FULL_TIME

FEED

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

equestftpin

UNKNOWN

Title: Primary Care Advanced Practitioner Company Overview Kadie E. Leach, MD is an independent internal medicine practice located in Lanham, Maryland. Qualifications: - Certified Nurse Practitioner (NP) or Physician Assistant (PA) with at least 1 year of experience in primary care (internal medicine, family medicine, or geriatrics preferred).

Florence Health

Primary Care Advanced Practitioner (NP/PA)

ea_via_bold

Founded in 2017 with a bold vision to transform specialty healthcare, we have grown into a stable and rapidly expanding organization delivering consistent, high-quality care to patients living with chronic conditions. Our patient-centered, value-based care model brings together physician specialists, nurse practitioners, care navigators, nutritionists, social workers, and pharmacists to address both immediate and long-term health needs.

Upperline Health Inc

Patient Care Coordinator (Front Desk)

The Risk Adjustment Director is responsible for strategic direction, leadership, establishing and maturing key functions, overseeing enterprise risk adjustment performance while identifying areas of improvements and implementing in year programs. QUALIFICATIONS: Education Level: Bachelor''s Degree in Health Care Administration, Public & Population Health, Finance, Business Analytics, or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

YEAR

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Risk Adjustment Business Operations Director (Hybrid)

Collaborates on special projects in the community to promote wellness; â¢ Monitors the Long -Term Services Support (LTSS) tracking system for alerts related to referrals, updates client information (LOC, change in status, reportable events, etc.), and assures information is accurate;Â. The Community Health Nurse II performs assessments and nurse monitoring visits of elderly and/or disabled persons in their homes, hospitals, or institutions to determine community resources that are appropriate and available to meet the individualâs needs.

State of Maryland

AERS and Nurse Monitoring (Full-time, Contractual) (COMMUNITY HEALTH NURSE II)

These are multi-turn workflows that ask sensible follow-up questions in plain language, capture the answers as validated structured data, and hand that structure off to the searches and analyses doing the scientific work. Axle is a bioscience and information technology company that offers advancements in translational research, biomedical informatics, and data science applications to research centers and healthcare organizations nationally and abroad.

Axle

Senior Data Scientist, Agentic AI Systems

GreenHouseAPI

This includes support and accountability for all aspects of the DSP and STL roles, including: Hire to ensure adequate staffing; Lead team meetings to update on organizational news, problem-solve team issues, arrange scheduling, and plan team events; Meet monthly with each direct support professional; meeting biweekly with the service team lead and as needed; Provide regular feedback for direct reports; Monitor staffing levels, overtime utilization, service authorization utilization, documentation completion, and other operational indicators; Complete annual evaluations for all STLs and DSPs on team; Audit service documentation regularly and provide coaching to DSPs regarding documentation quality, timeliness, and compliance; Address performance issues in collaboration with Human Resources staff; and. Complete and maintain all required training and certifications according to Maryland Developmental Disabilities Administration (DDA) and Jubilee requirements, including first aid and CPR, Mandt, Certified Medication Technician (CMT), and training specific to each person you support.

Jubilee

Program Manager

Jubilee Association of Maryland

Cloud Infrastructure Engineer, DevOps Engineer, Cloud Deployment Specialist, Cloud Systems Administrator, Cloud Solutions Architect, Cloud Operations Engineer, Site Reliability Engineer, Automation Engineer, Infrastructure Automation Specialist, Cloud Integration Engineer, Cloud Platform Engineer, etc. Computer Science, Information Technology, Software Engineering, Cloud Computing, Data Science, Cybersecurity, Systems Engineering, Network Engineering, Information Systems, Electrical Engineering, Computer Engineering, etc.

Cymertek

Cloud Automation Engineer

The NWP models range from global atmospheric models, limited-area (regional) high-resolution convective-scale atmospheric models, hurricane models, global ocean circulation models, cryospheric models, wave models, and land surface models. This position is responsible for developing and advancing the core architecture necessary to enable next-generation forecasting capabilities, such as in-core data assimilation, that will support the NWS moonshot goal of a kilometer-scale global model based on the Model for Prediction Across Scales (MPAS) dynamical core.

Lynker Corporation

Scientific Developer for UFS In-Core Data Assimilation

[AW]-iCims

What Sets You Apart: Requires a Bachelors degree computer science, Information Systems, IT, Engineering, or related field and 8+ years of prior relevant experience or a Masters degree with 6+ years of prior relevant experience additional years of experience will be accepted in lieu of a degree. Your ability to write clean code, establish modern API integrations, and leverage ServiceNow out-of-the-box capabilities is vital to delivering secure, efficient, and user-centric solutions that directly support DAF mission readiness and day-to-day operations.

Sunayu

ServiceNow SAM Developer-Secret

JUBILEE ASSOCIATION OF MD INC

Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.

Sage Health

Primary Care Physician

LHV Newco LLC

Additional Job Information: Benefits include medical, dental, prescription, long-term disability, accidental death and dismemberment insurance and life insurance; paid time for paid sick leave, annual leave, and personal leave; 12 paid holidays per year, tuition remission; employer-funded pension and supplemental retirement accounts. Job Description: The Director of Information Security position is responsible for developing and executing information security controls and processes that support the academic, research, and administrative missions of the university in a timely and balanced manner.

Bowie State University

Director of Information Security

Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees.

Care Coordinator - Baltimore Market

Care Coordinator- Halethorpe

The main purpose of this full-time contractual Developmental Disabilities (DD) Targeted Case Management (TCM) Coordinator of Community Services (CCS) position will be to provide a fixed point of entry into the service delivery system for individuals with developmental disabilities. Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents.

COORDINATOR SPECIAL PROGRAMS HEALTH SERVICES I (COORDINATOR OF COMMUNITY SERVICES (FULL-TIME CONTRACTUAL))

Our values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren’t just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. This is an Agentic AI Developer, Cybersecurity position at Vice President level, which is part of the job family responsible for providing specialist cyber expertise and creating solutions that protect the organization's systems and networks against actual and potential security threats and vulnerabilities.

Medical Coding Specialist Jobs in Maryland

Provider Data Resolution Spec TriWest Healthcare Alliance

Primary Care Advanced Practitioner (NP/PA) Florence Health

Patient Care Coordinator (Front Desk) Upperline Health Inc

Risk Adjustment Business Operations Director (Hybrid) Blue Cross and Blue Shield Association

AERS and Nurse Monitoring (Full-time, Contractual) (COMMUNITY HEALTH NURSE II) State of Maryland

Senior Data Scientist, Agentic AI Systems Axle

Program Manager Jubilee

Program Manager Jubilee Association of Maryland

Cloud Automation Engineer Cymertek

Scientific Developer for UFS In-Core Data Assimilation Lynker Corporation

ServiceNow SAM Developer-Secret Sunayu

Program Manager JUBILEE ASSOCIATION OF MD INC

Primary Care Physician Sage Health

Primary Care Physician LHV Newco LLC

Director of Information Security Bowie State University

Care Coordinator - Baltimore Market LHV Newco LLC

Care Coordinator- Halethorpe LHV Newco LLC

Care Coordinator - Baltimore Market Sage Health

COORDINATOR SPECIAL PROGRAMS HEALTH SERVICES I (COORDINATOR OF COMMUNITY SERVICES (FULL-TIME CONTRACTUAL)) State of Maryland

Agentic AI Developer, Cybersecurity Morgan Stanley

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