- CVS Health (Annapolis, MD)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Owings Mills, MD)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Annapolis, MD)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- WelbeHealth (Annapolis, MD)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Annapolis, MD)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- Elevance Health (Woodlawn, MD)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- WellSpan Health (York, PA)
- … provider revenue cycle, to include scheduling/registration, patient accounting, claims submission, and payment and denial processing are critical components of ... experience. Works in a strong dyad or triad relationship with the provider leadership, centralized services leadership and/or clinical leadership on staff, leader… more
- RxBenefits (Baltimore, MD)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Walgreens (Baltimore, MD)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Brooklyn, MD)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (Baltimore, MD)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- The Cigna Group (Baltimore, MD)
- …as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in ... to contracting strategy in the market. + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the… more
- Cardinal Health (Annapolis, MD)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Johns Hopkins University (Baltimore, MD)
- **General Summary** We are seeking an **Internal Audit Manager ,** who demonstrates subject matter expertise in operational internal auditing and the healthcare ... audit teams to ensure effective utilization in completing assigned projects. + Provide day-to-day support for assigned staff, eg create open lines of communication,… more
- Fujifilm (Annapolis, MD)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Annapolis, MD)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Army National Guard Units (Havre De Grace, MD)
- …your Educational claims . To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position. ... 32 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER , Position Description Number NGD1015000 and is part of the MD USPFO, National… more
- Army National Guard Units (Havre De Grace, MD)
- …your Educational claims . To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position. ... TITLE 5 EXCEPTED SERVICE POSITION. This National Guard position is for a FINANCIAL MANAGER - T5, Position Description Number NGT5133000 and is part of the MD USPFO,… more
- Dentsply Sirona (York, PA)
- …under a strong portfolio of world class brands. Dentsply Sirona's products provide innovative, high-quality and effective solutions to advance patient care and ... regulatory agencies. + Reviews and approves product labelling and claims for the US and EU markets. + Stays...relationships. + Manages day to day activities for less senior Regulatory Affairs professionals, including but not limited to… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more