- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
- Black & Veatch (Annapolis, MD)
- **Construction Project Representative - Water - Louden County** Date: Jun 22, 2025 Location: VA, US MD, US Gaithersburg, MD, US Company: Black & Veatch Family of ... **Req Id :** 108261 **Job Title :** Resident Project Representative - Water - Louden County **Location :** VRTLVA,...* Participate with GC personnel in QA/QC activities * Review , certify and file the field testing reports. o… more
- Highmark Health (Annapolis, MD)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Amentum (Washington, DC)
- …review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, ... **VCF Position Title: Claim Review Assessor Position Description** **AMENTUM Job Title: Senior...created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm… more
- Amentum (Washington, DC)
- …Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as ... be found at http://www.vcf.gov/ . The payment of VCF claims is the most critical aspect of the ...recruitment efforts for new payment team members including the review resumes and participating in the interviewing process. +… more
- Prime Therapeutics (Annapolis, MD)
- …partnerships with various levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team + Coach and provide ... of work experience in data analysis and reporting + 3 years of SQL experience + Must be eligible...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Cushman & Wakefield (Washington, DC)
- …these contracts, responsible for periodic and ongoing performance and financial review , conducting RFP's, and assuring payments and invoicing match contract pricing. ... and building tenants/occupants* Ensure facility management staff implements ongoing contract review programs to constantly assess client, tenant and occupant needs… more