- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Appeals Specialist I is responsible for the initial analysis of appeals and/or grievance correspondence, and ... without breaching confidentiality of medical information. + Assists Supervisor and Appeals Specialist II and III with unit projects and other duties related… more
- CVS Health (Annapolis, MD)
- …Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity ... written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals . - Insures all compliance requirements are satisfied and all… more
- US Courts (Washington, DC)
- Summary The Information Technology Support Specialist provides technical support to judges, chambers staff, and court staff in the areas of installing, configuring, ... issues including Microsoft 365 applications, virtual desktop infrastructure, and remote access solutions. Install, configure, and maintain hardware, cloud-based… more
- Evolent (Washington, DC)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- American Management Group, LLC (AMG) (Washington, DC)
- …in accordance with statutes, regulations, and laws + Prepare responses to appeals , fee waivers, and lawsuits + Archive and determine dispositions through established ... of documented experience as a Procurement Analyst or FOIA Specialist supporting Federal Government agencies + Proficiency in Microsoft...preferred Work Environment + Washington, DC 20024 or approved remote locations + Remote work may be… more