    3 days ago
  • TryApplyNow is looking for a mid-level Consultant for Strategic Communications & Outreach in Arlington, Virginia. In this role, you will support a Department of Homeland Security client to enhance national infrastructure security through strategic communications and stakeholder... 

    TryApplyNow

    Arlington, VA
    2 days ago
  • Role, Inc. is looking for a Strategic Pursuits Manager in Arlington, Virginia. In this role, you will lead pursuit teams for high-value AI and cloud opportunities, developing and executing strategies to win $50M+ contracts. The ideal candidate should have over 10 years... 

    Role, Inc.

    Arlington, VA
    3 days ago
  • $115k - $135k

    Datavant is seeking a Strategic Engagement Lead in Washington, DC to drive customer relationships and value realization. You will manage a portfolio, ensuring customer satisfaction and effective program management to foster long-term relationships. Candidates should have... 

    Datavant

    Washington DC
    2 days ago
  • PowerToFly is seeking a Lead in Supply Chain Analytics to manage strategic projects and support technical direction. In this role, you will develop comprehensive analytics capabilities while mentoring and coaching team members. Work alongside leadership to ensure alignment... 
    Remote work

    PowerToFly

    Arlington, VA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Strategic Authorization & Referral Claims Lead. Be the first to apply!