Medical Claims Processing jobs in Suitland, MD

A leading employee benefits provider in Washington is looking for a Medical Consultant specializing in Internal Medicine and related fields. This role involves providing expert medical analysis for claims, guiding healthcare partners, and interacting professionally with clients. A competitive salary range from $133,500 to $274,100 is offered, along with a comprehensive benefits package including...

Join to apply for the Medical Claims Integrity Specialist role at Unity Health Care 3 weeks ago Be among the first 25 applicants Join to apply for the Medical Claims Integrity Specialist role at Unity Health Care This range is provided by Unity Health Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $*****/hr -...

Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will...

A leading health company in Washington, D.C. is seeking a Physical Therapist Reviewer responsible for performing medical record reviews related to physical therapy claims. This role demands a BA/BS in Physical Therapy with a minimum of 3 years of clinical experience. The position focuses on conducting claim reviews, documenting findings, and coding complex claims according to coding guidelines....

A government healthcare consulting firm is seeking a Medical Review Analyst (RN) to conduct medical record reviews and apply clinical judgment to claim payment decisions. The ideal candidate will have a current RN license, 5-7 years of medical field experience, and proficiency in reviewing medical claims. Strong investigative and communication skills are essential. This role requires working...

Become a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized at the Initial and Appeals/Disputes level. All work occurs within a context of regulatory compliance, and work is...

Become a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may...

Job DescriptionThe Oracle Medication Process team's mission is to reimagine how medications are ordered, dispensed, and administered across care settings worldwide. By embedding intelligent automation, clinical decision support, and data-driven insights into our products, we enable clinicians and pharmacists to deliver safer, more efficient, and more personalized care.We are seeking a highly...

A health technology company is seeking a Quality Engineer to guide process validation strategies and ensure compliance with regulatory standards in Washington. The role includes overseeing design control processes and leading quality improvement initiatives. Candidates should possess a Bachelor's in engineering and have relevant experience in medical device manufacturing. Competitive compensation...

Why USAA? The following information aims to provide potential candidates with a better understanding of the requirements for this role. At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at...

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

A dedicated staffing solutions organization is seeking a DMAVR Claims Manager to manage claims under the DMAVR program in Washington, DC. The role requires reviewing and processing victim claims, coordinating with stakeholders, and providing exceptional customer service. Ideal candidates will possess a Bachelor's degree along with 3 years of relevant experience in victim services or customer...

Job Title: Director of Claim Operations Location: Remote/Minimal Travel Required (<5%) US Citizen: Must be US Citizen Security Clearance: Not Required Apprio is an innovator of specialized technology and program solutions for the federal health, defense, and homeland security markets. The company provides services in technology transformation, organizational excellence, health IT & solutions,...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

A leading employee benefits provider in Washington is seeking a Medical Consultant responsible for providing expert medical analysis of claims across US product lines. The role involves offering clear medical direction, collaborating with peers, and ensuring high-quality consultations. Candidates must have a medical degree, an unrestricted license, and five years of clinical experience. This...

A leading healthcare organization is seeking a Medical Director who will utilize their medical expertise to determine service authorization while adhering to regulatory compliance. This remote role requires collaboration with healthcare professionals and will involve responsibilities around case management, quality management, and communication. The ideal candidate will have an MD or DO degree...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top...