- Humana (Annapolis, MD)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CommuniCare Health Services Corporate (Linthicum Heights, MD)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Humana (Annapolis, MD)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- University of Maryland, Baltimore (Baltimore, MD)
- …of Maryland Baltimore (UMB) invites applications from dynamic, customer-focused Construction Project Management Leaders to serve as its Associate Director of ... Project Management .*Reporting to the Executive Director of Design and Construction, the successful candidate will lead UMB non-capital campus construction,… more
- Humana (Annapolis, MD)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- CareFirst (Baltimore, MD)
- …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization ... for the design, assessment, implementation and outcomes of utilization management strategies using a multidisciplinary approach to enhance member engagement,… more
- Cardinal Health (Annapolis, MD)
- …are used. **What this position contributes to Cardinal Health:** The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
- Sedgwick (Annapolis, MD)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | CST & EST Time Zones...EST Time Zones **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be… more
- Takeda Pharmaceuticals (Annapolis, MD)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Total Civil Construction & Engineering, LLC (Lanham, MD)
- Job Summary The Director of Human Resources is responsible for developing strategies to cost-effectively manage the human resources. Based upon market trends, ... on full-cycle staffing and retention, employee relations, training/development, Change Management , total rewards, and compliance Acts as primary liaison with… more
- Compass Group, North America (Baltimore, MD)
- …MLB, NBA, NFL, and MLS All-Star Games. Job Summary As a Human Resources Director , you will be responsible for overseeing the recruitment, training and engagement of ... the location HRIS system + Ensuring the timely processing of all unemployment claims + Plans the team's activity to deliver against medium-term objectives + Managing… more
- HomeSafe Alliance (Annapolis, MD)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Evolent Health (Annapolis, MD)
- …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
- Stantec (Laurel, MD)
- …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... Claims /Risk mitigation. + Oversee and approve development and management of the Project Scope WBS. + Oversee and...Internal (PGC) Monthly Reports; issue following review with Design Director . + Responsible for the formulation of the Project… more
- Johns Hopkins University (Middle River, MD)
- …efficient claims processing. + Requires a thorough understanding of medical billing and the unique customer service requirements as related to patients, ... consultation, and reports to the Department Administrator and the Senior Director of Revenue Operations Physicians Billing Service (PBS). Reviews provider income… more
- HEI Hotels and Resorts (Linthicum Heights, MD)
- …in the recruiting, screening and interviewing for all management and non- management hotel positions. Assist the Human Resources Director or Human Resources ... Manager in directing and instructing the management staff in effective recruiting and interviewing techniques using...to associates as required and assist with enrollment and claims processing. + Assist with associate relations events and… more
- Johns Hopkins University (Baltimore, MD)
- …Center, Department of Case Management , with additional oversight by the JH PACT Medical Director and Nurse Director . This position serves as the ... relationships not only with patients, but also with community partners and medical teams. This position works with an interdisciplinary team of physicians, nurses,… more
- 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 ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
- Fujifilm (Annapolis, MD)
- …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more