Healthcare Insurance Specialist Jobs in Maryland

Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Job Information Humana Vulnerability Remediation Specialist (Remote) in Bethesda Maryland Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..

Job Information Humana Senior Integration Specialist - Cloud in Bethesda Maryland Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Baltimore Maryland Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Bethesda Maryland Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job Location Rockville, MD - 1100 - Rockville, MD Position Type Full Time Salary Range $36,000.00 - $39,000.00 Salary/year There's a spot on our team waiting for you! Become a Team ..

Job Information Humana Pharmacy Claims Specialist, Remote in Bethesda Maryland Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Details Department: Health Information Management Schedule: PRN Hospital: Ascension St. Agnes Location: Baltimore, MD Bachelors in Nursing, with at least 1 year of either CDI , Quality, or Care Management experience ..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Bethesda Maryland Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..

... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... About Maxim Home Careers Payroll Specialist - Internal Payroll Specialist - Internal Columbia, MD, 21046 ... Full..

What You Will Do: Emergency Department Registration Specialist Part Time - Night 11p-7:30a Varied days to include e/o weekend UM Baltimore Washington Medical Center Glen Burnie, Maryland The Power of Caring ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Description Job Summary: The Medical Insurance Specialist teams perform several types of ... coordinates information between the patients, insurance companies and our clients. Job ... claims. Responsibilities: Follow up with..

Job Information Humana Specialty Drug Site of Care Specialist in Bethesda Maryland Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..

Float Patient Service Specialist - Towson, MD Job ID ... If so, the Patient Service Specialist role could be a great ... Working as a Patient Service Specialist at Select..

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Baltimore Maryland Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..