- CVS Health (Annapolis, MD)
- …Service Operations **Required Qualifications** - 5+ years related experience in a service center claims processing or managed care operational role. - 1 year ... defined unit testing processes to provide quality audits for vendor contracts prior to implementation. - Assists with testing...payment, and benefits experience, preferably IDX managed care . - Broad knowledge of medical terminology, claims… more
- HealthEdge Software Inc (Annapolis, MD)
- …Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care , and commercial payment methodologies, payment integrity, and ... and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party vendor application. + Working knowledge… more
- Takeda Pharmaceuticals (Annapolis, MD)
- … Vendor Management + Oversight and accountability for labeling activities managed by external vendor (s) for assigned products, ensuring seamless coordination, ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more