- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts,… more
- CVS Health (Annapolis, MD)
- …as what we deliver. **Position Summary** The Analyst, Medical Cost Analytics / Utilization Management role will analytics to evaluate scenarios and make ... and support decision making. The Analyst will be regarded as a specialist , analyzing large data sets in real-time databases and developing mathematical approaches… more
- Anywhere Real Estate (Baltimore, MD)
- The **Commercial** **Sales Specialist ** participates in and supports sales management efforts, by assisting the **Commercial Director** in a range of agent ... and detail-oriented + Must be proficient with technology tools and teaching agents on utilization of tools + Must have a valid Real Estate or Broker's license… more
- BD (Becton, Dickinson and Company) (Sparks, MD)
- …+ Able to manage the end-to-end process of customer complaints including utilization of the database systems used to process complaints. + Responsible for ... accurately + Strong business, technical and computer skills + Strong project management skills + Using computer based analytical, statistical and modeling tools to… more
- Highmark Health (Annapolis, MD)
- … - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse. **Preferred** + None **SKILLS** +… more
- Global Communities (Silver Spring, MD)
- …Strategic Growth and Partnership, country-based program staff, and the Knowledge Management Specialist , advance how knowledge and evidence from programming ... MELI-related capacity of relevant internal and partner staff, in areas including data management , analysis, reporting and utilization of findings for data driven… more
- NTT America Solutions, Inc. (Annapolis, MD)
- …their area of responsibility and /or stakeholder group. These individuals have specialist knowledge and answer queries related to their area of responsibility and/or ... in the assigned stakeholder group through communication, information sharing, and knowledge management . + Actively contribute to the growth and success of the… more
- Verint Systems, Inc. (Annapolis, MD)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's… more