• Director, Claims (Remote)

    Trustmark (Annapolis, MD)
    claims . + Fosters a culture of continuous improvement and innovation within the claims organization . + Works with Claims Compliance Liaison to ensure ... bring the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization . Ensures claims are processed in a… more
    Trustmark (11/05/24)
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  • Team Leader, Absence Claims Management

    Guardian Life (Annapolis, MD)
    The **Team Leader, Absence Claims Management** is responsible for leading a team of Absence Management Case Managers to get results within their team and the ... organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
    Guardian Life (11/08/24)
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  • Owner's Representative, Project Manager

    Stantec (Baltimore, MD)
    project . + Evaluate, advise on and assist in resolving disputes and claims . + Traditionally reports to project executive or principal. **Qualifications** ... Owner's Representative, Project Manager - ( 240000UX ) **Description** We...planning, and implementing projects that help clients achieve their organization 's objectives. Join our award-winning program management team and… more
    Stantec (08/22/24)
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  • Project /Construction Manager

    WSP USA (Columbia, MD)
    **This Opportunity** WSP is currently seeking an experienced ** Project /Construction Manager** with expertise in managing construction of water distribution systems & ... County, Maryland **You Impact** The candidate will serve as a Project /Construction Manager to support our Construction management and Inspection services related… more
    WSP USA (09/17/24)
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  • Business Process Analyst

    Trustmark (Annapolis, MD)
    …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... impacted departments/teams to plan and implement improvements. + Execute business process design and continuous improvement activities with the business to affect… more
    Trustmark (11/09/24)
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  • Clinical Data Manager

    American Heart Association (Baltimore, MD)
    …such as code book, Case Report Forms, Surveys, EHR queries and other data project documentation process . + Develop and implement guidelines to manage data ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
    American Heart Association (09/13/24)
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  • Lead RPA Engineer

    Humana (Annapolis, MD)
    …systems, databases, and applications used within the Insurance domain. + ** Process Optimization:** Collaborate with stakeholders including claims adjusters, ... operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background… more
    Humana (10/29/24)
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  • Sr CARE Storm Restoration Trainer

    GAF (Columbia, MD)
    …and measure the impact of technical training and process improvements across the organization + ... (CARE), Storm Restoration training focuses on educating contractors working insurance claims . A CARE Training Manager works with Marketing, Sales, and other… more
    GAF (10/12/24)
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  • Senior Data Visualization Consultant - Remote

    Prime Therapeutics (Annapolis, MD)
    …collaborates with business partners across client facing divisions, product/ project management, analytics, operations, and IT to enable data-driven strategic ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
    Prime Therapeutics (11/08/24)
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  • Application Engineer- Southeast

    Emerson (Annapolis, MD)
    …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
    Emerson (11/05/24)
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  • Senior Strategy Advancement Professional…

    Humana (Annapolis, MD)
    …Healthcare Management **OR** Master's Degree in Public Health programs. + Project Management and Process Improvement qualifications **Additional Information** + ... Horizons is seeking exceptional candidates to join our Medicaid Product Strategy Organization to advance Humana's Medicaid products and capabilities to support the… more
    Humana (10/29/24)
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  • Chief Financial Officer

    Global Communities (Silver Spring, MD)
    …the organization , including the annual budget and financial planning process . The CFO provides executive leadership while maintaining the integrity of accounting ... of leases with various landlords. + Serve as Executive sponsor of the Organization -wide ERP implementation project . + Assess and coordinate domestic and… more
    Global Communities (08/14/24)
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  • Carelon Payment Integrity Manager - Behavioral…

    Elevance Health (Hanover, MD)
    …accuracy of claims payment through the management of a robust process for prevention, detection, and correction of billing, payment and membership errors. Works ... make an impact:** + Has detailed technical knowledge of claims payment accuracy and participates on cross functional teams...plans. + Develops and analyzes monthly reports. + Develops project plans and oversees project execution, issue… more
    Elevance Health (10/19/24)
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  • RPS Operations Manager

    Lincoln Financial Group (Annapolis, MD)
    …to bring on an **Operations Manager** to join the Retirement Plan Services organization in a work from home environment. _Background Details_ As the Operations ... Manager, you will manage RPS Death Claims and RPS Money Out teams. You will oversee...providing an exceptional customer experience. You will also drive process improvements to deliver enhanced results, increased customer satisfaction,… more
    Lincoln Financial Group (11/01/24)
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  • Director, Global Labeling Strategy Lead

    Takeda Pharmaceuticals (Annapolis, MD)
    By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **Job Description** **About the role:** The Plasma-Derived Therapies (PDT) R&D Organization is dedicated to bringing forward new plasma-derived therapies for… more
    Takeda Pharmaceuticals (11/08/24)
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  • Careworks Bill Review - Product Owner

    Sedgwick (Annapolis, MD)
    …their employees regain health and productivity, guide their consumers through the claims process , protect their brand and minimize business interruptions. Our ... bill review product for clients and external partners providing project leadership and management, market analysis and product development,...they demonstrate what it means to work for an organization committed to doing the right thing - one… more
    Sedgwick (11/08/24)
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  • Executive Director, Learning Design

    Educational Testing Service (Annapolis, MD)
    …ETS aims to continue changing the lives of all learners as we expand our organization 's global footprint. Our goal is to remain at the forefront of assessment and ... internal and external stakeholders and consultants to ensure on-time completion of project goals. * Drive product development learning science and design strategy… more
    Educational Testing Service (11/02/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Annapolis, MD)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... Manager needs to be involved to resolve issues. Manages the task resolution process in Salesforce by utilizing task management with other departments and complaint… more
    Intermountain Health (10/31/24)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Hanover, MD)
    …organizations. **How you will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... strategy and supports all aspects of the contract negotiation process . * Can work with multiple provider types, eg...* Works on complex enterprise-wide initiatives and acts as project lead. * Uses analytic tools to track both… more
    Elevance Health (11/05/24)
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  • O&M Case Manager

    Sunrun (Annapolis, MD)
    …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
    Sunrun (11/05/24)
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