New["Learning & Development Specialist (Claims Trainer / Customer Service Trainer)","Learning & Development Specialist (Claims Trainer / Customer Service Trainer)"] Lumen Solutions Group["Learning & Development Specialist (Claims Trainer / Customer Service Trainer)","Learning & Development Specialist (Claims Trainer / Customer Service Trainer)"]BaltimoreThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
Claims Specialist needed in Hunt Valley $55k Ultimate Staffing ServicesClaims Specialist needed in Hunt Valley $55kHunt Valley, Maryland$55,000–$65,000Position Overview: Ultimate Staffing Services is actively seeking a dedicated Claims Specialist to join a prestigious team in H unt Valley, Maryland . This role offers a dynamic environment where the specialist will be responsible for managing a variety of claims processes and ensuring efficient communication between all involved parties.
Claims Specialist CorVelClaims SpecialistNottingham, MD$51,807–$83,551 / yearThe Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Senior Claims Specialist, Remote - CA Workers Compensation Great American Insurance Group (DBA)Senior Claims Specialist, Remote - CA Workers CompensationNew Mexico, MDRemote$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Field Claims Specialist, Remote - Southern CA Workers' Compensation Great American Insurance Group (DBA)Field Claims Specialist, Remote - Southern CA Workers' CompensationCalifornia, MDRemote$115,000–$125,000 / yearWe take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.
Learning & Development Specialist (Claims Trainer / Customer Service Trainer) Lumen Solutions Group, Inc.Learning & Development Specialist (Claims Trainer / Customer Service Trainer)Baltimore, MDThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
New["Automotive Warranty Claims Specialist","Automotive Warranty Claims Specialist"] MileOne Autogroup["Automotive Warranty Claims Specialist","Automotive Warranty Claims Specialist"]Baltimore$45,000–$65,000 / yearMileOne Autogroup in Baltimore, MD is seeking an experienced Automotive Warranty Admin to ensure warranty work is properly processed, submitted and followed up to maximize reimbursements. The role offers competitive pay ($45,000–$65,000) and MileOne Employee Advantage benefits, with opportunities for training, mentoring and advancement in a positive, fast-paced#J-18808-Ljbffr.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedBaltimore, MD$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionSilver Springs, MD$64,965.62–$99,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 20707 20723 20759 20763 20777 20794 20861 20862 20866 20868 20905 21029 21036 21042 21043 21044 21045 21046 21056 21060 21061 21075 21076 21077 21090 21104 21122 21144 21163 21223 21227 21228 21229 21240 21244 21723 21737 21738 21784 21794. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Claims Loss Specialist Restoration Estimator & Project Manager PuroSystems LLCClaims Loss Specialist Restoration Estimator & Project ManagerRockville, MD$60,000–$80,000 / yearThe Claims Loss Specialist is expected to take ownership of assigned jobs, prepare accurate estimates, communicate with all parties involved, sell the job and help manage the project through production and closeout. Please submit your resume and a brief summary of your relevant experience in estimating, project management, restoration, reconstruction, construction, commercial work, multifamily work, or property claims.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistMDRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteMDRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Claims Representative I Elevance HealthClaims Representative IBaltimore, MarylandLocation: Virtual - This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
New["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"] Signature Performance["Follow Up Specialist - Remote/Nationwide","Follow Up Specialist - Remote/Nationwide"]BaltimoreRemote$23–$24 / hourIn the role of Follow Up Specialist, you will be responsible for analyzing account activity, investigating denied or unpaid claims, and working with insurance payers and internal departments to resolve issues and expedite payment. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.
New["Product Development Specialist","Product Development Specialist"] Philadelphia Insurance Companies["Product Development Specialist","Product Development Specialist"]Westminster$76,700–$85,700 / yearSuperior interpersonal, communication, and time management skills and ability to develop and foster relationships with key internal and external stakeholders and contribute in a dynamic, fast-paced environment and effectively deliver on multiple priority matters. You'll develop new products and strengthen existing offerings by drafting and updating coverage forms, endorsements, and rate/rule pages - making sure our products are clear, competitive, and compliant.
Claims Adjuster II, Field Property - National Catastrophe Nationwide Mutual Insurance CoClaims Adjuster II, Field Property - National CatastropheAnnapolis, MD$62,500–$115,500 / yearNationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. In this role, you'll conduct on-site inspections, evaluate property damages, determine policy coverage, and make timely, accurate decisions using a variety of tools and resources, including vendor estimates, independent adjusters, and self-written assessments.
Strategic Resolution Group, Senior Technical Specialist Claim Professional The Travelers CompaniesStrategic Resolution Group, Senior Technical Specialist Claim ProfessionalHunt Valley, MD$94,400–$155,800 / yearThe actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. In the handling large exposure claims, your responsibilities may include: Coverage Research and Analysis- Responsible for researching the existence of policies that may have been issued by multiple legacy companies and analyzing coverage.
NewTEMP-Senior Medical Pricing Specialist Argo Group International Holdings IncTEMP-Senior Medical Pricing SpecialistMD$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Qualifications / Experience Required: A practical knowledge of medical terms, procedures, and management along with the litigation process, as well as exceptional customer service focus typically achieved through: A minimum of 2 years of experience in medical billing, medical pricing, or Workers' Compensation claims processing.
Electronic Records Express Specialist (Staff Specialist III) State of MarylandElectronic Records Express Specialist (Staff Specialist III)Baltimore County, MDAs part of the Maryland State Department of Education, the Division of Rehabilitation Services (DORS) provides services to assist students with disabilities prepare for the work world, vocational rehabilitation services to assist adults with significant disabilities who are seeking to enter or reenter the workforce, and the adjudication of Social Security disability claims for the citizens of Maryland. Register users including CE providers, MER providers, medical and educational record providers for the ERE website and provide comprehensive training.Â.
Technical Information Specialist US Department of Health and Human ServicesTechnical Information SpecialistMontgomery County, MD$70,623–$133,142 / yearOne (1) year of specialized experience equivalent to at least the GS-07 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1.) Preparing literature review summary reports for team review; 2.) Organizing information using library applications/databases and reference tools such as cataloging and indexing systems; 3.) Researching scientific and technical publications, bibliographies, indexes, card catalogs, scientific journals, and reference books; and 4.) Assisting staff operating microcomputer software and hardware. In addition, in order to qualify for a Technical Information Specialist, GS-1412 position at the GS-12 level, you must have: One (1) year of specialized experience equivalent to at least the GS-11 level in the Federal service obtained in either the private or public sector, performing the following types of tasks: 1.) Analyzing scientific or statistical data to prepare reports for management (e.g., literature reviews).
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteMDRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
NewLead Aging Account Receivable Specialist Park West Health System IncLead Aging Account Receivable SpecialistBaltimore, MDThe Lead Aging Accounts Receivable Specialist also collaborates with front-end and clinical teams to address root causes of billing delays and promotes efficient revenue cycle practices that align with Park West's operational goals and commitment to service excellence. Working closely with the Director of Business Operations, billing team members, and external payers, the Lead Specialist serves as a subject matter expert on denial management, payer trends, and accounts receivable workflows.
Billing Specialist CCI Health & Wellness ServicesBilling SpecialistSilver Spring, MDPOSITION SUMMARY: The Billing Specialist will perform a range of responsibilities requiring data analysis, critical evaluation, and sound judgment, including maintaining billing software, appealing denied claims, and recording late payments. Coordinate communications with payers to ensure accurate billing practices, enhance reimbursement opportunities, achieve cash collection targets, and maintain accounts receivable (A/R) over 120 days at or below target levels.
Product Development Specialist Philadelphia Insurance CompaniesProduct Development SpecialistTimonium, MD$76,700–$85,700 / yearYou'll develop new products and strengthen existing offerings by drafting and updating coverage forms, endorsements, and rate/rule pages - making sure our products are clear, competitive, and compliant. Superior interpersonal, communication, and time management skills and ability to develop and foster relationships with key internal and external stakeholders and contribute in a dynamic, fast-paced environment and effectively deliver on multiple priority matters.
Total Rewards Specialist Service Coordination CareersTotal Rewards SpecialistOwings Mills, Marylandfollow HIPAA, confidentiality and security procedures and principles; collaborate with peers, leadership, and support areas of the organization; actively participate in and contribute to leadership and other staff meetings and trainings; maintains compliance with federal, state, and local employment laws and regulations; follow self-direction and person-centered planning procedures and philosophy; and to foster a culture that values diversity. SCI Summary: SCI supports people with disabilities, behavioral challenges, medically complex needs, transitioning youth, the elderly, and other populations using Maryland Department of Health’s Targeted Case Management and Supports Planning work models.
NewAccounts Receivable Specialist CFSAccounts Receivable SpecialistOwings Mills, MD$60,000–$65,000 / yearMonitor and reconcile payments using CIMS, LTSS, QuickBooks, and related systems; investigate and resolve denied, unpaid, underpaid, or overpaid claims and track outstanding receivables. Manage billing and claims submissions through DDA systems (including CIMS and LTSS), the DORS portal, and other applicable funding sources.
NewSupervisory Behavioral Health Specialist US Department of Health and Human ServicesSupervisory Behavioral Health Specialistfort meade, MD$89,508–$116,362 / yearMINIMUM QUALIFICATIONS: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience providing comprehensive substance use disorder assessments, evaluations, individual and group counseling, case management, and evidence-based treatment services for adolescents with substance use and co-occurring behavioral health disorders. Professional knowledge of social services as evidenced by possession of a current clinical independent license to practice social work (LCSW) and dually licensed as a Substance Use Disorder (SUD) provider with a license in one of the following: LADC, LAC, CADC, IAADC or reciprocal equivalent is required.
Medicare and Medicaid Billing Specialist Sinai Hospital of BaltimoreMedicare and Medicaid Billing SpecialistOwings Mills, MDREQUIREMENTS: Education: HS Diploma/GED preferred Experience: 2 to 4 years of medicare claims, follow up and billing experience Training is on site for minimum of 90 days so candidates must be local Key Words Governmental Billing Medicare Medicaid Claims Processor Billing Specialist Facility billing. • Collaborates with Patient Access, Patient Financial Services/Clearance, HIM, Case Management, IT, and any other relevant departments to determine revisions needed for registration quality, charge corrections, claim submission, and accurate reporting.
Case Specialist, Supplemental Health Sun Life Financial IncCase Specialist, Supplemental HealthBaltimore, MD$55,300–$83,000 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services Adventist HealthCareReimbursement Specialist (Hybrid), Day Shift, Patient Financial ServicesGaithersburg, MD$20.51–$27.21 / hourNicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
Collection Specialist LHC Group IncCollection SpecialistFrederick, MDQuality Conducts thorough research of claim status to identify issues, documents action taken on the claim and implements corrective measures to obtain payment and ensure accuracy of future claim submissions. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare.
New["Human Resources Specialist - Human Resources","Human Resources Specialist - Human Resources"] WesBanco Bank["Human Resources Specialist - Human Resources","Human Resources Specialist - Human Resources"]Bowie$20–$23 / hourWesBanco has an excellent benefits package to include medical, dental, and vision, Health Care Flexible Spending, Dependent Care Flexible Spending, Transportation Fringe Benefit Plan, Group Life, Long Term Disability, Optional Life, access to voluntary benefit products such as Cancer, Term & Universal Life, Accident, Short-Term Disability and Critical Illness policies, and other ancillary benefit products. Possess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas and concepts to management, bank employees and bank customers in a collaborative and solutions-oriented manner.
Senior Logistics Specialist Leonardo DRS IncSenior Logistics SpecialistGermantown, MD$83,552–$108,618 / yearSeveral factors can influence the pay scale, including but not limited to: Federal contract labor categories and contract wage rates, collective bargaining agreements, geographic location, business considerations, scope, and responsibilities of the position, local or other applicable market conditions, and internal equity. The Senior Logistics Specialist will work closely with Production Operations, Supply Chain, Procurement, Receiving, Warehouse, and external freight providers to ensure timely, compliant, and cost-effective movement of material.
Underwriting Specialist - Specialty Property (Remote - Northeast) Onebeacon Professional Insurance IncUnderwriting Specialist - Specialty Property (Remote - Northeast)MDRemote$176,000–$206,000 / yearSome of the Underwriting Specialist duties include but are not limited to: Maximizes opportunities for underwriting profitable new and renewal business, as appropriate based on market conditions, by leveraging business relationships, product knowledge and underwriting acumen. Manages financial performance of assigned territory including: accident year loss ratio, premium plans (new business, retention, and rate/exposure increases), and commission targets.
Underwriting Specialist - Specialty Property (Remote - Northeast) Intact InsuranceUnderwriting Specialist - Specialty Property (Remote - Northeast)churchton, MDRemote$176,000–$206,000 / yearSome of the Underwriting Specialist duties include but are not limited to: Maximizes opportunities for underwriting profitable new and renewal business, as appropriate based on market conditions, by leveraging business relationships, product knowledge and underwriting acumen. Manages financial performance of assigned territory including: accident year loss ratio, premium plans (new business, retention, and rate/exposure increases), and commission targets.
Reimbursement Specialist (Hybrid), Day Shift, Patient Financial Services Shady Grove Adventist HospitalReimbursement Specialist (Hybrid), Day Shift, Patient Financial ServicesGaithersburg, MD$20.51–$27.21 / hourNicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
New["Mid-Level Contract Specialist","Mid-Level Contract Specialist"] Seventh Sense, LLC["Mid-Level Contract Specialist","Mid-Level Contract Specialist"]RockvilleThis role is designed for a high-performing acquisition professional who can operate independently, manage multiple concurrent actions, and deliver accurate, audit-ready, and acquisition-ready documentation that enables Contracting Officers (COs) to make timely and defensible decisions. The selected candidate will provide non-inherently governmental acquisition support across pre-award, solicitation, evaluation, award, and post-award phases in a fast-paced federal environment.
Patient Accounts Specialist I - Medicaid Team MedStar Health Research InstitutePatient Accounts Specialist I - Medicaid TeamBaltimore, MD$18.70–$32.72 / hourThe team works closely with other internal MedStar Health departments including advocacy, CFC and billing to ensure patients who receive retro-eligible Medicaid are billed timely and within the specific state requirements. 1-2 years' experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration required.
NewMedical Billing Specialist MedVanta Interco, LLC.Medical Billing SpecialistBethesda, MD$21 / hourPart timeThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
Medical Billing Specialist MedVanta CareersMedical Billing SpecialistBethesda, MarylandThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. MedVanta is the nation's largest physician-owned musculoskeletal (MSK) platform, dedicated to helping individuals prevent injuries, improve movement, recover from musculoskeletal conditions, and access high-quality MSK care.
NewParalegal Specialist (Remote - Virginia) Allstate Insurance CompanyParalegal Specialist (Remote - Virginia)MDRemote$28.03–$42.99 / hourThe Paralegal Specialist facilitates all phases of the litigation process, including drafting discovery, coordinating experts, reviewing documents, obtaining information from clients, maintaining litigation files, and supporting trial preparation. Attorney Support, Claims Litigation, Insurance Defense, Legal Analysis, Legal Discovery, Legal Software, Legal Strategies, Legal Writing, Litigation, Litigation Support, Paralegal Duties, Pre Litigation, Prioritization, Scheduling, Time Management.
NewQuality Assurance Specialist Zenith American SolutionsQuality Assurance SpecialistSparks, MarylandRemoteAnalyzes audit results and claims data to identify patterns, recurring issues, and opportunities for operational improvements; prepares concise reports for management review. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Patient Accounts Specialist I - Medicaid Team MedStar HealthPatient Accounts Specialist I - Medicaid TeamBaltimore, MD$18.70–$32.72 / hourThe team works closely with other internal MedStar Health departments including advocacy, CFC and billing to ensure patients who receive retro-eligible Medicaid are billed timely and within the specific state requirements. 1-2 years' experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration required.
Quality & Safety Oversight Specialist V, Clinical Quality Oversight Kaiser PermanenteQuality & Safety Oversight Specialist V, Clinical Quality OversightHyattsville, MDServes as the subject matter expert for clinical quality improvement processes and regulations practitioners, Quality Specialists, department managers, and peers, projects/committees, and internal stakeholders by: providing consultation on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; serving as a technical advisor on committees, projects to drive discussions on drawing guidelines on the enforcement, development of policies or procedures of regulations and auditing processes; maintaining collaborative, results oriented partnerships with practitioners and/or staff across clinical and administrative roles to ensure compliance with regulations and improve patient safety, reporting accuracy, and health outcomes and provides insight to the regulation climate; developing educational programs to raise awareness for current and changes in regulation requirement, internal concerns, and system/database usage; and anticipating issues, weighing practical and technical considerations in addressing issues, and coordinating with the appropriate stakeholders to develop resolutions. Develops risk management efforts by: researching corrective action plan for areas of improvement identified through utilization review, clinical records audit, claim denials, patient satisfaction surveys, and auditing surveys; serving as a subject matter expert for internal and external policies, regulations, scientific research, and legislation related to quality improvement; conducting complex root cause analysis, failure mode and effect analysis, and other assessments in response to significant events, near misses, and good catches in order to identify areas of improvement and evaluate newly internalized processes and programs; and exercising independent judgment to escalate high-risk issues and trends to appropriate entity for resolutions.
NSA Billing & Collections Specialist NuVasive Clinical Services MonitoringNSA Billing & Collections SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. Review paid claims, identify claims that meet No Surprises Act requirements, retrieve documents for NSA submissions, initiate NSA submissions, work with 3rd party vendors, maintain logs, and meet all Federal and State deadlines.
NewParalegal Specialist, N23 Montgomery County, MarylandParalegal Specialist, N23Rockville, MD$78,929–$126,097 / yearThe work includes reviewing, analyzing, and processing contract and grant agreements; conducting substantive legal research and analysis; and facilitating communication and information exchange with attorneys, appellants, witnesses, law enforcement specialists, County employees, and legal staff from federal and state entities. The Office also provides legal defense for cases involving Montgomery County and other governmental entities which participate in the Montgomery County Self-Insurance Program (including the Board of Education for Montgomery County, Montgomery College, and the Housing Opportunities Commission) and all their employees.
NewSr Deceased Account Servicing Specialist TowerSr Deceased Account Servicing SpecialistLaurel, MarylandThis role serves as the primary point of contact for surviving family members, estate representatives, attorneys, and internal business partners to ensure deceased member accounts are administered accurately, compassionately, and in compliance with all applicable legal, regulatory, and probate requirements. The ideal candidate possesses extensive loan servicing experience across consumer and mortgage portfolios, a strong understanding of probate and estate administration processes, and the emotional intelligence necessary to guide survivors through sensitive and often complex account resolution matters.
FLIGHT OPERATIONS SPECIALIST Department of the ArmyFLIGHT OPERATIONS SPECIALISTEdgewood, MD$63,940–$83,119 / yearIf you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency (Register | Selective Service System: Selective Service System (sss.gov)). Maintains current file of aircraft flying regulations and navigational information such as radio facility carts, instrument approach procedure charts, aeronautical charts, Airmans Information Manual (AIM), airport directory, location identifiers, ATC procedures manual and Army Flight Information Publications.
Senior Safety Specialist Structural Group IncSenior Safety SpecialistBaltimore, MDSTRUCTURAL offers a wide range of specialty repair and maintenance services and is the largest concrete repair contractor in the United States, with roughly 2,500 employees working from locations nationwide and in select international markets. STRUCTURAL integrates technology-driven solutions with specialty contracting services to improve, protect, and enhance the existing infrastructure of owners directly, and in partnership with designers and contractors.
NewFiscal Administrative Specialist (Administrative Specialist II, Grade N21) - TERM Montgomery County, MarylandFiscal Administrative Specialist (Administrative Specialist II, Grade N21) - TERMDerwood, MD$72,567–$105,591 / yearMontgomery County Ethics Law: Except as provided by law or regulation, the Countys "Public Employees" (which does not include employees of the Sheriffs office) are subject to the Countys ethics law including the requirements to obtain advanced approval of any outside employment and the prohibitions on certain outside employment. The Financial Disclosure Statements require the filer to identify real estate interests, equity interests, and other relationships such as employment, debts, and gifts so that the public can be assured that the impartiality and independent judgement of those officials and employees will be maintained.