jobs in columbia, md, us

Hybrid in Columbia, Maryland

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Today

Must be ready for on call support which will involve weekend or off hours support. This team handles the tier 1 support of the FEP Bridge Application which handles the claims processing. This role involves mainly production support & monitoring task along with some incident management. This is monitoring ad operational role. Day to day task: Production support Monitoring Incident management Documentation related to production support. Handling issues and working / collaborating with different te

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Contract

Depends on Experience

Medical Claims Adjuster

Hybrid in Baltimore, Maryland

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Today

Claims Adjustment experience FACETS G6 platform Medical Claims processing experience. Medical Claims Adjustment experience. Medical Terminology, Provider Refund. Subrogation, Workers Comp. Disbursements. Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizin

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Contract

Depends on Experience

Claims Processor

Baltimore, Maryland

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Today

The role involves researching claims data, running reports, validating and analyzing claims data as well as logging in data. Must have 2+ years of functional analysis. Must have 1-2 years of data entry experience Must have experience with healthcare claims processing. Must have advance level excel experience. Must know how to use Pivot tables as well as good word experience. If they have LuminX is a big plus.

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Depends on Experience

Strategic Sourcing Associate

Hybrid in Baltimore, Maryland

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Today

The resource must have end to end sourcing experience, must have solid IT sourcing experience like SAAS, cloud, IT professional services and IT consulting. Looking for resources who have handled complex sourcing task and handle multiple tasks at the same time. Must have multiple years of experience owning the entire sourcing events right from start to finish. Must be able to handle incomplete or ambiguous requirement request. Must have experience handling 50-55 million portfolios. Experience wor

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Depends on Experience

Program Security Representative

Washington, District of Columbia

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Today

Position: Program Security Representative Location: Bolling, DC / Crystal City VA Duration: Very Long term - Multiyear assignment THIS IS AN ONSITE ROLE AT BOLLING, DC / CRYSTAL CITY, VA. MUST HAVE ACTIVE TOP SECRET / SCI CLEARANCE. The Program Security Representative's primary function is to provide multi-discipline security support for one or more of the customer's Special Access Programs (SAPs). The position will provide "day-to-day multi-discipline analysis for Collateral, Sensitive Compar

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Contract

$100,000 - $120,000

CMDB Analyst

Remote

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Today

Overview: This role is primarily focused on process, governance, and coordination within IT Asset Management and CMDB (Configuration Management Database), rather than hands-on data entry or record updates. Key Responsibilities: CMDB & Asset Governance o Ensure the accuracy and integrity of asset inventory within the CMDB module. o Focus on maintaining alignment between asset management and IT asset governance practices. o Drive accountability across stakeholders to ensure all assets are properly

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Depends on Experience

Utilization Management / Authorization

Remote

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Today

Must have off-entry and processing experience. This role will involve handling and processing Utilization and authorization request via FAX and some calls. Experience with guiding care and Facets ROLE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. (this position is remote) ESSENTIAL FUNCTIONS: Performs member or provider related administ

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Depends on Experience

Salesforce Architect Field Service Management (FSM)

Remote

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Today

Position : Salesforce Architect Location : Reston Virginia 100% Remote Direct Client Requirement Job Description : Key Responsibilities Lead the end-to-end architecture, design, and implementation of Salesforce Field Service Management (FSM) solutions. Partner with business stakeholders to gather requirements and translate them into scalable technical solutions and best practices. Design and oversee FSM workflows including: Service Territories Service Resources Work Orders and Work Types Sch

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Contract

Depends on Experience

Salesforce Architect Field Service Management (FSM)

Remote

•

Today

Key Responsibilities Lead the end-to-end architecture, design, and implementation of Salesforce Field Service Management (FSM) solutions. Partner with business stakeholders to gather requirements and translate them into scalable technical solutions and best practices. Design and oversee FSM workflows including: Service Territories Service Resources Work Orders and Work Types Scheduling and Optimization Service Appointments Dispatcher Console Mobile Workforce Management Define solution architect

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Depends on Experience

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jobs in Columbia, MD, USA