- Highmark Health (Annapolis, MD)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Exelon (Upper Marlboro, MD)
- …coaching, training, and evaluate employee performance. Assist in Root Cause Investigations (RCI), Apparent Case Evaluations (ACE) and /or Condition Report ... coaching, training, and evaluate employee performance. Assist in Root Cause Investigations (RCI), Apparent Case Evaluations (ACE) and /or Condition Report… more
- FirstEnergy (MD)
- …activities + Coordinating on-site testing activities with Construction Site Coordinator , Commissioning Engineer, and local FE substation personnel + Monitor, ... contractors against design and construction standards + Supporting unplanned outage investigations . Developing and sharing Operating Experience reports to support a… more
- Delmock Technologies, Inc (Laurel, MD)
- …Laurel, MD 20707. Role: Delmock Technologies, Inc. is seeking a Project Coordinator / Executive Operations Manager, Office of the CIO, to provide high-level ... and meeting minutes. Prepares documentation for Commission and leadership meetings, investigations , and special projects; attends meetings to support the CIO as… more
- Cardinal Health (Annapolis, MD)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- Cardinal Health (Annapolis, MD)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- BJs Wholesale Club (Elkton, MD)
- …Description: Team Member Relations: + Initiates, conducts, and concludes all investigations throughout the Distribution Center and present recommendations to the ... Human Resources Business Partner (HRBP) and DC Director. + Advises DC leadership on team member relations issues, including conflict resolution, corrective actions, and complaints. + Fosters a positive and collaborative relationship between leadership and team… more
- Cardinal Health (Annapolis, MD)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Annapolis, MD)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- University of Maryland, Baltimore (Baltimore, MD)
- …administers emergency medical aid. * Conducts preliminary and follow-up investigations by interviewing and obtaining statements; collects, preserves, and processes ... Prepares and completes a variety of detailed reports and forms to support investigations . * Prepares cases; appears and testifies in court. * Enforces laws,… more