- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Aerotek (Hanover, MD)
- …FUNCTIONS** + Provide ongoing training on workers' compensation process including investigation, claims management and follow-through + Perform monthly audit of ... Supervisor will preserve company assets via management of Workers' Compensation claims , as well as develop design and implementation of procedures, processes,… more
- Highmark Health (Washington, DC)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more