- Cardinal Health (Annapolis, MD)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Elevance Health (Hanover, MD)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or… more
- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Elevance Health (Hanover, MD)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Hanover, MD)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
- Elevance Health (Hanover, MD)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with… more
- Humana (Annapolis, MD)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Bowie, MD)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Ensono (Annapolis, MD)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... RELIABILITY, COLLABORATION, CURIOSITY, PASSION** At Ensono, we are reinventing managed services with our **Envision Operating System** -a software-first platform… more
- CVS Health (Annapolis, MD)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Annapolis, MD)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- UMB Bank (Annapolis, MD)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- RTX Corporation (Annapolis, MD)
- …what it means to keep the world moving. As the Flight Operations Manager leading our Annapolis-based Flight Operations Center, you'll play a pivotal role in ... by verifying, coordinating, and resolving customer concerns with urgency and care . + Actively support employee career development through coaching, stretch… more
- Western Digital (Annapolis, MD)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Highmark Health (Annapolis, MD)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more
- Johns Hopkins University (Columbia, MD)
- …patient visits and procedures and medications are pre-authorized by third party payers, managed care organizations, and HMO's. + In close partnership with health ... and uses a variety of resources to validate patient care decisions. + Assists Clinic Manager in...validate patient care decisions. + Assists Clinic Manager in maintaining and optimizing efficient and effective clinic… more
- Cardinal Health (Annapolis, MD)
- …independently with minimal supervision. + Strong organizational skills. + Understanding of managed care contracts and fee schedules, including Medicare and ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Microsoft Corporation (Elkridge, MD)
- …**Solution Architect** who will work in close collaboration with the project manager and account team to identify, categorize, and communicate business and technical ... Jointly leads the implementation in close partnership with the Project Manager . Leads oversight and governance and establishment of quality practices and… more
- Intermountain Health (Annapolis, MD)
- …pathology, radiology, picture archiving and communications (PACS), cardiovascular, pharmacy, home care , long term care , population health, consumer and patient ... nature and span cross functional areas. Work collaboratively with the DTS Project Manager (if applicable) team assuring key initiatives are organized, planned, and … more
- CDM Smith (Bowie, MD)
- …demands. **Preferred Qualifications:** * SAM, CSAM (Certified Software Asset Manager ), or SAMS (Software Asset Management Specialist) certifications preferred. * ... Management tools, such as ServiceNow SAM, Flexera, Snow License Manager , or Certero. * Strong background in software license...Where it's a priority that the company takes good care of you and your family. Our employees are… more