• Senior Reimbursement Analyst…

    CareFirst (Baltimore, MD)
    …in DC Medicaid reimbursement . + Knowledge of Maryland Medicaid and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… more
    CareFirst (09/11/25)
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  • Reimbursement Analyst (Remote)

    CareFirst (Baltimore, MD)
    …in DC Medicaid reimbursement . + Knowledge of Maryland Mediciad and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... activities. **ESSENTIAL FUNCTIONS:** + Analyze CareFirst's new and existing reimbursement arrangements/networks and assist management or senior level… more
    CareFirst (09/12/25)
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  • Senior Risk Adjustment Analyst - Business…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... analyses and problem resolution to meet business operational requirements for Medicare Advantage(MA), Affordable Care Act (ACA) & Medicaid Lines of Business… more
    CareFirst (10/15/25)
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  • Registered Nurse

    Sunrise Senior Living (Silver Spring, MD)
    **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. +… more
    Sunrise Senior Living (08/01/25)
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  • Director, Denial Resource Center

    Baylor Scott & White Health (Annapolis, MD)
    …and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key contract enforcement activities. + Collaborates ... hospital and professional clinical and coding denials, as well as Recovery Audit Contractors (RAC) denials. This role will be responsible for developing and… more
    Baylor Scott & White Health (10/04/25)
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