- Highmark Health (Annapolis, MD)
- …- Medicare Advantage, Medicaid, Affordable Care Act + Demonstrated knowledge of risk adjustment principals + Health Insurance and/or managed care industry ... might jeopardize successful achievement of the desired results of a program , develop risk mitigation strategies and tactics, and implement risk mitigation… more
- RELX INC (Annapolis, MD)
- …needs of the business and external customers. About the Role The Business Program Manager manages key client programs and projects. Overseeing a portfolio ... About the Business LexisNexis Risk Solutions is the essential partner in the...customers across divisions, potentially including external customers, to enhance program effectiveness and influence. + Handling client-facing strategic initiatives… more
- The Cigna Group (Baltimore, MD)
- …to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... goals. The role will work under the direction of Risk Adjustment Manager to reach...health plan coding initiatives guidelines and requirements of the Risk Adjustment program to ensure… more
- University of Maryland, Baltimore (Baltimore, MD)
- …of Maryland, Baltimore Office of Community Engagement*has an opening for a*Case Manager (Social Worker or Senior Social Worker)*. The Community Engagement Case ... Manager will assist with advancing UMB as a national...procedures, methods, and/or ethics derived from a formal educational program in social work to restore or enhance social… more
- Humana (Annapolis, MD)
- …similar **Preferred Qualifications** + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider. + PMP or CAPM Certification + ... of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior… more
- RELX INC (Annapolis, MD)
- Health Systems Account Manager Do you enjoy building successful customer relationships? Would you like to deliver a sales strategy that creates growth within the ... All for the benefit of every patient. About the Role As an Account Manager , you'll partner with your accounts, calling on key stakeholders to measure and improve… more
- Travelers Insurance Company (Hunt Valley, MD)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more
- Travelers Insurance Company (Hunt Valley, MD)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed....activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators,… more