• Coding Appeals Analyst

    TEKsystems (Annapolis, MD)
    Hybrid Coding Appeals Analyst Opportunity to join one of Maryland's most renowned and established healthcare systems. This organization is committed to ... Schedule : Monday - Friday (Normal Business Hours) Position Summary: As a Coding Appeals Specialist, you will be a crucial member of the denial management team by… more
    TEKsystems (01/07/25)
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  • Appeals Analyst

    Highmark Health (Annapolis, MD)
    …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
    Highmark Health (12/31/24)
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  • Quality Review Nurse (Remote)

    CareFirst (Baltimore, MD)
    … and grievance management team. Collaborates with the training team, department business analyst , and the clinical appeals and grievance management team to ... (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs (Maryland Medicare and Medicaid). This… more
    CareFirst (11/15/24)
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  • Benefit Analyst

    T. Rowe Price (Owings Mills, MD)
    …As a member of our t ier 2 benefits service s team, the Benefits Analyst will be responsible for the day-to-day technical administration of US , Canadian , and ... + Ability to analyze complex situations (ie, benefit issues, appeals , member claims, administrative issues), identify workable solutions/alternatives and make… more
    T. Rowe Price (01/07/25)
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