- CareFirst (Baltimore, MD)
- …the Senor Business Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of ... management department within the Health Services division. The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help… more
- Philips (Baltimore, MD)
- **Technical Consultant - Patient Monitoring (Travel: Baltimore, MD & Washington, DC)** Allow your passion for improving lives to shine in this role where you'll be ... with a diverse team of internal and external resources to include clinical , sales, and service partners. Coordinate project resources and tasks, enabling team… more
- Johns Hopkins University (Baltimore, MD)
- …all offer in-person and telehealth options. The Associate Director of Clinical Services serves as a senior consultant to clinicians and administrative ... health care and supporting the well-being of a diverse community of learners. The Associate Director of Clinical Services leads the day-to-day operations of the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. ACTIVE ... health/life insurance financial/funding mechanisms; stop loss, medicare advantage, wellness, clinical , managed care and point solutions, healthcare delivery systems,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS.** ... health/life insurance financial/funding mechanisms; stop loss, medicare advantage, wellness, clinical , managed care and point solutions, healthcare delivery systems,… more
- CareFirst (Baltimore, MD)
- …and the Divisional Goals for Care Management. We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who is willing and ... of members for Commercial lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory fines… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding ... adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills and...to work remotely from within the greater Baltimore metropolitan area . The incumbent will be expected to come into… more
- CareFirst (Baltimore, MD)
- …with the overall Corporate Strategic Plan through direction and oversight of the Clinical Medical Claims Reviews, Clinical Appeals and Analysis programs and ... partners. We are looking for an experienced professional in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent… more
- Johns Hopkins University (Baltimore, MD)
- …Homewood, East Baltimore, and Washington DC campuses. This position reports directly to the Associate Directors of Primary Care at each site, and the Associate ... as needed. The Primary Care Clinic Lab Coordinator manages compliance with Clinical and Laboratory Standards Institute (CLSI), Clinical Laboratory Improvement… more
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