jobs in columbia, md, us

Hybrid in Columbia, Maryland

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Today

Must have a RN or LPN from DMV or compact license. CNA with 10+ years HEDIS experience will be accepted as well. Must have recent HEDIS experience. Must have solid 5+ years of HEDIS experience - HEDIS extractions, HEDIS retrospect, quality reviews & its nice to have overread experience (Internal notes: overread is re-reviewing medical records during audits). (If they have 2 seasons of HEDIS experience within the 5 years with one firm will be highly preferred.) Must have solid & in-depth clinical

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Depends on Experience

Clinical Medical Review Nurse

Hybrid in Columbia, Maryland

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Today

Work Location & Schedule: The role will be primarily remote, with the flexibility to work from home. Candidates must be willing to travel to provider offices to collect medical records. Most locations will be within Maryland (MD) and Washington, DC, with occasional travel to Northern Virginia. Mileage reimbursement will be provided when multiple provider locations need to be visited in a single day. If travel is required to only one location, the schedule may be considered hybrid. Candidates mus

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Contract

Depends on Experience

Medical Management Coordinator (Appeals & UM)

Hybrid in Baltimore, Maryland

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Today

The role of the MMC is to assist analyst with triaging and entering appeals. They will print and assist with medical records request and create overturn notices. They are required to assist with creating shell cases in GuidingCare and create appeal letters. Intake and case build MMCs screen all channels daily, return misroutes, confirm member/claim data, and queue clean cases oldest-first. MMCs issue and track both requests on a fixed cadence, call provider offices on day 3, and index documents

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Contract

Depends on Experience

SOX Auditor

Hybrid in Washington, District of Columbia

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Today

The Division of Information Technology Enterprise Services propose to engage two consultants to provide compliance and information security support to in preparation for annual Financial Statement Audits, internal SOX control reviews, financial system FISMA reviews, provide support in updating policies and procedures, and assist with ongoing compliance self-assessments. Requirements: In addition, the candidate shall have demonstrated experience in the following: Experience with financial applic

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Depends on Experience

Cyber Security SME

Washington, District of Columbia

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Today

Core Responsibilities Provide enhancement capabilities and SOPs to cybersecurity assessment operations for execution and implementation. Provide analysis of vulnerabilities. Review and make recommendations on program-level documentation (e.g., requirements specification, system architecture, design documents, test plans, security plans, etc.). Develop and document security evaluation test plans and procedures. Assist in researching, evaluating, and developing relevant Information security polici

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Full-time

135000

Senior Java Developer

Remote

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Today

Position : Software Engineer Location : St. Louis Missouri - Remote Direct Client Requirement As a Staff Software Engineer, you will play a leadership role on a product team to design and build new features and components in our evolving platform, helping to embrace modern principles like microservices and event driven architectures. About The Client's Technical Stack : The Digital and eCommerce team currently operates several B2B websites and direct digital sales channels via a globally deploye

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Contract

Depends on Experience

jobs in Columbia, MD, USA