Managed Care Jobs in Maryland
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Search Results - Managed Care Jobs in Maryland
Forestville Healthcare Center-Forestville (MD)
EXPERIENCE REQUIREMENTS
Graduate of an accredited school of nursing; LPN
Valid LPN license in the state employed
Three years of experience in a long term care environment preferred
Experience with the MDS/RAI process and/or case management preferred
JOB...
ICONMA, LLC-Baltimore
experience in health care/managed care setting or previous work experience within division
Knowledge of CPT and ICD-10 coding.
Ability to effectively participate in a multi-disciplinary team including internal and external participants., Proficient...
resume-library.com -
Westminster Healthcare Center-Westminster (MD)
The MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is responsible for accurate and timely completion of mds assessments and coordination of the RAI process. Provides Medicare, Medicaid (case mix), and managed care...
Talteam-Baltimore
and job-related issues. Demonstrated desire to share knowledge and work as a team.
Excellent written and verbal communication skills, and the ability to present to internal clients of all levels.
Working knowledge of medical insurance and managed care...
resume-library.com -
Pasadena (MD)
Overview:
At FutureCare our Corporate Accounts Receivable Manager will manage processing and collections of accounts receivable, monitor compliance with billing rules/regulations by conducting reviews/audits relating to Medicaid/Managed Care...
icims.com -
Ageatia Global Solutions-Baltimore
to internal clients of all levels.
Working knowledge of medical insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems. Knowledge of all types of medical necessity decisions including various places of service and provider...
resume-library.com -
University of Maryland Medical System-Easton (MD)
residency program in Diagnostic Imaging, Radiology
• Board certification as an MD or DO with a current unrestricted state license to practice medicine
• 5+ years clinical practice beyond residency/fellowship
• 5+ years experience in managed care
• MBA...
mindmatch.ai -
Robert Half-Towson
an accurate database of credentialing statuses and provider numbers
• Handle the administrative services related to the credentialing of our providers with managed care companies
• Accurately populate and submit initial enrolment and re-credentialing...
roberthalf.com -
Johns Hopkins Medicine-Baltimore
of hospital and university finance and administration preferred.
5. Knowledge of administering a physician practice plan is preferred.
6. Knowledge of managed care.
7. Knowledge of the Maryland reimbursement system is desirable.
8. Demonstrated team building...
appcast.io -
University of Maryland Medical System-Baltimore
and reports for the Medication Use Evaluation Program.
Assist in developing clinical pathways and managed care initiatives.
Contribute to formulary management by developing drug monographs, treatment protocols, policies, algorithms, and guidelines.
Document...
resume-library.com -
iCallidus-Bethesda (MD)
proficiency in utilizing Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology (AHLTA), ESSENTRIS, CCS/CareRadius (RMS), Managed Care Support Contractors portal, MHS GENESIS, and AVAYA systems.
• Accurately processes referrals per...
jobvertise.com -
Ageatia Global Solutions-Baltimore
medical-surgical or similar clinical experience OR 3 years experience in mental health, psychiatric setting.
Preferred Qualifications
2 years experience in Medical Review, Utilization Management or Case Management at Client , or similar Managed Care...
resume-library.com -
Evergreen Nephrology-Baltimore
overcome obstacles, and achieve goals despite challenges.
• We also strongly prefer:
• You have previous experience working within a managed care environment especially with experience in administrative/management capacity.
• You have experience in leading...
appcast.io -
Essex (MD)
closely with Reimbursement to review list from private pay/managed care
6. Adheres to the organization’s policy in regards to absenteeism and appearance
7. Omission of specific duties does not exclude them from this position if the work is similar, related...
icims.com -
Sparks (MD)
and regional payor and contracting strategies with Managed Care Organizations (MCOs) including I-SNP programs. Will direct national and regional staff to build and coordinate MCO census activities to include physicians, physician groups, ACOs and appropriate...
icims.com -
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