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75

Healthcare Claim Analyst Jobs in Maryland





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Job info
 
Company
**********
Location
Baltimore, MD
Posted Date
Feb 09, 2021
Info Source
Employer  - Full-Time  90  

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Baltimore Maryland Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

 
Company
**********
Location
Baltimore, MD
Posted Date
Mar 23, 2021
Info Source
Employer  - Full-Time  90  

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Baltimore Maryland Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Jun 02, 2021
Info Source
Employer  - Full-Time  90  

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

 
Company
Humana Inc.
Location
Baltimore, MD
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

 
Company
**********
Location
Linthicum, MD
Posted Date
Feb 25, 2022
Info Source
Employer  - Full-Time  90 

What You Will Do: General Summary Under limited supervision, and with the latitude for initiative and independent judgment performs, coordinates, and manages the creation of billing analysis in accordance with the ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Nov 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Bethesda, MD
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Dec 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bethesda Maryland Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Bethesda Maryland Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

... Humana Lead Product Manager - Healthcare API in Bethesda Maryland Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

 
Company
**********
Location
Bethesda, MD
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Jun 18, 2023
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

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