Healthcare Sourcing Specialist Jobs in Southern Md Facility

United Healthcare Community and State's Sales Markets are key drivers of the organization's overall growth. As a Community Outreach Representative, you'll utilize innovative strategies and programs to ensure access to health ..

United Healthcare Community and State's Sales Markets are key drivers of the organization's overall growth. As a Community Outreach Representative, you'll utilize innovative strategies and programs to ensure access to health ..

Who we are: The Association of American Medical Colleges is a not-for-profit association dedicated to transforming health care by supporting the entire spectrum of medical education, medical research, patient care, and ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

... 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..

Nutrition Technician','230000R4','The Nutrition Technician will be responsible for accurate preparation, translation and delivery of special formulas/supplements/trays according to the department policies and procedures. Will be responsible for the maintenance of patient ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

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, ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description The Research Faculty member is responsible for generating and testing hypotheses related to a field of research by initiating, carrying out and managing research projects/programs supported by external, peer-reviewed sources. ..

Medical Records Specialist I (On-site) Job Locations US-VA-Arlington Requisition ID 2022-23809 # of Openings 3 Category (Portal Searching) Operations Overview This is an entry level position responsible for processing all release ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Nutrition Technician (PRN | As Needed)','230000R5','The Nutrition Technician will be responsible for accurate preparation, translation and delivery of special formulas/supplements/trays according to the department policies and procedures. Will be responsible for ..

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 ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... 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..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Medical Records Specialist II Job Locations US-VA-Arlington Requisition ID 2022-23825 # of Openings 1 Category (Portal Searching) Operations Overview Main responsibilities will incude: Processing mailed and faxed medical requests Utilize EMR ..

Medical Records Specialist I Job Locations US-VA-Arlington Requisition ID 2022-23804 # of Openings 2 Category (Portal Searching) Operations Overview This is an entry level position responsible for processing all release of ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..