- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Annapolis, MD)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Ryder System (Annapolis, MD)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Insight Global (Nottingham, MD)
- …Description Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This ... contract interpretation issues-not clinical denials or patient balances. The representative ensures accurate reimbursement by analyzing Explanation of Benefits… more
- Black & Veatch (Gaithersburg, MD)
- **Construction Project Representative - Water - Loudoun County** Date: Nov 21, 2025 Location: Gaithersburg, MD, US MD, US VA, US Company: Black & Veatch Family of ... **Req Id :** 111901 **Job Title :** Construction Project Representative - Water - Loudoun County **Location :** RGGAIT,...* Participate with GC personnel in QA/QC activities * Review , certify and file the field testing reports. o… more
- Stantec (Baltimore, MD)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, budget and schedule are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Highmark Health (Annapolis, MD)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Ryder System (Annapolis, MD)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Highmark Health (Annapolis, MD)
- …for the implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review ... the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the… more
- CVS Health (Annapolis, MD)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the Accounts Receivable Supervisor include:** +… more
- Otsuka America Pharmaceutical Inc. (Rockville, MD)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Chenega Corporation (Rockville, MD)
- …compensation programs, or managed care. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A ... program knowledge, leadership, and/or support experience. + Must have experience in claims review , healthcare administration, or related fields. + Must have… more
- Chenega Corporation (Rockville, MD)
- …to the clients Rockville, MD location. + Professional Background: Relevant experience in claims review , healthcare administration, or related fields. + A minimum ... program knowledge, leadership, and/or support experience. + Must have experience in claims review , healthcare administration, or related fields. + Must have… more
- CareFirst (Baltimore, MD)
- …in all areas of Utilization Management (UM), including pre-service, concurrent review , and inpatient management, with a specific focus on optimizing end-to-end ... functions of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives and enterprise-wide… more
- Prime Therapeutics (Annapolis, MD)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- Parsons Corporation (Linthicum, MD)
- …to deliver successful project outcomes. The Resident Engineer acts as the client's representative in the field and provides leadership to the inspection and office ... primary liaison between the contractor, client (MAA), and project management team. + Review and respond to contractor submittals, RFIs, change orders, and claims… more
- Sunrise Senior Living (Bethesda, MD)
- …receivable system according to Sunrise Senior Living policy and procedures; review all input, manage data integrity controls, coordinate processing with Sunrise ... Headquarters team, review and analyze output reports, and ensure timely issuance...with Medicare and Sunrise Headquarters billing office to resolve claims and obtain timely reimbursement. + Maintain current knowledge… more
- Washington Metropolitan Area Transit Authority (Landover, MD)
- …production, and amount of work to be completed; interpretation of specifications, claims , and pending change orders; coordination of support agencies and activities; ... previously noted by Inspectors; and agreements between the Authority Representative and contractor. + Interdepartmental collaboration and coordination of work… more
- Ryder System (Hagerstown, MD)
- …The incumbent will document/modify processes, based on received and performed quality audits, review root cause analysis of damage claims , and participate with ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- RxBenefits (Baltimore, MD)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more