Medical Appeals/Grievances Analyst

Manages Maryland and District of Columbia member and provider medical appeals, Maryland complaints and grievances. Responsible for member advocate functions. Interacts directly with members, staff, physicians, and others on the telephone to resolve issues. Acts as a resource and documents all information as it relates to medical appeals/complaints and...

Manages Maryland and District of Columbia member and provider medical appeals, Maryland complaints and grievances. Responsible for member advocate functions. Interacts directly with members, staff, physicians, and others on the telephone to resolve issues. Acts as a resource and documents all information as it relates to medical appeals/complaints and...

General Summary of PositionMonday - Friday, 8:30am - 5pm schedule. Position requires 1 day per week on-site (office located in Rosedale, Maryland)Manages Maryland and District of Columbia member and provider medical appeals, Maryland complaints and grievances. Responsible for member advocate functions. Interacts directly with members, staff, physicians, and...

General Summary of PositionMonday - Friday, 8:30am - 5pm schedule. Position requires 1 day per week on-site (office located in Rosedale, Maryland)Manages Maryland and District of Columbia member and provider medical appeals, Maryland complaints and grievances. Responsible for member advocate functions. Interacts directly with members, staff, physicians, and...

ALTA IT Services has a Contract opening for a Healthcare Business Analyst to support a leading, Washington DC based health insurance customer. The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon...

Job Description:PURPOSE:The Lead Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent...

Lead Employer/Employee Relations Analyst (HR Administrator II)Open Recruitment*Previous applicants need not reapplyThe Employee Employer Relations Lead (HR Administrator II) provides guidance on all policies and procedures such as Transporation Service Human Resources System (TSHRS), Executive Orders, Code of Maryland Regulations (COMAR), Unemployment...

Dice is the leading career destination for tech experts at every stage of their careers. Our client, Cynet Systems, is seeking the following. Apply via Dice today We are looking for Lead Business Analyst for our client in Baltimore, MD Job Title: Lead Business Analyst Job Location: Baltimore, MD Job Type: Contract Job Description:Pay Range $47hr - $54hr...

Introduction\r\r\rWhen you join the Maryland Department of Human Services (DHS), you join a team of more than 5,000 employees across the state dedicated to positively changing the lives of more than one million Marylanders each year.�We do this by providing economic support, preventive services, and caring for children and adults.�\r\r\rWe aim to deliver...

Piper Companies is looking for a Quality Control Microbiology Analyst to join an organization that develops and manufactures vaccines and therapeutics focused on infectious diseases located in Baltimore, MD . The Quality Control Microbiology Analyst will conduct microbial analyses in support of drug products and environmental monitoring. ...

An employer in the Baltimore, MD area is in search of a strong Business Intelligence Analyst. This person will facilitate report content design and establishes reporting scope and prioritization. They will act as the Reporting Workbench and Radar administrator for the organization. This position will administer self-service solutions and facilitate and...

Job Summary: MedStar Health is looking for a Patient Advocate to join our MedStar Franklin Square Medical Center (MFSMC) team The Patient Advocate will ensure that all patients, families, and guests receive the best customer service experience by eliminating conflicts, offering coaching, and creating a consistent welcoming experience across all our entry...

Job Summary: MedStar Health is looking for a Patient Advocate to join our MedStar Franklin Square Medical Center (MFSMC) team The Patient Advocate will ensure that all patients, families, and guests receive the best customer service experience by eliminating conflicts, offering coaching, and creating a consistent welcoming experience across all our entry...

Introduction The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland's $46 billion insurance industry and protects consumers by monitoring and enforcing insurers' and insurance professionals' compliance with State law. Through the diligence of a highly professional staff of market analysts, financial analysts,...

Job Title: Financial Data Analyst at Kennedy Krieger InstituteCompany: Kennedy Krieger InstituteOverview- The Data Analyst performs data collection, analysis, and preparation focusing on financial tasks related to budgets and business operations. - Assist in grant applications and fee-for-service data preparation to support the Director of Operations. -...

Director of Human Resources / Greater Baltimore area4 days onsite / $130 - $137K All the relevant skills, qualifications and experience that a successful applicant will need are listed in the following description. Summary of Position:LHH is currently seeking a Director of Human Resources for an established social services organization. This role will focus...

COMPANY OVERVIEWAs the nation's largest producer of clean, carbon-free energy, Constellation is a company purposely-built to meet the challenges of the climate crisis. Constellation has been the leader in clean energy production for more than a decade and we are growing our company and capabilities. Now, we're accelerating, speeding our low-carbon or...

There is a place for you at T. Rowe Price to grow, contribute, learn, and make a difference. ​ We are a premier asset manager focused on delivering global investment management excellence and retirement services that investors can rely on today and in the future. The work we do matters. We invite you to explore the opportunity to join us and grow your...

There is a place for you at T. Rowe Price to grow, contribute, learn, and make a difference. ​ We are a premier asset manager focused on delivering global investment management excellence and retirement services that investors can rely on today and in the future. The work we do matters. We invite you to explore the opportunity to join us and grow your...

IntroductionThe Maryland Insurance Administration (MIA) is\ran independent State agency that regulates Maryland's $46 billion insurance\rindustry and protects consumers by monitoring and enforcing insurers' and\rinsurance professionals' compliance with State law.� Through the diligence\rof a highly professional staff of market analysts, financial...