- Aston Carter (Arlington, VA)
- Case Review & Eligibility ...funding for military families. *Please note this is a remote opportunity that requires equipment pick-up in Arlington, VA* ... Carter highly-organized and detail-oriented individual to serve as a Case Review & Eligibility Specialist,...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position will be accepting… more
- Cardinal Health (Annapolis, MD)
- …benefit investigations to assess patient's financial ability to afford therapy and review eligibility criteria to determine what type of assistance patient ... to learn + Prior knowledge of UCB processes and services **_Responsibilities:_** Case Managers must demonstrate a willingness to assist external and internal… more
- CareFirst (Baltimore, MD)
- …associated with hand-off to external dependencies during execution. Coordinates the review of requirements with vendors, stakeholders and architects. Liaison to ... lower cost development resources. Develop the business model for remote teams and recommend the vendor based on a...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **Although this position is remote , candidates must live in the MD, DC, VA area in order to travel into the offices on occasion.** ... needs while minimizing impact on systems and operations. + Collaborates on review , analysis, and development of recommendations for the design of complex accounts… more
- CareFirst (Baltimore, MD)
- …and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies ... working in Care Management, Discharge Coordination, Home Health, Utilization Review , Disease Management, or other direct patient care experience.… more
- SitusAMC (Annapolis, MD)
- …independently and as part of a team in a fast-paced, client-focused environment \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive or ... - $85,000.00 Specific compensation is determined through interviews and a review of relevant education, experience, training, skills, geographic location and… more
- UMB Bank (Annapolis, MD)
- …multiple projects across our core banking and/or payments portfolio. + Developing business case for executive review and approval of new projects. + Working ... in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but...fund; and various associate banking benefits. Benefit offerings and eligibility requirements vary. **Are you ready to be part… more
- EPAM Systems (Mclean, VA)
- **This Remote Position Cannot be Performed in New York City.** We are looking for a knowledgeable **Security Architect** who specializes in SIEM deployment and ... comprehensive monitoring + Collaborate with the SOC team to support further use case creation and fine-tuning following SOC team requirements + Regularly review … more
- CareFirst (Baltimore, MD)
- …CareFirst BCBS and its subsidiaries' compliance with state and federal standards. Review and analyze all data received in order to generate detailed responses ... internal and external parties to ensure accurate information is obtained. Review and analyze provided data and information. Provide detailed professionally written… more
- CareFirst (Baltimore, MD)
- …interpreting dental/medical policy, quality improvement, disease management, utilization review , and dental/medical claims review , network recruitment, ... relations experience. + Management role overseeing aspects of quality, clinical review , and recently lead and worked with insurance companies **Knowledge, Skills… more
- CareFirst (Baltimore, MD)
- …multiple applications. Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of existing applications. ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …report defects to software engineers and product owners. Participates in the review of software design. Understands software architecture and quality risks and leads ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …and claims to assist medical professional staff in performing the review of appeals and reconsiderations. Prioritize, research, analyze, and perform accurate ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …processes for systems change management, spanning request submission, review , validation, prioritization, scheduling, and status reporting. **SUPERVISORY ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …verification and validation functions to confirm compliance ie user access review validation, audit evidence verification reviews, etc. + Supports the Customer ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …are clear and responsive to RFP/RFI requirements. **ESSENTIAL FUNCTIONS:** + Review (RFPs/RFIs) and other solicitation documents to determine proposal requirements ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Baltimore, MD)
- …any changes to standard contract templates. Work with Legal to develop and review any proposed language changes discussed with a provider. Ensure compliance with ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Owings Mills, MD)
- …applications. Performs and leads the detail technical design, debugging, coding, code review and testing of new applications as well as enhancements of existing ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Owings Mills, MD)
- …multiple applications. Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of existing applications. ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
- CareFirst (Owings Mills, MD)
- …in a variety of actuarial analyses that may include Medicaid rate review , financial forecasts, trend analysis, provider contract analysis, IBNR analysis, etc. May ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more