Managed Care Jobs in Maryland
1 - 15 of 37
Search Results - Managed Care Jobs in Maryland
University of Maryland Medical System-Glen Burnie
of outpatient referrals. Reviews all outpatient referrals for benefit coverage, eligibility and appropriate providers for various managed care contracts in timely and efficient manner.
Serves as a contract resource for providers and staff. Attends meetings...
resume-library.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 -
Integrated Resources, Inc-Columbia (MD)
description
Duties:
see job description
Experience:
" at least 2 years experience with Managed Care or other health care related entities
" claims data experience
" Expert in Excel including; Macros/VBA and Power Query
" proficient/formal training...
resume-library.com -
Nesco Resource-Bethesda (MD)
Location: Remote position.
• IT Requirements: Candidates must meet the work-from-home IT requirements as specified by the supplier.
• Background Check: Successful completion of a background check through Sterling Managed Care Advisors.
Education:
• High...
jobrapido.com -
ICONMA, LLC-Baltimore
service skills. , Proficient
Knowledge of basic medical terminology and concepts used in managed care., Proficient
Knowledge of standardized processes and procedures for evaluating medical support operations business practices., Proficient
Excellent...
resume-library.com -
Encompass Health-Indian Head (MD)
preferred.
• Successful track record in leading, managing or direct sales and marketing, preferably in Healthcare environment.
• Physician relations, Case manager, Managed care, knowledge of local healthcare market preferred.
ABOUT US
As a national...
appcast.io -
ICONMA, LLC-Columbia (MD)
specific.
Additional HEDIS measures could be included in our analyses and improvement strategies.
Requirements:
At least 2 years’ experience with Managed Care or other health care related entities
claims data experience
Expert in Excel including...
resume-library.com -
Columbia (MD)
knowledge of insurance information found on Johns Hopkins Managed Care website.
Gathers and verifies all information required to produce a“clean claim” including special billing procedures that may be defined by a payor or contract.
Reviews patient...
icims.com -
US Tech Solutions, Inc.-Columbia (MD)
At least 2 years’ experience with Managed Care or other health care related entities
claims data experience
Expert in Excel including; Macros/VBA and Power Query
proficient/formal training with Structured Query Language (SQL)
HEDIS experience
Preferred...
resume-library.com -
Robert Half-Cockeysville
private insurance, hospice, Medicaid, private pay, outpatient Medicare, Medicare managed care (with levels and RUGS), and co-insurance.
• Maintain up-to-date and precise customer credit records.
• Professionally address customer inquiries in person...
roberthalf.com -
Gallagher Bassett-Rockville (MD)
of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Advanced written and oral communication skills, along with organizational and leadership skills.
• Self-directed and proactively manage assigned case files...
appcast.io -
Laurel (MD)
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
Wider Circle-Baltimore
managed care organization, etc.)
• Volunteer experience
• Medicaid experience a plus
• Exceptional communication, interpersonal, and organizational skills
• History of strong team-building skills, including recruiting and developing a team
• Communicate...
workable.com -
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 -
Managed Care Advisors-Baltimore
Position Title: Senior Analyst (Hybrid)
Location: Bethesda, Maryland, United States
Job Category: Analytics
Job Type: Full Time
Description: Overview : Senior Analyst
Senior Analyst (Hybrid)
Salary Range: (80,000 to 90,000) depending...
tiptopjob.com -
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