Coordinate day-to-day Project Argos delivery, including scope, schedule, resources, risks, dependencies, deliverables, and stakeholder communications, using a two-week Agile sprint cadence. Maintain Jira as the authoritative project record, track RAID items and contract deliverables, prepare meeting materials and status content, and coordinate closely with technical leads and the Government team.
The Senior Systems Engineer will build and maintain the AWS GovCloud infrastructure for the Project Argos pipeline using infrastructure as code. They are responsible for implementing CI/CD pipelines, ensuring secure data storage, and providing technical evidence for security assessments.
Manage contract administration, funding, compliance, subcontract activity, accounting coordination, financial reporting, budgets, and forecasts across the company’s federal contract portfolio. Lead or substantially support federal proposal pricing and provide leadership with contract and financial dashboards, risk indicators, and documented processes.
Conduct medical record reviews to compare documentation against CMS and CDC reporting systems to ensure accuracy. Classify discrepancies based on severity and assist with quality control and special projects.
The Medical Reviewer will evaluate medical claims for necessity and coverage using clinical guidelines and established protocols. They will also document decisions, provide guidance to LPN team members, and participate in quality control activities.
The HR Manager will lead all human resources functions, including recruiting, compensation, benefits, and employee relations while ensuring compliance with federal labor requirements. The role involves managing HRIS systems, conducting internal audits, and serving as a trusted advisor for employee grievances and performance management.
The Registered Nurse will perform medical reviews of complex claims, pre-authorization requests, appeals, and fraud referrals to determine medical necessity. They will also provide clear rationales for payment determinations and educate internal and external teams on coverage guidelines.
The Medical Reviewer will conduct comprehensive reviews of home health pre-claim review packages to ensure compliance with Medicare coverage, coding, and payment criteria. They are responsible for documenting clinical rationales and maintaining a 98% accuracy standard while meeting strict turnaround times.
The recruiter will consult with leadership to identify and evaluate qualified clinical and technical talent for federal contracts and internal growth. Responsibilities include sourcing candidates, managing the interview process, and coordinating with stakeholders to support proposal-driven hiring efforts.
The Project Coordinator will manage day-to-day project activities, schedules, and deliverable timelines across a portfolio of government contracts. They are responsible for maintaining project documentation, facilitating communication between stakeholders, and supporting compliance reporting and proposal development.
The Redetermination Examiner conducts Medicare redetermination reviews and processes appeals in accordance with CMS guidelines. They are responsible for identifying claims processing deficiencies, maintaining accurate documentation, and providing educational referrals to ensure compliant outcomes.
The Medical Reviewer will evaluate complex claims, pre-authorization requests, and appeals to ensure medical necessity and accurate reimbursement. They will also provide clinical rationales for coverage determinations and support quality control initiatives.
The Appeals Support Specialist is responsible for managing and prioritizing workloads while accurately recording and indexing documentation in the OnBase system. They also coordinate with external stakeholders to order necessary documentation and communicate process trends to management.
The Appeals Support Specialist is responsible for managing and prioritizing workloads while accurately recording and indexing documentation in OnBase. They will also communicate with management regarding process trends and improvements.
The Redetermination Examiner conducts reviews of Medicare claims and responds to appeals in accordance with CMS regulations. They are responsible for identifying processing deficiencies, maintaining accurate documentation, and providing educational support to ensure compliant claim outcomes.
Conduct pre- and post-payment medical reviews to ensure compliance with clinical criteria and guidelines. Assess medical necessity and reimbursement eligibility for complex claims, appeals, and fraud referrals.
The physician will conduct independent medical case reviews to assess quality of care and adherence to standards. They will also provide expert medical opinions and identify opportunities for improvement.
