- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... Preferred **Experience:** 5 years Clinical nursing experience. 2 years Care Management and/or Utilization Management . **Preferred Qualifications:** + … more
- Sedgwick (Annapolis, MD)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To ... and EDI vendors as required on EDI processes, technical programming, utilization of the EDI vendor system, state and client implementations, parameter… more
- CareFirst (Baltimore, MD)
- …care. + Reviews the performance of provider partners based on utilization , trends, and quality metrics to develop rate/reimbursement solutions. Ensures that ... geographically competitive, offers broad access, and meets cost and trend management objectives. **Regulatory and Healthcare Landscape** + Monitors and remains… more
- Medtronic (Baltimore, MD)
- …connected, compassionate world. **A Day in the Life** The **Clinical Product Specialist (CS)** will be responsible for the implementation and training of Medtronic's ... information in an effective manner to help support optimal utilization of the full product portfolio by the widest...professional to join our team. While this is a remote position not located at a physical Medtronic site,… more
- Canon USA & Affiliates (Annapolis, MD)
- **XR Clinical Applications Specialist - req1569** **OVERVIEW** This position is the project manager for the final implementation for clinical applications training ... the sales and installation is complete, the Clinical Applications Specialist takes charge of the process, and works with...and technologists at each location to assure their best utilization of CMSU products and services. + Consult with… more
- Evolent (Annapolis, MD)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to ... on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical...Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- CenterWell (Annapolis, MD)
- …Referral and Specialty Care to lead strategy and execution for our referral management , payer prior authorization, and specialist network solutions. This role is ... + Product Ownership: Own the strategy, roadmap, and delivery of external specialist referral management solutions, including specialist network optimization,… more
- NANA Regional Corporation (Fort Meade, MD)
- …high-level specialist who regularly interacts and works with senior management . Uses advanced techniques, theories, and processes to complete work. Typically ... related inputs and assess desperate classified technologies for future Risk Management Framework (RMF) related activities. Conduct lab evaluation, prototyping and… more
- ASM Research, An Accenture Federal Services Company (Annapolis, MD)
- …not limited to software distribution, backups, performance measurement, tuning, license and asset management to allow automated as well as remote systems ... on the project in a senior administrator capacity. Considered a technical specialist in a variety of IT administrator disciplines. + Configure, monitor, and… more