- AmeriHealth Caritas (Washington, DC)
- …1201 Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is ... more
- AmeriHealth Caritas (Washington, DC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... more
- Brink's (Baltimore, MD)
- …USD Annual About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed ... more
- Marriott (Bethesda, MD)
- …reconciled against actual utilization of services. + Ensure key Property Network technology management processes are effectively managed including: governance, ... more
- HomeSafe Alliance (Annapolis, MD)
- …we provide earlier visibility into upcoming moves and greater network throughput capacity-ensuring household goods shipments are picked up and delivered on ... more
- Cardinal Health (Annapolis, MD)
- …healthcare law; specifically, regulations related to pharmaceutical distribution and services, managed care and group purchasing organizations * Identify ... more
- Erickson Living (Parkville, MD)
- …as a Certified Nursing Assistant with the state of Maryland + Experience as a care provider serving the senior population is preferred Please note that specific ... more
- Highmark Health (Annapolis, MD)
- …specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN ... more
- Highmark Health (Annapolis, MD)
- …specialization + Experience in a Clinical Setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States ... more
- The Cigna Group (Baltimore, MD)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player ... more
- Highmark Health (Annapolis, MD)
- …and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving ... more
- Humana (Annapolis, MD)
- …ability of limited resources to achieve growth Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions ... more
- Highmark Health (Annapolis, MD)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population ... more
- Erickson Living (Catonsville, MD)
- …Maryland. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and ... more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Genesis and eligible for care , the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance Coordinator ... more
- Ascension Health (Baltimore, MD)
- …diagnostic studies. Performs preventative health assessments, screening, immunizations and patient care . + Provide direct treatment and management of health ... more
- Humana (Annapolis, MD)
- …Qualifications** + 2 - 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working ... more
- Trinity Health (Silver Spring, MD)
- …case management, including securing psychiatric beds and obtaining pre-authorizations from managed care companies. + Collaborate with on-call psychiatrists, ... more
- Ascension Health (Baltimore, MD)
- …for the right candidate to partner with Ascension Saint Agnes to provide medical services to patients. The right candidate will have post-graduate oncology ... more
- AmeriHealth Caritas (Washington, DC)
- …+ Identifies and implements evidence-based practice guidelines throughout the provider network + Monitors the quality of clinical care provided by in ... more