Vice President, Ambulatory Revenue Cycle Shady Grove Adventist HospitalVice President, Ambulatory Revenue CycleGaithersburg, MD$249,144.83–$373,717.24 / yearThose testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. Adventist HealthCare seeks to hire an experienced Vice President of Revenue Cycle for our Ambulatory Revenue Cycle department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
Associate Director, Clinical Sciences, Oncology ModernaTXAssociate Director, Clinical Sciences, OncologyBethesda, MassachusettsWe are proud to have been recognized as a Science Magazine Top Biopharma Employer, a Fast Company Best Workplace for Innovators, and a Great Place to Work in the U.S. If you want to make a difference and join a team that is changing the future of medicine, we invite you to visit modernatx.com/careers to learn more about our current opportunities. Broadly stated, in conjunction with the Clinical Study Lead and the broader Clinical Trial Team, oversee end-to-end delivery of clinical trial protocols including study design, initiation, medical safety data monitoring, data dissemination and closeout activities.
Finance Systems Analyst Hogan LovellsFinance Systems AnalystBaltimore, MD$100,000–$125,000 / yearThis will involve attending project meetings and working with other departments in Finance and Technology as required in relation to the projects concerned, keeping the appropriate manager regularly informed of progress and developments. The team currently consists of the Finance Systems Manager with analysts based in London and Hong Kong, a Senior Finance Systems Manager with analysts based in the US, and a Finance Systems Manager - Product Owner based in London.
Registered Nurse ( Contractual Hourly ) University of MarylandRegistered Nurse ( Contractual Hourly )College Park, MD$40–$45 / hourPhysical Demands: While performing the duties of this job, the employee is regularly required to stand, walk, use fine motor skills, reach with hands and arms, talk and hear. Utilizes nursing skills and knowledge to provide general nursing care that meets the needs of patients and health providers.
Certified American Sign Language (ASL) Interpreter - Hybrid VECRA IncCertified American Sign Language (ASL) Interpreter - HybridBethesda, MDVECRA is seeking a Full-Time American Sign Language (ASL) Interpreter VECRA is seeking several highly qualified and certified American Sign Language (ASL) Interpreters (On Call) to provide professional sign language interpreting, transliterating, and/or sight translation services in support of Deaf and Hard of Hearing (HoH) NSWCCD employees. COMPANY DESCRIPTION VECRA, Inc. is a service-disabled veteran-owned small business (SDVOSB), woman-owned small business (WOSB), minority business enterprise (MBE) consulting firm implementing proven methodologies that help our clients drive growth, transform businesses, and innovate breakthrough ideas.
Trauma Performance Improvement Coordinator Howard University HospitalTrauma Performance Improvement CoordinatorWashington, DC$75,000–$99,000 / yearBachelor of Science in Nursing (BSN) required; Master's Degree in Emergency/Trauma, Critical Care, or related field strongly preferred Current Registered Nurse (RN) licensure in the District of Columbia (or eligibility) Basic Life Support (BLS) certification through the American Heart Association Trauma Certified Registered Nurse (TCRN) certification required within one (1) year of hire Minimum five (5) years of nursing experience in Emergency, Trauma, or Critical Care Minimum three (3) years of quality improvement experience Working knowledge of trauma registry systems with the ability to abstract data for reports, presentations, and research Working knowledge of ICD-10 medical coding Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook Strong analytical, problem-solving, organizational, and communication skills. Analyze trauma data and generate reports using the trauma registry and other data systems to support decision-making Maintain accurate, secure documentation of PI activities, including meeting records, case reviews, and follow-up actions Prepare progress reports, dashboards, and presentations for trauma leadership and hospital committees.
Medical Director - ENT CVS Health CorpMedical Director - ENTDC$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
AR Specialist (remote) Anne Arundel DermatologyAR Specialist (remote)Owings Mills, MarylandRemote$19–$23 / hourFull timeFounded 50+ years ago with a mission to provide the highest quality and full spectrum of medical, surgical, and esthetic skin care services to each and every one of its patients, Anne Arundel Dermatology has assembled the finest group of dermatologists in the Mid-Atlantic and Southeastern states. Ideal candidates will have experience working insurance denials, identifying denial trends, analyzing EOBs and remits, and communicating directly with commercial and government payers to maximize reimbursement.
Manager, Clinical Documentation Integrity Adventist HealthCareManager, Clinical Documentation IntegrityGaithersburg, MD$105,664.42–$158,496 / yearNicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.). Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
Risk Adjustment Manager - Prospective (Hybrid) Blue Cross and Blue Shield AssociationRisk Adjustment Manager - Prospective (Hybrid)Reston, VA$105,040–$194,981 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading the end to end strategy by applying improvements and driving cost-effective risk adjustment actions across all organizational populations and products.
AI & Data Engineering Lead (Manager) - Pharma Commercial Data Warehouse Parab Consulting Group IncAI & Data Engineering Lead (Manager) - Pharma Commercial Data WarehouseWashington, DCPharma Commercial Data Domain Expertise (Critical)This role requires demonstrated, working knowledge of the following IQVIA and third-party pharmaceutical data assets: Sales & Demand DataIQVIA DDD / NPA / NSP: Deep understanding of sub-national prescriber-level (DDD), national prescription audit (NPA), and national sales perspectives (NSP) data structures, including product hierarchies, outlet types, and projection methodologies. AI-Ready Data Architecture & EnablementFeature Store & ML-Ready Datasets: Design and build curated, governed feature stores and ML-ready datasets on Snowflake to accelerate data science workloads including patient propensity models, next-best-action engines, formulary prediction, and treatment-pathway classifiers.
Intake Registration Specialist - Home Care Frederick Health Hospital IncIntake Registration Specialist - Home CareFrederick, MD$18.09–$24.24 / hourThe Intake Registration Specialist is responsible for an array of responsibilities varying from accurately and professionally answering a multi-line telephone system, data entry, addressing patients' and clinician requests/concerns, and processes incoming insurance referrals, pre-authorizations, patient scheduling, and performs other related departmental duties which may not be listed in the position description. Follows the Intake process for transitioning from varying referral sources to home health for start of care (SOC) or resumption of care (ROC) including necessary paperwork, demographics, physician orders, patient health history, payer information criteria is met prior to admission.
Provider Relations Representative I (Hybrid) Blue Cross and Blue Shield AssociationProvider Relations Representative I (Hybrid)Baltimore, MD$49,248–$97,812 / yearPROJECT MANAGEMENT: Supports network projects and outreach initiatives that must be special handled by Provider Relations in order to mitigate risk to CareFirst, supplement existing technology, maintain critical operations, support corporate initiatives including but not limited to provider experience scores, STAR ratings, HEDIS measures, and CAHPS program. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst''s contracted in-network providers including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business.
Medical Biller Quadrant, Inc.Medical BillerBaltimore, MDCharge capture, self-pay, payer edit, payment posting, referrals, and payer setup experience is highly preferred. Medical Biller A/R Specialist will be responsible for, but not limited to the following: Overseeing the submission of insurance claims and patient invoices.
Full Stack Java developer (Back-end) Lumen Solutions Group, Inc.Full Stack Java developer (Back-end)Reston, VARemoteThe ideal candidate will have strong hands-on experience building scalable backend applications using Java , along with experience working with MongoDB and PostgreSQL . Frontend experience with Angular, HTML, and CSS is required at a working/familiarity level, but extensive frontend expertise is not necessary.
Senior Managing Director, Health Care and Life Sciences, Clinical Coder Ankura Consulting Group LLCSenior Managing Director, Health Care and Life Sciences, Clinical CoderBaltimore, MDRemoteThe team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries.
NLM Health Scientist Lexical Intelligence LLCNLM Health ScientistBethesda, MDResponsibilities also include ensuring compliance with organizational security and privacy policies, protecting sensitive data and systems, reporting security incidents, and participating in required cybersecurity training. Our Natural Language Processing (NLP) and analytics software is used by policy and decision makers to evaluate and prioritize current and emerging areas of research.
Medical Assistant - Ortho MedVanta CareersMedical Assistant - OrthoHanover, MarylandThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nationâs largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. The Medical Assistant helps to ensure a positive patient experience while performing the analytical, technical and customer service skills necessary to support the care of the patient.
Medical Assistant MedVanta CareersMedical AssistantRockville, MarylandThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. The Medical Assistant helps to ensure a positive patient experience while performing the analytical, technical and customer service skills necessary to support the care of the patient.
Orthopedic Technician / Medical Assistant MedVanta CareersOrthopedic Technician / Medical AssistantColumbia, MarylandThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. The Medical Assistant helps to ensure a positive patient experience while performing the analytical, technical and customer service skills necessary to support the care of the patient.