Virginia, United States · Remote OK
$83k–$146k/yr
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consider…
Skills: Payment Integrity, Fraud Prevention, Claims Auditing, Claims Administration, Leadership
McLean, Virginia, United States · Hybrid
$60k–$112k/yr
Who Are We? Groundswell is a premier technology integrator and solution provider, resolutely committed to solving the most complex challenges facing federal agencies today. Our name, Groundswell, represents our commitmen…
Skills: Industrial security, Quality assurance, Compliance management, Nispom, Risk assessment
Irving, Texas, United States · On-site
$95k–$163k/yr
TTS Finance connects our customers and our shippers. We combine people, technology and products to deliver for our customers at the lowest possible cost. Surface Transportation is the conveyor belt to connect the entire …
Skills: Financial modeling, Statistical analysis, Data mining, Financial planning, Budgeting
McLean, Virginia, United States · On-site
$324k–$425k/yr
At Snowflake, we are powering the era of the agentic enterprise. To usher in this new era, we seek AI-native thinkers across every function who are energized by the opportunity to reinvent how they work. You don’t just u…
Skills: Government Affairs, Public Policy, Strategic Business Development, National Security, International Affairs
New York, New York, United States · On-site
$95k–$180k/yr
Amazon Freight connects our customers and our shippers. We combine people, technology and products to deliver for our customers at the lowest possible cost. Surface Transportation is the conveyor belt to connect the enti…
Skills: Financial modeling, Statistical analysis, Data mining, Margin analysis, Cost planning
McLean, Virginia, United States · Hybrid
$139k–$208k/yr
Why choose between doing meaningful work and having a fulfilling life? At MITRE, you can have both. That's because MITRE people are committed to tackling our nation's toughest challenges—and we're committed to the long-t…
Skills: Defense acquisition, Cost analysis, Operations research, Strategic communication, Policy development
Albemarle County, Virginia, United States · On-site
$88k–$144k/yr
Performs a variety project management activities for Facilities Management typically involving design and construction. Develops comprehensive plans, leads multi-disciplinary teams, and monitors project progress providin…
Skills: Project management, Construction management, Facilities planning, Budgeting, Risk mitigation
Roanoke, Virginia, United States · On-site
$20/hr–$21/hr
Key ResponsibilitiesTeam LeadershipAssigns team members to activities, ensuring staff coverage meets customer demands and redeploying when necessary to support needs throughout the department May participate in interview…
Skills: Team leadership, Performance coaching, Operational excellence, Inventory management, Customer service
West Falls Church, Virginia, United States · Hybrid
Solutions Consultant Who we are: BizFlow Corporation is a Business Process Management (BPM) industry pioneer. Since 1998, BizFlow has been successfully implementing solutions for enterprise customers to enable significan…
Skills: Business Process Management, Low-Code, No-Code, Requirements Gathering, Consulting
West Falls Church, Virginia, United States · Hybrid
Solutions Architect Who we are: BizFlow Corporation is a Business Process Management (BPM) industry pioneer. Since 1998, BizFlow has been successfully implementing solutions for enterprise customers to enable significant…
Skills: Solution Architecture, Business Process Management, Low-Code Development, No-Code Development, Requirements Gathering
Virginia, United States · Remote OK
$65k–$111k/yr
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consider…
Skills: Fraud detection, Payment integrity, Claims auditing, Regulatory reporting, Data analysis
Virginia, United States · Remote OK
$65k–$111k/yr
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consider…
Skills: Fraud detection, Payment integrity, Claims auditing, Healthcare compliance, Regulatory reporting
Arlington County, Virginia, United States · Hybrid
$53k–$57k/yr
For this junior -level position, IDG is seeking a passionate, self-driven, and highly organized individual who is willing to learn, take ownership over assigned tasks, engage in new challenges, and quickly "switch gears"…
Skills: Project coordination, Technical writing, Financial management, Budget monitoring, Proposal development
Arlington County, Virginia, United States · Hybrid
$48k–$52k/yr
For this entry-level position, IDG is seeking a passionate, self-driven, and highly organized individual who is willing to learn, take ownership over assigned tasks, engage in new challenges, and quickly "switch gears" a…
Skills: Project coordination, Technical writing, Budget monitoring, Financial management, Proposal support
Atlanta, Georgia, United States · On-site
$143k–$213k/yr
Would you like to be part of a talented team of experienced technical sales professionals focused on winning and growing new business with Independent Software Vendors (ISVs) as they transform and scale their businesses …
Skills: Technology sales, Cloud computing, ISV ecosystem, Digital transformation, Account management
Chantilly, Virginia, United States · On-site
$110k–$242k/yr
Job Title: ARAD Change & Delivery Specialist Job Category: Communications Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: C…
Skills: Change management, Vulnerability management, Stakeholder engagement, Cybersecurity, IT operations
Fort Belvoir, Virginia, United States · On-site
$79k–$165k/yr
Job Title: Acquisition Analyst Job Category: Consulting Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: Local * * * The Opp…
Skills: Acquisition management, Contracting strategy, Program budget management, Master schedule management, Technical evaluations
Springfield, Virginia, United States · On-site
$87k–$182k/yr
Job Title: Cybersecurity Operations Center Shift 5 Lead Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: TS/SCI Employee Type: Regular Percentage of Travel Required: Up to 10…
Skills: Cybersecurity, Incident response, Team leadership, Mentorship, SOC operations
Alexandria, Virginia, United States · On-site
$71k–$149k/yr
Job Title: Knowledge Management Specialist - JIATF Job Category: Engineering and Technical Support Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of Travel Required: Up…
Skills: Knowledge management, SharePoint, O365, Governance, Digital workflows
El Segundo, California, United States · On-site
$242k–$363k/yr
RELOCATION ASSISTANCE: No relocation assistance available CLEARANCE REQUIRED FOR START: Yes CLEARANCE TYPE: Top Secret TRAVEL: Yes, 25% of the TimeDescription At Northrop Grumman, our employees have incredible opportunit…
Skills: Government relations, Strategic planning, Intelligence community engagement, Space force acquisition, Budget processes
Virginia, United States • Remote OK
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The Team Lead oversees daily operations for Payment Integrity and Fraud, Waste, and Abuse (FWA) programs, including staff supervision and performance management. They coordinate claims adjustments, recovery inventory, and cross-functional initiatives to ensure regulatory compliance and cost avoidance.
Candidates must have at least 4 years of senior-level experience in healthcare operations, payment integrity, or claims auditing. A bachelor's degree is required, though candidates with equivalent combinations of education and experience will be considered.
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.
The Payment Integrity and Fraud, Waste and Abuse (FWA) Team Lead is responsible for overseeing the daily operations of PacificSource’s Payment Integrity and FWA programs. This role provides leadership for Payment Integrity and FWA activities while supporting the development and execution of pre-payment and post-payment initiatives designed to ensure payment accuracy, regulatory compliance, and responsible stewardship of healthcare resources. The Team Lead serves as a subject matter expert in payment integrity operations, fraud prevention, audit activities, provider recoveries, and regulatory requirements. This position works closely with Claims, Compliance, Finance, Provider Relations, and external vendors to identify opportunities for cost avoidance, overpayment recovery, process improvement, and program effectiveness.Work Experience: Minimum of 4 years of senior-level healthcare operations, payment integrity, fraud prevention, claims auditing, claims administration, or related experience required. Prior supervisory experience preferred.
Education, Certificates, Licenses: Bachelor’s degree required. Candidates with an associate’s degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.
Knowledge: Knowledge of healthcare claims processing, reimbursement methodologies, coding systems, and payment integrity concepts. Knowledge of fraud, waste, and abuse regulations and investigative practices. Understanding of Medicare, Medicaid, and commercial health plan regulatory requirements. Knowledge of ICD-10, CPT, HCPCS, DRG, and related reimbursement methodologies. Strong analytical, problem-solving, and decision-making skills. Ability to interpret data, identify trends, and develop operational recommendations. Ability to communicate effectively with leadership, regulators, providers, vendors, and cross-functional business partners.
Skills: Communication (written/verbal), Listening (active), Critical thinking, Collaboration, Organizational skills/Planning and Organization, Accountable leadership, Influencing, Decision-making.
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Putting members first since 1933.
Founded in 1933, PacificSource is a not-for-profit health insurer for people and organizations throughout the Northwest. We’re based in Springfield, Oregon with local offices across Oregon, Idaho, and Montana. During our eight-plus decades in business, we’ve put an emphasis on human service. Because of that, we’ve earned a reputation for taking exceptional care of people and the communities in which they live, work, and play. PacificSource Products and Services: - Medical and dental benefits - Self-funded employee benefit programs - Flexible Spending Accounts - Health Reimbursement Arrangements - COBRA administration services
Offices: 555 International Way, Springfield, Oregon 97477, US · 3512 Excel Drive Suite 107, Medford, OR 97504, US · 320 SW Upper Terrace Drive, Suite 101, Bend, OR 97702, US · 408 E. Parkcenter Blvd., Suite 100, Boise, ID 83706, US · 1500 Southwest 1st Avenue, Suite 100a, Portland, OR 97201, US
Based on 8562 listings with disclosed salaries, most management & leadership jobs in Virginia pay between $72k–$195k per year. Individual offers vary with seniority, company size, and specialization.
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Companies currently hiring include Domino's, Capital One, Amazon, UVA Health, Five Guys Enterprises, among others. Browse the listings above to see every active employer.
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