- CVS Health (Annapolis, MD)
- … of Claims Management is responsible for overseeing Medicaid claims operations , inventory management, quality assurance, and compliance monitoring. This ... Grievance. and Medical Management. **Key Responsibilities** + Manage dailyMarylandMedicaid claims operations to ensuretimelyandaccurateclaimsadjudication and payment. +… more
- Marriott (Bethesda, MD)
- …Region Office, 7750 Wisconsin Avenue, Bethesda, Maryland , United States, 20814VIEW ON MAP ... school diploma or GED; 3 years experience in the human resources, management operations , or related professional area. OR * 2-year degree from an accredited… more
- The Cigna Group (Washington, DC)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... **LOCATION:** **Virginia, Maryland or Washington, DC** The **Physician & Ancillary Contracting Manager ** serves as an integral member of the Provider Contracting… more
- The Cigna Group (Mclean, VA)
- …of communication with matrix partners, including but not limited to Claims Operations , Medical Management, Credentialing, Legal, Medical Economics, Compliance, ... on to learn more! As a Provider Contracting Negotiator Manager at Cigna Healthcare, you'll be an integral member...community. Location: You must reside in the Mid-Atlantic market: Maryland , DC, or Virginia. **How you'll make a difference:**… more
- Marriott (Gaithersburg, MD)
- …Washingtonian Center, 9751 Washingtonian Blvd., Gaithersburg, Maryland , United States, 20878VIEW ON MAP ... or related professional area. **CORE WORK ACTIVITIES** **Managing Security/Loss Prevention Operations ** * Assists the Director of Engineering in administering fire… more
- Elevance Health (Washington, DC)
- …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... benefit management and pharmacy operations teams. + Ensures compliance of the Medicaid formularies...to $206,640. Locations: District of Columbia (Washington, DC), Illinois, Maryland , Massachusetts, Nevada, New Jersey, New York In addition… more
- The Cigna Group (Mclean, VA)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting… more