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This role conducts global and individual claims and financial audits for BCBSA and affiliated companies, managing the audit resolution process to finalize reports. Verify the accuracy of claims audit documentation and evaluate Plan responses. Coordinate and track responses to audit findings, and develop, maintain, and monitor audit resolution tracking reports and spreadsheets. Analyze and resolve audit issues promptly, serving as the primary contact for negotiating audit issue resolutions. Identify erroneous payments through claims testing and report activities. Maintain and monitor the Claims Audit Monitoring Tool and audit resolution tracking, conducting analysis to enhance controls.<li>Responsible for auditing, monitoring and reporting the effectiveness of the Program</li><li>Oversee and coordinate BCBSA or Affiliated companies' audits</li><li>Effectively communicates verbally and written to BCBSA or Affiliated companies</li><li>Review BCBSA or Affiliated companies information request, audit inquiries and audit resolution supporting documentation</li><li>Create, review and update departmental policies and procedures </li><li>Advise and ensure the implementation of corrective action plans </li><li>Develop and provide BCBSA or Affiliated companies training</li>The posting range for this position is: $85,126.00-$117,521.58 Qualifications Education <ul><li>Required Bachelor's Degree or equivalent work experience</li></ul>Experience <ul><li>4+ Years experience auditing government regulations Required</li></ul> Knowledge Skills and Abilities <ul><li>Knowledge of claims processing Knowledge of financial processing Audit Report writing Effective writing skills Effective communication skills Presentation skills Knowledge of Microsoft Office Suite</li><li>Certifications &amp; Licenses </li><li>Preferred: Certified Internal Auditor (CIA) - Institute of Internal Auditor</li><li>Extra Posting Information:Four or more years experience auditing government regulations Experience auditing Blue Cross Blue Shield Plans</li></ul>#LI-Remote The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting.&nbsp; We may ultimately pay more or less than the hiring range andthis hiringrange may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.&nbsp;This job is also eligible for annual bonusincentivepay.We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Blue Cross Blue Shield Association

Sr. Consultant Program Assurance Audit

The American Association for Justice (AAJ®) works to preserve the constitutional right to trial by jury and to make sure people have&nbsp;a&nbsp;fair&nbsp;chanceto&nbsp;seek&nbsp;justice&nbsp;when&nbsp;they&nbsp;are&nbsp;injuredby&nbsp;the&nbsp;negligence&nbsp;or&nbsp;misconduct of others - even when it means taking on the most powerful&nbsp;corporations.AAJ is seeking a Legal Associate Editor with a strong background in editorial work—particularly magazine editing—for its Publications department. We’re looking for an editor and writer who can distill complex legal topics into engaging, accurate, and accessible content for a professional audience.The Legal Associate editor plays a critical role in maintaining the editorial excellence of Trial magazine and its companion publications—Professional Negligence Law Reporter and Products Liability Law Reporter. This position involves editing, proofreading, and contributing original content, all while ensuring strict adherence to style, accuracy, clarity, and formatting standards. The Legal Associate Editor also proofs copy to ensure overall clarity, accuracy, and proper formatting.Essential job duties include:<ul><li>Research and pitch article ideas that align with AAJ’s mission and audience.</li><li>Identify potential authors with expertise in relevant topics and guide them through the writing and editing process.</li><li>Solicit, evaluate, and manage manuscript submissions, including coordinating peer review.</li><li>Edit manuscripts for style, clarity, tone, accuracy, and organization, ensuring content is engaging and accessible.</li><li>Review content for grammar, punctuation, spelling, style, and layout.</li><li>Craft compelling headlines, deks, subheads, and other content as needed.&nbsp;</li><li>Write news stories, feature articles, and recurring department content for Trial (monthly print magazine) and Trial News (monthly online newsletter).</li><li>Review page proofs for consistency, accuracy, and layout quality before final publication.</li><li>Participate in content planning and art meetings to develop visual concepts for articles and covers.</li><li>Provide backup support to the Managing Editor of Professional Negligence Law Reporter and Products Liability Law Reporter as needed.</li></ul>Requirements:<ul><li>Bachelor’s degree required; equivalent combination of education and experience may be considered. Juris Doctor (JD) preferred.&nbsp;</li><li>Minimum of 3 years of editorial experience at a magazine, newsletter, or newspaper (not a law review).</li><li>Proven ability to edit and write&nbsp;with clarity and precision.</li><li>Strong news and feature writing skills.</li><li>Excellent&nbsp;command of AP style and proficiency with standard proofreading marks.</li><li>Knowledge of legal citation formats (ALWD) and tort law strongly preferred.</li><li>Experience collaborating&nbsp;with volunteer authors, peer reviewers, and members of professional associations.</li><li>Superior organizational and time-management skills, with the ability to prioritize and meet competing deadlines in a fast-paced&nbsp;publishing&nbsp;environment.</li><li>Sound editorial judgment and keen attention to detail.</li><li>Flexible, self-motivated, and able to&nbsp;adapt to&nbsp;shifting priorities and responsibilities.</li><li>Preference given to candidates with experience editing manuscripts and reviewing page proofs.</li><li>Occasional travel may be required.&nbsp;</li></ul>WHAT AAJ PROVIDES: • A hybrid schedule&nbsp;three common days in the office (Tuesday, Wednesday, Thursday) and two days remote (Monday and Friday). • Competitive salary and benefits including: paid time off (e.g., vacation, sick, personal, family leave) • 11 federal holidays and paid time off between Christmas and New Years • 401K employer match • Subsidized healthcare plans for you and your dependents • Dental, vision, disability, and life insurance options are available • Flexible Spending Accounts, pre-tax parking/transit deductions and metro transit subsidy • Company social events• Tuition assistance • Fitness reimbursement • 100% remote for the month of August&nbsp; (for most employees) • Offices conveniently located ½ block from Gallery Place/Chinatown in downtown Washington, DC.AAJ is an Equal Opportunity Employer. No phone calls please!

American Association for Justice

Legal Associate Editor

<h4>Overview</h4>LMI is currently seeking a Cybersecurity Consultant to support our United States Customs and Border Protection (CBP) customer. The ideal candidate will have had roles on several project teams which were focused in the areas listed in the Responsibilities section below.&nbsp;This is a full-time position located onsite in Washington, DC. Situational telework may be authorized by the Government.LMI: Innovation at the Pace of Need™At LMI, we’re reimagining the path from insight to outcome at The New Speed of Possible™. Combining a legacy of over 60 years of federal expertise with our innovation ecosystem, we minimize time to value and accelerate mission success. We energize the brightest minds with emerging technologies to inspire creative solutioning and push the boundaries of capability. LMI advances the pace of progress, enabling our customers to thrive while adapting to evolving mission needs.&nbsp;LMI is a consultancy dedicated to powering a future-ready, high-performing government, drawing from expertise in digital and analytic solutions, logistics, and management advisory services. We deliver integrated capabilities that incorporate emerging technologies and are tailored to customers’ unique mission needs, backed by objective research and data analysis. Founded in 1961 to help the Department of Defense resolve complex logistics management challenges, LMI continues to enable growth and transformation, enhance operational readiness and resiliency, and ensure mission success for federal civilian and defense agencies.LMI has been named a 2024 #BestPlacestoWork in the United States by Built In! We are honored to be recognized as a company that values a people-centered culture, and we are grateful to our employees for making this possible!<h4>Responsibilities</h4>Candidates will have experience supporting initiatives across CBP organizational components, and must possess strong client, written and verbal communication skills.&nbsp; Candidate shall assist assigned CBP programs and projects in all activities involving Security Engineering and Certification and Accreditation of Information Technology (IT) Infrastructure including the following areas: &nbsp;<ul><li>Ensuring the confidentiality, integrity, and availability of systems, networks, and data through the planning, analysis, development, implementation, maintenance, and enhancement of information systems security programs, policies, procedures, and tools</li><li>Implementation of higher-level security requirements such as those resulting from laws, regulations, or Presidential directives</li><li>Integration of security design principles across disciplines and SELC</li><li>Research and discovery of information protection needs against cyber-attacks and document information protection policies</li><li>Review of proposed new systems, networks, and software designs for potential security risks</li><li>Lead security related product selection and implementation activities</li><li>Define the scope and level of detail for security plans and policies applicable to the system</li><li>Institute measures to ensure security awareness and compliance</li><li>Identify the need for changes based on new security technologies or threats</li><li>Analyze change requests to the system for security posture impact</li><li>Development and implementation of long-range plans for IT security systems that anticipate, identify, evaluate, mitigate, and minimize risks associated with IT systems vulnerabilities</li><li>Review and evaluation of security incident response policies</li><li>Manages security incident procedures</li><li>Execution of all duties described in the DHS Information System Security Office</li><li>Manage and maintain system authorization status (Authority to Test (ATT) and Authority to Operate (ATO)</li><li>Support the development and review of Privacy Threshold Assessment (PTA) documents for systems</li><li>Work effectively with CBP Office of Information Technology (OIT) teams to ensure secure operation of all systems within the area of responsibility as designated by the client</li><li>Ensure continuous monitoring strategies, verify corrective actions, and work effectively with other groups to ensure effective, ongoing security posture for systems</li><li>Manage security documentation utilizing the CSAM system</li><li>Other cybersecurity related duties as assigned.</li></ul><h4>Qualifications</h4><ul><li>Bachelor’s degree in Information Systems or Computer Science desired.</li><li>Minimum of 3-10 years experience carrying out ISSO and RMF related activities in federal government cybersecurity environments desired.</li><li>Security+, Network +, CCNA, CISA, or other DoD 8570 IAM level 1 certifications desired.&nbsp; CISSP certification preferred.</li><li>Good people management, communication, attention to detail, and customer service skills.</li><li>Demonstrated on-the-job experience using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.</li><li>Must be proactive and highly motivated to support customer needs and ensure continued security for customer systems in keeping with federal guidance and DoD specific requirements.</li><li>Must have experience utilizing the CSAM system for cybersecurity documentation management.</li><li>All position require eligibility to acquire CBP BI, for which you must be a U.S Citizen.&nbsp;&nbsp;Highly Preferred: Active U.S. Customs and Border Protection (CBP) BI.</li><li>This position is contingent upon completion of CBP BI and customer approval.</li></ul>Target salary range: $104,661 - $ $184,203Disclaimer:&nbsp;The salary range displayed represents the typical salary range for this position and is not a guarantee of compensation. Individual salaries are determined by various factors including, but not limited to location, internal equity, business considerations, client contract requirements, and candidate qualifications, such as education, experience, skills, and security clearances.<h4> LMI is an Equal Opportunity Employer. LMI is committed to the fair treatment of all and to our policy of providing applicants and employees with equal employment opportunities. LMI recruits, hires, trains, and promotes people without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, pregnancy, disability, age, protected veteran status, citizenship status, genetic information, or any other characteristic protected by applicable federal, state, or local law. If you are a person with a disability needing assistance with the application process, please contact <a href="mailto:accommodations@lmi.org" target="_blank">accommodations@lmi.org</a> Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Need help finding the right job? </h4>We can recommend jobs specifically for you!Click here to get started.

LMI Consulting, LLC

Cybersecurity Consultant

<h4>Overview</h4>LMI is actively seeking Senior Logistics Consultants to support a CBP program management office in the National Capital Region (Washington, D.C.). Join our team of collaborative self-starters focused on delivering practical and efficient solutions to help our client keep U.S. borders safe and facilitate trade and travel. As part of our high-performing team, you will augment our vital work to provide “eyes and ears” technology to protect our nation.&nbsp;LMI is a consultancy dedicated to powering a future-ready, high-performing government, drawing from expertise in digital and analytic solutions, logistics, and management advisory services. We deliver integrated capabilities that incorporate emerging technologies and are tailored to customers’ unique mission needs, backed by objective research and data analysis. Founded in 1961 to help the Department of Defense resolve complex logistics management challenges, LMI continues to enable growth and transformation, enhance operational readiness and resiliency, and ensure mission success for federal civilian and defense agencies.LMI has been named a 2024 #BestPlacestoWork in the United States by Built In! We are honored to be recognized as a company that values a people-centered culture, and we are grateful to our employees for making this possible!<h4>Responsibilities</h4>You will support life cycle management and sustainment for CBP’s portfolio of programs, projects, demonstrations, and other efforts. You will apply your skills in Integrated Logistics Support (ILS) principles to help establish policy, processes, and procedures that extend system lifecycles, require less support, and reduce overall life-cycle costs. In addition, you will provide ILS input in the development of requirements documentation for new systems and other key acquisition, engineering, and logistics artifacts supporting the acquisition and Operations and Support (O&amp;S) phases of an acquisition program.Other duties include:<ul><li>Assist the government in the development and implementation of CBP enterprise life cycle logistics support policy (aligned with DHS MD 102-01 Appendix J, Logistics and Sustainment).</li><li>Experience advising clients on data best practices, methods, and use to generate better informed business and/or mission decisions </li><li>Provide logistics planning and implementation support, to include:</li><ul><li>CBP’s Cost-Wise Readiness tenets implementation and execution support.</li><li>Independent Logistics Assessment support.</li><li>Lifecycle Logistics Management workforce development support.</li><li>Logistics and sustainment support for planned and deployed systems. </li><li>Asset management and training support .</li></ul><li>Review and provide feedback to CBP programs’ life cycle logistics support and ILS plans.</li><li>Provide input to contract requirements for life-cycle support, Test and Evaluation Master Plans (TEMPS), Life Cycle Cost Estimates (LCCE), and Project Management Plans (PMP).</li></ul><h4>Qualifications</h4><ul><li>10+ years of major system logistics experience.</li><li>Bachelor's degree required and Master's degree strongly desired.</li><li>Previous experience with program or lifecycle logistics management at DoD, DHS, or other civilian agency with demonstrated acquisition and lifecycle management experience with a major weapon system, border enforcement, or other federal civilian acquisition/capital investment program.</li><li>DHS or DAWIA logistics Lifecycle Logistics certification desired.</li><li>Ability to pass a government background investigation, including financial, criminal, residential, educational, foreign affiliation, prohibited substance use, and employment verifications. Only U.S. citizens are eligible for a suitability determination.</li><li>Active U.S. Customs and Border Protection (CBP) background investigation (BI) preferred. </li><li>Proficiency in Microsoft Word, Excel, Outlook, PowerPoint, and SharePoint.</li><li>Ability to communicate clearly with a variety of stakeholders.</li><li>Ability to effectively solve problems.</li><li>Strong communication skills, both oral and written.</li><li>A true team player who maintains a positive attitude in a dynamic environment.</li></ul>Targeted Salary Range: $109,000-$160,000Disclaimer:The salary range displayed represents the typical salary range for this position and is not a guarantee of compensation. Individual salaries are determined by various factors including, but not limited to location, internal equity, business considerations, client contract requirements, and candidate qualifications, such as education, experience, skills, and security clearances.#LI-SH1<h4> LMI is an Equal Opportunity Employer. LMI is committed to the fair treatment of all and to our policy of providing applicants and employees with equal employment opportunities. LMI recruits, hires, trains, and promotes people without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, pregnancy, disability, age, protected veteran status, citizenship status, genetic information, or any other characteristic protected by applicable federal, state, or local law. If you are a person with a disability needing assistance with the application process, please contact <a href="mailto:accommodations@lmi.org" target="_blank">accommodations@lmi.org</a> Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Need help finding the right job? </h4>We can recommend jobs specifically for you!Click here to get started.

Senior Logistics Consultant

<h4>Overview</h4>LMI is seeking a skilled Senior Supply Chain Data Anlaytics Consultant in the Washington, DC metro area. A successful LMI Senior Consultant in this position will demonstrate competency leading tasks and small teams to perform capability gap analyses, and develop data analytics plans and roadmaps while upholding the highest standard of ethical behavior.&nbsp;LMI is a consultancy dedicated to improving the business of government, drawing from deep expertise in advanced analytics, digital services, logistics, and management advisory services. Established in 1961, LMI is a trusted third party to federal civilian and defense agencies, free of commercial and political bias. We operate completely free of political and commercial bias, and we are entirely aligned with the goals of our clients. Our clients value our specialized services in logistics, intelligence, homeland security, health care, and energy and environment markets. We believe government can make a difference, and we seek talented, hardworking people who share that conviction. We offer a generous compensation package with excellent benefits that start the first day of employment. Business casual dress, flex time, and tuition reimbursement are a few of our many work-life benefits available to our employees.<h4>Responsibilities</h4> <ul><li>Provide supply chain data anlyatics advisory and strategy services for asset management and other supply chain functions.</li><li>Lead gap analyses and conduct planning and roadmapping for supply chain engineering.</li><li>Support projects analyzing existing system-support supply chains (including, inventory management, maintenance, and distribution) in government organizations.</li><li>Provide consulting services related across multiple classes of supply, with particular focus on wholesale and retail level inventory management processes, policies, performance measurement and analysis.</li><li>Support government organizations in correcting audit findings and material weaknesses in Inventory, Operating Material &amp; Supplies, and Requisitioning.</li><li>Analyze and assess governments organizations' logistics and supply chain policies and procedures against current performance metrics and make recommendations on policy and/or process improvements.</li></ul><h4>Qualifications</h4>MINIMUM:<ul><li>Bachelors degree in business administration, supply chain management, supply chain analytics, logistics, or similar discipline.&nbsp;&nbsp;</li><li>8+ plus years’ experience with supply chain management with specific duties related to supply chain data analytics.&nbsp;</li><li>Must have knowledge in government inventory management, provisioning, distribution, and packaging principles, concepts, policies and processes to ensure enterprise wide efficient, cost effective end-to-end logistics performance.</li><li>Technical experience working with and performing supply chain data analysis.</li><li>Knowledge of commercially based supply chain solutions/platforms, including ServiceNow.&nbsp;</li><li>Experience with SAS and MS Power BI&nbsp;</li><li>Demonstrated ability to use MS Office Suite to include Word, PowerPoint, and Excel.</li><li>Superior communication skills, both oral and written&nbsp;</li><li>High energy, enthusiasm, tact, ability to effectively interact with senior executives from Government and industry&nbsp;</li><li>Ability to create and foster a cooperative work environment.</li><li>Self-directed, detail oriented in completing assigned tasks, able to adapt to changing work efforts and manage impact of shifting priorities.</li></ul>DESIRED SKILLS:<ul><li>Master’s degree (Supply Chain Analytics preferred)</li><li>Prior government/contractor experience&nbsp;</li><li>Working knowledge of Nuvolo</li><li>Experience with asset management analytics</li><li>Preference for candidates with current Public Trust background investigation.</li></ul><h4> LMI is an Equal Opportunity Employer. LMI is committed to the fair treatment of all and to our policy of providing applicants and employees with equal employment opportunities. LMI recruits, hires, trains, and promotes people without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, pregnancy, disability, age, protected veteran status, citizenship status, genetic information, or any other characteristic protected by applicable federal, state, or local law. If you are a person with a disability needing assistance with the application process, please contact <a href="mailto:accommodations@lmi.org" target="_blank">accommodations@lmi.org</a> Need help finding the right job? </h4>We can recommend jobs specifically for you!Click here to get started.

5 Consulting / Legal Jobs in District of Columbia