- The Cigna Group (Baltimore, MD)
- …populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This ... assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment ... office diagnosis coding. Implement provider office education , where necessary, and provide formal training… more
- Highmark Health (Annapolis, MD)
- … Risk Adjustment coding including documentation improvement, provider education , analyzing reports, and identifying process improvements. **ESSENTIAL ... anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with… more
- Lockheed Martin (Bethesda, MD)
- … education and support to the business units on workers' compensation matters\. ‒ Provide the following risk management support to the Missiles & Fire Control ... to the business units\. ‒ Manage the reporting and adjustment of claims\. ‒ Ensure compliance with all policy...M&A activity as necessary\. Respond to business units' ongoing risk management service needs; provide evidence of… more
- Humana (Annapolis, MD)
- …an in-depth evaluation of variable factors. This job is within the Medicare risk adjustment finance department. This department is a combination of finance, ... predicted cost, project future revenue as a result of risk adjustment , and communicate these projections to...Requirements:** + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …revenue by monitoring significantly complex accounts and expeditiously resolving all adjustment and payment issues + Monitors billing reports to ensure accounts ... and Billing Error Reports, and monitors open High Bill Adjustment Cases. + Monitors the quality and volume of...Hearing panel and WSSC Water customers. + Evaluates high risk accounts to implement recommendations for resolution. + Works… more
- University of Maryland, Baltimore (Baltimore, MD)
- …options (if applicable per job). *Primary Duties - Social Worker:* * Assess risk by screening and interviewing clients. Identify and construct service plans that ... health, poverty, unemployment, substance abuse, physical abuse, rehabilitation, social adjustment , child care, and/or medical care in accordance with licensure.… more
- RELX INC (Annapolis, MD)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Government vertical, our solutions assist government ... informed decisions to enhance investigations. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/government About our Team… more
- University of Maryland, Baltimore (Baltimore, MD)
- …partnerships between grassroots, non-profits, city agencies, and institutes of higher education by engaging in service provision, education , and research. ... evaluation, and advocacy to maximize the individual's well-being. * Assess risk by screening and interviewing clients. Identify and construct service plans… more
- Sedgwick (Annapolis, MD)
- …heart of everything we do. Caring counts** Sedgwick is a leading global provider of technology-enabled risk , benefits and integrated business solutions. Every ... Best-in-State Employer Vocational Specialist **PRIMARY PURPOSE** **:** To develop and provide vocational services as specified by the referral source for individuals… more
- RELX INC (Annapolis, MD)
- …to measure and improve client satisfaction of our products. You will provide excellent customer support and value-added services to ensure retention and renewal ... with minimal supervision to develop strategies focused on customer retention, risk mitigation strategies, and renewal maintenance. + Identifying key contacts and… more
- Travelers Insurance Company (Hunt Valley, MD)
- …including the scope, complexity and location of the role; the skills, education , training, credentials and experience of the candidate; and other conditions of ... their own inventory of complex claims, building knowledge of those matters. Provide guidance and expertise in forging effective relationships. Provide … more
- Aerotek (Hanover, MD)
- …financial and performance reporting, compensation, and Ad hoc analysis. Mitigates company risk through collaboration with sales teams and field partners to ensure ... per the 1/24 rule [respond within one (1) hour, provide resolution within twenty four (24) hours]. + Primary...functional level all policies and guidelines. + Mitigates company risk through collaboration with sales teams and field partners… more
- Health Resources and Services Administration (Rockville, MD)
- …project plans, business cases, requirements documents, statements of work (SOW), risk management plans, cost estimates, and other documentation to support the ... and technical requirements and management plans for projects and contracts, provide outreach activities, measure milestones, and develop standards for performance… more
- University of Maryland, Baltimore (Baltimore, MD)
- …at University of Maryland, Baltimore. The CCAND functions to evaluate and provide comprehensive care to adult individuals with autism, intellectual disability, and ... evaluation, and advocacy to maximize the individual's well-being. * Assess risk by screening and interviewing clients. Identify and construct service plans… more
- Marriott (Bethesda, MD)
- …SUMMARY** The Senior Program Specialist, Global Performance Services, will provide analytical, process management, data management, and communication support over ... supervision of inbox support, originating manager changes, validating manual adjustment requests, maintaining policy documentation, authorizing system access, providing… more
- Mitsubishi Chemical Group (Annapolis, MD)
- …in the chemical manufacturing environment. + Conduct security assessments and risk analyses to identify vulnerabilities in OT systems and recommend mitigation ... meet our cybersecurity standards for OT systems. **Training and Awareness** + Provide cybersecurity awareness training focused on the unique risks and requirements… more
- Humana (Annapolis, MD)
- …sets. + Experience with Healthcare Interoperability, including FHIR. + Familiarity with CMS Risk Adjustment and Quality Measure Reporting. + Experience in UAT / ... connection can be used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the… more
- International Rescue Committee (Silver Spring, MD)
- …system, school culture, roles and responsibilities, US laws, safety, etc. + Provide case management services to include, but not limited to: referring and ... to address integration issues; assist with scheduling and facilitating parent and adjustment groups. + Maintain accurate and timely client case notes, referrals and… more