• Group Risk Specialist (AMCB…

    TD Bank (Baltimore, MD)
    …operating framework, reporting, notification and escalation of material and significant events The Group Risk Specialist provides a comprehensive and diverse ... provide you more specific details for this role. **Line of Business:** Risk Management **Job Description:** **Department Overview:** The US Business Resilience and… more
    TD Bank (04/27/24)
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  • Senior Hierarchical Condition Category…

    Highmark Health (Annapolis, MD)
    …**Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health ... will deliver value to the Health Plan and its beneficiaries enrolled in risk -adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act… more
    Highmark Health (04/18/24)
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  • Senior Contract Specialist (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, ... status of filings; attending and representing BCM at strategy and work group meetings; and contributing to BCM strategies and process improvements. **ESSENTIAL… more
    CareFirst (04/09/24)
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  • Risk Adjustment Provider Education Lead…

    The Cigna Group (Baltimore, MD)
    …(at least one of the below): + Certified Professional Coder (CPC) + Certified Risk Adjustment Coder (CRC) + Certified Coding Specialist for Providers (CCS-P) + ... This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational...may be asked to provide coaching and support to senior analysts, lead representatives, or other team members to… more
    The Cigna Group (02/17/24)
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  • Triage Specialist

    Johns Hopkins University (Baltimore, MD)
    …a **_Triage Specialist_** for Student Outreach and Support, reporting to the Senior Director, provides non-clinical case management services to ensure high- risk ... back to the living and learning environment. The Triage Specialist manages the concerns that are reported to SOS...for follow-up and support. + Monitor follow-up support to high- risk students by coordinating closely with various units in… more
    Johns Hopkins University (04/25/24)
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  • Triage Specialist , Success Coaching…

    Johns Hopkins University (Baltimore, MD)
    …School of Arts & Sciences and in the Whiting School of Engineering. The Triage Specialist (s) will report to the Senior Director of SCAA. The position is ... as well as their overall well-being. We are recruiting for a **_Triage Specialist (s) for Success Coaching Program in Academic Advising_** . The primary duties of… more
    Johns Hopkins University (04/04/24)
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  • Public Safety Training Specialist

    Johns Hopkins University (Baltimore, MD)
    …Training Specialist_** who will facilitate the implementation of enterprise-wide risk reduction processes, crime prevention practices and public safety workforce ... assess and summarize their key determinants to inform supervisors, mid-level and senior managers in the selection of appropriate programing models. + Provide liaison… more
    Johns Hopkins University (04/16/24)
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  • Contract Specialist (Hybrid)

    CareFirst (Baltimore, MD)
    …provides contract interpretation, information and language; raises complex issues to Senior Contract Specialist /supervision in Benefit Contract Management (BCM) ... Revises group account specific contracts and certificate language for risk and self-insured accounts using established models and templates when available.… more
    CareFirst (04/09/24)
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  • Senior Medical Stop Loss Underwriter

    Highmark Health (Annapolis, MD)
    **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on ... do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new...factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance… more
    Highmark Health (04/12/24)
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  • Vulnerability Assessment Analyst Sr

    Athena Technology Group, Inc. (Fort Meade, MD)
    Description/Job Summary Vulnerability Assessment Analyst - Senior Job Location: Fort Meade, MD Job Category: Position Type: Full Time, 40 hours per week Athena ... Technology Group , Inc. is a Service-Disabled Veteran Owned /Small Business (SDVOSB) focused on Information Technology and Communications consulting, system… more
    Athena Technology Group, Inc. (04/26/24)
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  • Associate Medical Stop Loss Underwriter

    Highmark Health (Annapolis, MD)
    **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job pricies quotes and analyzes the structure of a contract for a group based on ... do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new...factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance… more
    Highmark Health (04/02/24)
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  • OP Nurse Coordinator I, RN York, Outpatient Care…

    UPMC (Shrewsbury, PA)
    UPMC Pinnacle Medical Group , Outpatient Care Management Team is adding an OP Nurse Coordinator I (Registered Nurse, RN) to their team in Hanover/York area. This ... + Develops a plan of care for the highest risk patients. + Performs patient outreaches in person via...and the care team (eg social work, inpatient and specialist care coordinators, pharmacist, etc.) to utilize evidence-based resources… more
    UPMC (04/12/24)
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