- Fujifilm (Annapolis, MD)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Sedgwick (Annapolis, MD)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Travelers Insurance Company (Hunt Valley, MD)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . more
- CVS Health (Annapolis, MD)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for ... handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** + Uses A/R follow-up ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist . **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses ... on an understanding of the outpatient registration process. The Specialist will use an understanding of claims ...third-party payers. + Appeals rejected claims and claims with low reimbursement. + Performs claim … more
- Zurich NA (Owings Mills, MD)
- TPA Technical Specialist 124356 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... resolve claims according to US Best Practices. The TPA Specialist regularly communicates with TPAs, customers, brokers, Business Unit Underwriters and… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- …of the Security Assistance Management Directorate (SAMD). As a Logistics Management Specialist you'll be making a difference in global security assistance by ... to manage your own workload independently. **Responsibilities** The Logistics Management Specialist will be responsible for logistics and acquisition type duties… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** The Digital Transformation & Power Platform Specialist : The Digital Transformation & Power Platform Specialist will lead modernization efforts ... training and support to ensure successful adoption. + Brief senior leadership on new digital tools and dashboards to...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- CareFirst (Baltimore, MD)
- …Credentialing department. + Develop business cases and present findings to Senior Management to support reimbursement and contracting initiatives through statistical ... analysis, cost/ benefit modeling and analysis. Develop and present business cases...(eg, hospitalist, diabetes education, reduction of authorizations, reduction of claims appeals, etc.). Participate in internal and external committees… more
- Highmark Health (Annapolis, MD)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Annapolis, MD)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Annapolis, MD)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more