- Highmark Health (Annapolis, MD)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Delmock Technologies, Inc (Laurel, MD)
- …Laurel, MD 20707. Role: Delmock Technologies, Inc. is seeking a Project Coordinator / Executive Operations Manager, Office of the CIO, to provide high-level ... and meeting minutes. Prepares documentation for Commission and leadership meetings, investigations , and special projects; attends meetings to support the CIO as… more
- Cardinal Health (Annapolis, MD)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Annapolis, MD)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Annapolis, MD)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Annapolis, MD)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- University of Maryland, Baltimore (Baltimore, MD)
- …administers emergency medical aid. * Conducts preliminary and follow-up investigations by interviewing and obtaining statements; collects, preserves, and processes ... Prepares and completes a variety of detailed reports and forms to support investigations . * Prepares cases; appears and testifies in court. * Enforces laws,… more
- Wegmans (Owings Mills, MD)
- …career growth, both within the Asset Protection area and companywide As a Security Coordinator at a Wegmans store location, you will be responsible for providing a ... decisions that affect the safety and wellbeing of others + Discreetly conduct investigations and surveillances under the guidance of the Asset Protection Manager +… more
- Erickson Living (Parkville, MD)
- …utilization, ADL splits/documentation, etc. + Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are ... (PI/RM/S) Committee + Provides leadership and guidance during annual survey/complaint investigations as well as other regulatory audits/reviews What you will need… more
- University of Maryland, Baltimore (Baltimore, MD)
- …opportunities. These include, but are not limited to research investigations , clinical programs, community health outreach initiatives, educational programs, and ... operates. Individuals may report concerns or questions to the Title IX Coordinator . Read theUMB Notice of Non-Discriminationfor more information. **Job:** **Reg or… more
- BioLife Plasma Services (Baltimore, MD)
- …Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic ... threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or… more
- Utilities Service, LLC (Baltimore, MD)
- …and control enclosures. + Conduct root cause analyses and equipment failure investigations to drive design improvements and reliability enhancements. + Champion the ... with a disability who desire a reasonable accommodation can contact the ADA Coordinator by calling ###. We partner with the Department of Homeland Security/US… more