Claims Manager – Maryland Medicaid - Annapolis

The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance and compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal regulations contr ...

+ Job summary: The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance, and compliance monitoring. · + Qualifications: Bachelor's degree in Business, Healthcare Administration, or related field (or equival ...

As the nation's leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purpose-driven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Senior Manager, Operational Efficiency – Medicaid Operations · As our Medicaid footprint expands, operational complexity has grown significantly. ...

As the nation's leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purpose driven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and ...

+Job summary · A Medical Director Associate role has become available at Elevance Health. · +DescriptionThe Medical Director Associate will provide day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. · ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · Provide clinical guidance for programs. · Supports clinicians to ensure timely and consistent responses to members and providers. · ...

The Medical Director Associate is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. · Provides clinical guidance for programs. · Serves as a resource and consultant to other area ...

+ · This position will support projects related to evaluating, analyzing, researching and developing health care services,policies and programs for the Maryland Medicaid program.+This position will represent MDH in external stakeholder meetings,+internal program and staff meeting ...

This full-time contractual position is responsible for addressing high priority projects within Policy and Compliance. · Training Provider Enrollment and Compliance Team · ...

This position supports the Division of Nursing Services coordination of services for Model Waiver participants and the administration of the Model Waiver (MW) Program for the Medical Care Programs within the Maryland Department of Health to ensure quality health care is rendered ...

This position involves receiving and interpreting client referrals to assist Medicaid-eligible recipients in accessing their health care benefits. · ...

Provides services to students in need of intensive counseling/social work services. · Conducts individual therapy and group counseling on a regular basis. · Coordinates with community agencies to assist students and families. ...

This posting creates a pool of candidates for future positions that may become available. · Selects and administers appropriate assessment tools to evaluate students' functional abilities and needs in relevant educational environments in order to contribute to student education p ...

At FutureCare our RNAC-Registered Nurse Assessment Coordinator/MDS are part of our interdisciplinary team of nurses who play a vital role in adequately collecting and assessing data on our residents to ensure specific elements are encoded in the MDS and submitted to the Centers f ...

This posting creates a pool of candidates for future positions that may become available.Provides services to those students in-class or virtual programs in need of intensive counseling/social work services as identified by the school team and their families. · Conducts in-person ...

The Office of the Attorney General (OAG) has the general charge, supervision, and direction of the State's legal business... Litigation-related tasks include: drafting correspondence and documents for discovery; research, drafting assistance and formatting for memoranda of law an ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Join us and be part of something bigger – helping to simplify healthcare one person, one family and one community at a time. · ...

This is a field position and requires residence in the following counties: Anne Arundel County, Prince Georges County, Howard County and Montgomery County. · CHW works to promote healthcare equity and assist in addressing Social Determinants of Health for our Maryland Medicaid me ...

This position ensures high-quality cost-effective health care for respiratory care and neurodiagnostic services across Luminis Health. Provides clinical operational leadership strategic development for areas of responsibility Collaborates with other initiatives supports departmen ...