125 jobs found in Herndon, VA

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Leads, manages and empowers Medicare Advantage (MA) Employer Group Waiver Plan (EGWP) operations teams to meet and exceed business delivery. Serves as a tactical and strategic leader of multifunctional teams and support roles for MA EGWP. Be able to step-in as subject matter expert in all aspects of MA EGWP operations. Oversees development of new activities of an internal function that provides operational/business process support to internal and external customers for the new EGWP product launch. Ensures quality service and operational performance within the parameters of program and delivery standards are achieved, including CMS required standards. Develops, analyzes operational processes, establishes escalation procedures and oversees training needs assessments to identify opportunities for service delivery improvements. Selects, develops, and evaluates employees to ensure efficient operation of the...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry ESSENTIAL FUNCTIONS: Provide subject matter expertise in a particular area (including but not limited to one of the following: project management, finance and budget, human resources, data and metrics, information technology, etc.) that contributes to the effective accomplishment of initiatives tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Proactively build and lead cross-functional teams and projects between division, and internal and external stakeholders to deliver value to supported team. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This position oversees and directs the work of analysts in a supervisory capacity. This position is responsible for implementing departmental strategy and policies in order to meet team goals, as well as making recommendations to Actuarial management where appropriate. ESSENTIAL FUNCTIONS: Responsible for coordinating the activities analysts ensuring accurate and timely release of requested analyses and reports. Responsible for providing training, development, documenting performance issues, if needed, and monitoring and enforcing adherence to Company policies. The Supervisor sets objectives, writes and deliveries performance feedback and appraisals, promotions, salary increases, hiring and disciplinary communications. Responsible for coordinating the development and extensive analytical review of various actuarial analyses such as IBNR, trend, rating actions, and valuation work in support of...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Leads the delivery of Medicare Advantage Employer Group Waiver Plan (MA EGWP) technology product build roadmaps. These technology products and modernization programs are complex, large scale and have a strategic impact on Blue Cross Blue Shield Plans nationwide. Responsible for delivering these products on time and on budget. Serves as single point of accountability for the development and delivery of specific lines of business product lines. ESSENTIAL FUNCTIONS: Defines the strategy for delivering of MA EGWP technology product roadmaps deployed to meet the current and future strategic goals, risk management imperatives, and mandates on a national scale. Creates a legacy modernization roadmap to enable strategic goals and delivers the capabilities defined in the roadmap. Works closely with senior management to define new products and services that can meet current and future needs. Responsible for...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Lead Data Engineer is responsible for orchestrating, deploying, maintaining and scaling cloud OR on-premises infrastructure targeting big data and platform data management (Relational and NoSQL, distributed and converged) with emphasis on reliability, automation and performance. This role will focus on leading the development of solutions and helping transform the company's platforms deliver data-driven, meaningful insights and value to company. ESSENTIAL FUNCTIONS: Lead the team to design, configure, implement, monitor, and manage all aspects of Data Integration Framework. Defines and develop the Data Integration best practices for the data management environment of optimal performance and reliability. Develops and maintains infrastructure systems (e.g., data warehouses, data lakes) including data access APIs. Prepares and manipulates data using Hadoop or equivalent MapReduce platform. Provides...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Performs in a ServiceNow Senior developer position playing a key role in maturing Customer Service Products built on the ServiceNow platform. Performs complex analysis, design, development, testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, develops/codes, tests, and documents critical and complex application programs for computer systems. Works with appropriate stakeholders to define system scope and objectives and establish baselines. Establishes project standards and processes. Breaks down software requirements and creates highly complex systems. ESSENTIAL FUNCTIONS: Perform technical detail design, coding, testing of applications. Serves as subject matter expert for both customer and internal discussions related to maintaining and enhancing existing software...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The IT Business Relationship Manager is a senior level, highly adaptable and versatile individual contributor that will interface with business areas as a trusted advisor and advocate of Information Technology capabilities. This individual will serve as liaison for various activities, as driven by the business, relative to supporting process efficiencies, creating operational scale, technology enhancements, and proactive support for strategic and product development initiatives. The BRM is responsible for working with the business and key stakeholders to identify, analyze, and capture business value for each initiative while ensuring alignment with corporate strategy and IT roadmap. ESSENTIAL FUNCTIONS: Ensure delivery of technology value to the business by nurturing high level long term relationships, sensing business ideas and promoting the value of IT in delivering business solutions. Measure,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The VP, MA Business provides leadership for the operation of the Medicare Business in cooperation with the Blue Cross Blue Shield Association (BCBSA) and as part of the Service Benefit Administrative Services Corporation (SBP), which is a subsidiary of CareFirst and jointly owned by CareFirst and BCBSA. They will provide strategic direction for the development and expansion of the business, and ensure financial stability, growth, and compliance of the business. The VP will have responsibility for business direction, financial performance, alignment with the BCBSA, product direction, and multi-year strategy necessary to deliver the overall BCBSA MA Wrap strategic plan. Through collaboration with matrix leaders in SBP and across CareFirst (technology, finance, operations, compliance), the BCBSA and BCBSA Plans, and others, the VP will drive effective operations, financial performance, contractual compliance,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare environment. ESSENTIAL FUNCTIONS: Provide subject matter expertise in a particular area (including but not limited to one of the following: project management, finance and budget, human resources, data and metrics, information technology, etc.) that contributes to the effective accomplishment of initiatives tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Support cross-functional teams and projects between division, and others to deliver value to team. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across different business functions of initiatives. Design...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry ESSENTIAL FUNCTIONS: Provide subject matter expertise in a particular area (including but not limited to one of the following: project management, finance and budget, human resources, data and metrics, information technology, etc.) that contributes to the effective accomplishment of initiatives tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Proactively build and lead cross-functional teams and projects between division, and internal and external stakeholders to deliver value to supported team. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Performs in a ServiceNow Architect and Lead Developer position and will play a key role in maturing Customer Service Products built on the ServiceNow platform. Will be a principal lead for ServiceNow code and architecture, and work with key business units and process managers to build solutions and processes, supporting maintenance, continual service improvement, and new capabilities on the ServiceNow platform. Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the design, implementation, testing, and maintenance of products as assigned, ensuring that they are consistent with the company's architectural roadmap, product development strategy, and quality standards. Develops project plans with estimates and ensures development stays organized and adheres to the plan. Leads stakeholder...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organization information systems that support organizational functions. This is achieved by monitoring, supporting and optimizing all networked software and associated operating systems. Assesses architecture and current system limitations, defines and designs system specifications, disaster recovery procedures and evaluates input/output processes and working parameters for hardware/software compatibility. We are looking for a Systems Engineer to manage and support enterprise endpoints and drive the integration of Microsoft Copilot across the organization. This dual-focus role ensures the security, stability, and performance of both physical and virtual desktops, while also engineering Copilot features to enhance user productivity and automation. Responsibilities include endpoint management, software packaging for virtual Desktop...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Defines, designs and develops system requirements. Performs trade-off analysis of performance, life-cycle cost, risk, producibility, and other system or program requirements. Assesses architecture and current hardware limitations, defines and designs system specifications, and evaluates input/output processes and working parameters for hardware/software compatibility. Coordinates design of subsystems and integration of total system. Defines system support requirements to include monitoring, capacity, staffing and patching/updating. Analyzes and resolves program support deficiencies. Conducts independent technical investigations in systems design. ESSENTIAL FUNCTIONS: Installs, tunes, upgrades, troubleshoots, and maintains all computer systems relevant to the supported applications including all necessary tasks to perform operating system administration, user account management, disaster recovery...

Steritech Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve consumer and business customers across multiple industries. We are extremely proud of our legacy of excellence and constantly work to fulfill our mission to "protect people, enhance lives, and preserve the planet." What do our Food Safety Specialists do? The primary purpose of this role is to support our hotel, restaurant, and grocery clients in upholding their brand standards, ensuring exceptional food quality, and delivering friendly, customer-focused service to enhance the overall guest experience . Responsibilities include, but are not limited to: Conduct assessments that measure...

Strategic Staffing Solutions looking for an Account Manager in Mc Lean, VA area Attention Military Veterans! Are you a self-motivated sales professional interested in working for a veteran friendly, woman owned company with more than 31 years of consecutive growth? Are you seeking a position with a dynamic and fast paced company that boasts one of the most generous comp plans in the staffing industry? If you're a Military Veteran that craves daily challenges-and rewards-we want to talk to you ASAP about an Account Manager position supporting our customer in the Mc Lean, VA area. What We Want We're interested in Military Veterans with at least 1 year of sales experience , with a proven track record in building strong relationships to truly understand the needs of those you serve: your customers. We're looking for someone with a strong work ethic and sense of commitment who's interested in working in a performance-oriented environment . Must like to work...

Alkermes, Inc. Territory Business Manager (TBM) is responsible for selling Alkermes products in the Bethesda territory and supporting promotional efforts. Ideal candidates should be proven sales achievers and live in the territory. This will be done by having thorough product, disease state and market knowledge and sound selling skills. He/she will utilize available resources to help educate healthcare providers. Finally, he/she will use their analytical ability to determine appropriate targets and will use approved resources accordingly. Responsibilities The TBM will demonstrate a strong understanding of all aspects of Alkermes products, related disease states and related products in the marketplace The TBM will demonstrate strong selling skills through the use of approved sales aids, approved studies and reprints and through superior communication and listening skills with targeted healthcare providers. He/she will use selling skills that demonstrate competent use of all...

Rentokil North America Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve consumer and business customers across multiple industries. We are extremely proud of our legacy of excellence and constantly work to fulfill our mission to "protect people, enhance lives, and preserve the planet." What do our Account Executives do? The primary purpose of this role is to sell the company's Commercial Pest Management Services and Products to new and existing Commercial customers, while maintaining a customer-focused service to grow the business. Account Executives call on a full spectrum of market segments including hospitality, food & beverage processing, healthcare,...

Human Rights Campaign We strongly encourage people of color, transgender and non-binary people to apply. HRC is an equal opportunity employer and welcomes everyone, including non-LGBTQ+ people, to join our team. Don't meet every single requirement? Studies have shown that people from marginalized communities are less likely to apply to jobs unless they meet every single qualification. At HRC, we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. Position Summary: The Pride Program Fulfillment Temp will work with the Membership Outreach team, under the leadership of the Senior Manager, Events & Activations, to manage and fulfill Pride and event shipments to events nationwide. This position will also play an...

Human Rights Campaign We strongly encourage people of color, transgender and non-binary people to apply. HRC is an equal opportunity employer and welcomes everyone, including non-LGBTQ+ people, to join our team. Don't meet every single requirement? Studies have shown that people from marginalized communities are less likely to apply for jobs unless they meet every single qualification. At HRC, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. Position Summary: The Board Relations Temp will work with the Board Relations staff under the direction of the Director of Board Relations, facilitating the logistics of HRC's national volunteer Equality In Action Weekend and Spring Board Meeting . The Board...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This role is responsible for developing new business opportunities and/or retain existing business within the Federal Markets Division. This position represents the organization in acquisition strategy development, prospecting in the Federal Government and using consultative selling skills in order to grow new business and/or retain existing business and enhance profitability. ESSENTIAL FUNCTIONS: Aggressively grow new business and/or renew existing business for medical and ancillary products in the federal market segment. Ensure appropriate update of Sales strategy/sales activities documentation on a monthly basis. Develop strong Agency Benefits Officer relationships utilizing advanced strategic and consultative skills both in person and through electronic communication. Provide documented formal training of assigned Agency Benefits Officers throughout the year including the use of virtual...