- CareFirst (Baltimore, MD)
- …Degree + Knowledge of CareFirst systems, Member/Provider Service, Claims or Utilization Management experience a plus. Managed care experience. **Knowledge, ... will support government programs lines of business. The Appeals Specialist II will be responsible for the initial analysis...and works on special projects with Appeals Nurse or Management . + Interacts regularly with and responds to internal… more
- Anywhere Real Estate (Baltimore, MD)
- The **Commercial** **Sales Specialist ** participates in and supports sales management efforts, by assisting the **Commercial Director** in a range of agent ... and detail-oriented + Must be proficient with technology tools and teaching agents on utilization of tools + Must have a valid Real Estate or Broker's license This… more
- Censeo Consulting Group (Washington, DC)
- Facilities Management Specialist - Department of State The Position: We are looking for eager, driven candidates with experience in people management , ... solutions for our Federal clients at the Department of State. The Facilities Management Specialist is responsible for overseeing and managing the physical… more
- Amgen (Washington, DC)
- …and detailing any requirements for reimbursement including copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior ... and transform the lives of patients while transforming your career. **Benefit Verification Specialist - Amgen Support+ & Teze** **What you will do** Let's do this.… more
- PenFed Credit Union (Alexandria, VA)
- …wholly owned subsidiary of PenFed Credit Union (PenFed), is hiring a (Hybrid) Training Specialist that will conduct in person training as needed out of our DMV (DC, ... Maryland, Virginia) offices. The Training Specialist role empowers our real estate agents and employees...real estate agents and employees. + Content Creation and Management : Create and maintain comprehensive training materials. + Learning… more
- Evolent (Annapolis, MD)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical...Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- BD (Becton, Dickinson and Company) (Sparks, MD)
- …report files. + Able to manage the end-to-end process of PMS reporting including utilization of the database systems used to process inputs to PMS. + Responsible for ... + Ensure reports are accurate, timely, relevant and complete. + Work with Risk Management (RM) teams to feed PMS data back into the RM process. + Work… more
- Highmark Health (Annapolis, MD)
- …clinical initiatives/programs to the customer audiences through effective project management , collaboration and application of best practices and engagement. ... content creation, identification of customer needs, development, and effective utilization of wellness/population health campaigns and initiatives designed to… more
- Sharecare (Annapolis, MD)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... Family Health Advocate Lead is an exciting and innovative remote role newly created to provide meaningful support to...+ Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex… more
- NTT America Solutions, Inc. (Annapolis, MD)
- …their area of responsibility and /or stakeholder group. These individuals have specialist knowledge and answer queries related to their area of responsibility and/or ... in the assigned stakeholder group through communication, information sharing, and knowledge management . + Actively contribute to the growth and success of the… more