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Position Summary: Under the direction of the Director, the Manager of Claims Quality and Audit provides oversight to the teams. The duties include responsibility for the internal Claims quality function relating to the payment and/or denial of claims. This manager is also be responsible for coordination and development of Claims training tools done in conjunction with the Claims Production staff. T...
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Posted Mon 28th September
Senior Security Consultant - (QSA and/or PA QSA) – Consulting Firm (Work From Home – Heavy Travel) Candidates based in DC, MD, VA, PA, NJ encouraged to apply. About Us Since our start, we have focused exclusively on IT security, operational risk, and regulatory compliance. Our corporate mission is to be our clients’ long-term, trusted security and risk management advisors. Providing expert technic...
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Posted Tue 29th September
POSITION SUMMARY : The individual in this position plays a major role in the architecture, analysis and maintenance of software systems for a growing healthcare company in Baltimore The position reports to the VP, Applications Development and Data Warehouse. The individual is expected to support Membership, Customer Service, Sales and Marketing users. Individual needs to manage a team of analysts a...
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Posted Fri 9th October
Johnson Controls is a world class employer where ingenuity and excellence are welcome. We are a global market leader in automotive experience, building efficiency and power solutions with over 140,000 employees in 125 countries. For over a century, Johnson Controls has been working to find new ways to improve the places where people live, work and travel, which in turn gives our employees the chan...
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Posted Mon 12th October
Laureate Online Education, a division of Laureate Education, develops and supports leading distance-learning universities and businesses with the ultimate goals of increasing access to postsecondary education in markets worldwide and helping students reach their highest potential. GENERAL SUMMARY : The Executive Search Recruiter will be responsible for identifying top senior level talent across al...
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Posted Fri 30th October
Share our pride. Join our mission. As a Fortune 200 financial services company with more than $113.5 billion in owned and managed assets, USAA is on a mission to facilitate the financial security of our members, the men and women of the U.S. military and their families worldwide. Headquartered on a showcase campus in San Antonio, TX, USAA attributes its long-standing success to its most valuable...
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Posted Fri 30th October
POSITION SUMMARY : The Senior Business Analyst is a crucial role in creating and maintaining the strategic partnership between Business needs and Technology delivery in an Agile development environment. The Senior Business Analyst will be responsible for developing business requirements and related business rules based on Business Group needs. The Analyst will work closely with the Business Partne...
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Posted Fri 9th October
Sr. Web/Applications Developer Planit is looking for a disciplined and entrepreneurial Sr. Web Developer to join an award-winning interactive team. To be considered, you must have at least 5 years of web development experience with work to prove it. But you also need to be more than that, here's what we're looking for: What we need: We’re looking for someone with enthusiasm and interest in growing...
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Posted Thu 15th October
American Medical Systems (NASDAQ: AMMD) is a global leader in providing world-class medical devices and therapies that help restore Pelvic Health. Headquarter in Minnetonka, MN; AMS has over 1,200 Employees worldwide, selling medical technologies in more than 54 countries. Responsibilities of Position: Consultation for Physicians and Institutions · Cover implant procedures as requested by field sa...
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Posted Sun 8th November
Insurance Specialist Responsible for the collection of unpaid third-party claims and appeals. Works with the payers to resolve issues and facilitate prompt payment of claims. Uses system collection reports, such as: aged trial balances, data search reports, and the Paperless Collection System (PCS) to identify unpaid claims for collection/appeals. Communicates with third-party payers, patients, ph...
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Posted Mon 9th November
Corporate Services is seeking a full-time finance/administration staff assistant for the Center for Biosecurity, located in Baltimore, MD. This individual will be responsible for supporting the financial and administrative operations of the Center. The finance/administration staff assistant will also be responsible for troubleshooting problems, analyzing, and making decisions. This individual shou...
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Posted Tue 10th November
Position Summary: Under the direction of the VP of Healthcare Payment Systems & Prov. Data Mgt., the director assumes the overall management responsibility for claims processing and production. Working closely with internal and external customers, the position will provide a unique blend of customer service, procedural and technical knowledge. This director will provide business analysis for criti...
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Posted Mon 12th October
Our client has immediate opening for experiences Claims Processors to work full time in Baltimore, MD. Candidate must have experience processing Medicare claims to qualify for this position and be able to begin an assignment immediately. General Responsibilities: -Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures....
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Posted Mon 16th November
Org Marketing Statement Erickson Retirement Communities develops and manages continuing care retirement communities that provide unparalleled opportunities and unmatched value for middle-income people over age 62. The Erickson network currently comprises 20 campuses in twelve states, along with the Retirement Living TV network and the NorthBay Adventure Camp. The company is rapidly growing to achi...
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Posted Tue 10th November
Insurance Specialist Responsible for the collection of unpaid third-party claims and follow-up of previously filed appeals. Works with the payers’ to resolve issues and facilitate prompt payment of claims. Responsibilities : 1. Uses disseminated system collection reports & other electronic media, such as: aged trial balances, data search reports, COGNOS cubes, payer web-sites and PCS workfile comp...
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Posted Thu 19th November
Sales ACCOUNT EXECUTIVE NO EXPERIENCE NECESSARY EARNING POTENTIAL $100,000.00 PLUS YOUR FIRST YEAR ONGOING RESIDUALS PAID MONTHLY AND EARN $2,000.00 - $3,000.00 DOLLARS PER DEAL PAID DAILY AS AN EPS ACCOUNT EXECUTIVE AGENT WILL RECEIVE · $3,000.00 - $10,000.00 SIGNING BONUS · WE PROVIDE EXTENSIVE TRAINING AND SALES SUPPORT AT NO EXPENSE TO YOU · OPPORTUNITY TO BE SELF EMPLOYED AND WE WILL FUND IT C...
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Posted Fri 20th November
Job Title: Medicaid Deputy Director Job Number: 0900CC3 Job Category: Project/Program Management Primary Location: USA-MD: MARYLAND-BALTIMORE Schedule: Full-time Job Type: Regular Employee Status: Regular Job Posting: 2009-Nov-08 Description The Medicaid Deputy Director position is responsible for all daily operations and Information Technology services to ensure all contractual Service Level Agre...
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Posted Tue 10th November
Job Description: The Claims Analyst is responsible for conducting the necessary research and coordination to ensure that all claims inquiries and pended claim issues are handled and resolved in an efficient and effective manner. General Responsibilities • Maintain workflows for handling claims inquires from providers and members. • Conduct review of claim payment inquiries. • Ensure that den...
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Posted Yesterday
A Place for Mom, Inc. is seeking Eldercare Advisors due to rapid growth. The position is a wonderful blend of consultative sales, relationship-building, and advising families who are in search of senior housing options for a loved one. This is one of the most rewarding sales careers available in the U.S. Our ideal candidate is a self-motivated, detail-oriented, entrepreneurial individual. You must...
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Posted Yesterday
Laureate Online Education, a division of Laureate Education, develops and supports leading distance-learning universities and businesses with the ultimate goals of increasing access to postsecondary education in markets worldwide and helping students reach their highest potential. GENERAL SUMMARY: Responsible for leading the Accounts Payable and Expense Reimbursement (AP/EX) functions and processe...
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Posted Mon 28th September
Baltimore is a city with a major seaport. Exports include steel, iron, grain and copper products. Leading industries in Baltimore include sugar and food processing, oil refining, shipbuilding, and biotechnology. The city's main source of employment includes the retail and wholesale trade, transportation, the hospitality/service industry, as well as the state and local government. The economic growth in the city can be attributed to its location between the northern and southern states of the United States. This culture mix makes Baltimore unique in that it has southern charm with a splash of hard-working grittiness.