California Rural Healthcare Support Services Leadership Opportunities Rural Staffing ServicesCalifornia Rural Healthcare Support Services Leadership OpportunitiesCalifornia, CaliforniaRural Staffing Services partners with rural hospitals, clinics, public hospital districts, regional health systems, community health centers, tribal healthcare organizations, long-term care providers, and community healthcare organizations throughout California to identify experienced leaders across the operational and support services that keep healthcare organizations running safely and effectively. In California, support services leaders may also help organizations navigate distance, wildfire impacts, extreme heat, mountain weather, vendor access, supply delays, aging infrastructure, workforce housing, utility concerns, power disruptions, and the challenges of maintaining facilities across rural and geographically isolated regions.
Enterprise Healthcare Services Sales - Healthcare Payments - Vice President JPMorgan Chase & CoEnterprise Healthcare Services Sales - Healthcare Payments - Vice PresidentMDLeads the full sales process for existing and upcoming client-facing products and capabilities, defining and configuring optimal solutions that address clients' needs and objectives, specifically within and across Patient Management Systems and other Hospital Systems. Serves as a subject matter expert on a defined set of products and capabilities with a deep understanding of client needs and current industry trends, with a strong commitment to continuous learning and upskilling.
NewHealthcare Recruiter Trainee Maxim Healthcare Services IncHealthcare Recruiter TraineeMDOur commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Baltimore, MDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Managing Consultant – Clinical Quality Improvement (Maryland Programs) - Healthcare Berkeley Research GroupManaging Consultant – Clinical Quality Improvement (Maryland Programs) - HealthcareBaltimore, MarylandThis role is designed for a seasoned quality professional with hands-on experience in Maryland’s unique hospital payment and quality environment, including the HSCRC Quality-Based Reimbursement (QBR), Maryland Hospital Acquired Conditions (MHAC), and Readmission Reduction Incentive Program (RRIP), and alignment with CMS programs such as Hospital Readmission Reduction Program (HRRP), Value-Based Purchasing (VBP), Hospital-Acquired Reduction Program (HACRP), and CMS Care Compare. Led by seasoned healthcare executives, operators, physicians, nurses, and other clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Solutions Architect (Healthcare Payer and PBM Operations) MindlanceSolutions Architect (Healthcare Payer and PBM Operations)Baltimore, MDRemote3 Healthcare Payer and PBM Operations: Deep knowledge of and experience with health insurance and Pharmacy Benefit Management (PBM) business models, processes, capabilities, and supporting information systems, including pharmacy benefit design, formulary management, drug pricing, pharmacy networks, eligibility, claims, rebates, utilization management, specialty pharmacy, and member/provider services. 4. Pharmacy Benefit Administration: Strong understanding of the end-to-end pharmacy benefit lifecycle, including benefit configuration, formulary and drug list management, prior authorization, step therapy, quantity limits, accumulator management, specialty drugs, pharmacy network administration, claims adjudication, reversals, coordination of benefits, and payment/reconciliation.
NewPhysician Liaison | Healthcare Sales | Territory: Baltimore, Carroll & Harford County CoreLifePhysician Liaison | Healthcare Sales | Territory: Baltimore, Carroll & Harford CountyNottingham, MarylandThis is a relationship-driven, field-based role focused on building strong partnerships with physicians, surgeons, and healthcare providers to drive patient referrals and improve access to care. As a Physician Liaison, you will serve as the primary point of contact between CoreLife and the medical community, helping providers understand how our programs support patients with obesity and chronic disease management.
Healthcare Ins Contact Admin RadNet IncHealthcare Ins Contact AdminMaryland, MDRemote$30–$35 / hourWorks collaboratively with the Regional Directors of Contracting, Operations and Credentialing departments to maintain/update the RadNet East Coast Facility List, (sometimes referred to as the "Source of Truth" draft/distribute the corresponding payor notifications, document correspondent received from the payer and performs follow up to ensure the updates have been completed in the payor systems. Job Summary: Under minimal supervision, assists the Contracting and Payor Relations team, the Reimbursement Operations team and the authorization team in a support role handling departmental projects as assigned, facilitating communications to and from insurance companies, and internal/external contacts regarding updates on physician staff and facility information.
Home Healthcare Marketing and Business Relationship Specialist Home He ABIC HEALTHCARE SERVICES INCHome Healthcare Marketing and Business Relationship Specialist Home HeOwings Mills, MD$25–$35 / hourPart timeBuild and maintain relationships with physicians, practice managers, case managers, discharge planners, social workers, support planners, and other healthcare professionals. Experience with home health, homecare, hospice, skilled nursing, senior care, disability services, Medicaid, private pay, or community-based care.
Healthcare Insurance Contract Admin RadNetHealthcare Insurance Contract AdminMarylandRemote$30–$35 / hourFull timeWorks collaboratively with the Regional Directors of Contracting, Operations and Credentialing departments to maintain/update the RadNet East Coast Facility List, (sometimes referred to as the “Source of Truth” draft/distribute the corresponding payor notifications, document correspondent received from the payer and performs follow up to ensure the updates have been completed in the payor systems. Job Summary: Under minimal supervision, assists the Contracting and Payor Relations team, the Reimbursement Operations team and the authorization team in a support role handling departmental projects as assigned, facilitating communications to and from insurance companies, and internal/external contacts regarding updates on physician staff and facility information.
Healthcare Talent Pool Anne Arundel Workforce Development Corporation (AAWDC)Healthcare Talent PoolLinthicum Heights, MDYou may be contacted regarding interviews, training, or credential opportunities By applying, you are entering our Healthcare Talent Network.
Healthcare Front Office Professional – Flexible Schedule (Maryland, Texas and Georgia) Care Workforce SolutionsHealthcare Front Office Professional – Flexible Schedule (Maryland, Texas and Georgia)Columbia, MDAbout CARE Workforce Solutions, LLC Based in Columbia, Maryland, CARE Workforce Solutions provides healthcare staffing, payroll, HR, and compliance support to private medical and dental practices. Providers choose their preferred availability, receive real-time shift opportunities on their phone, and pick up coverage opportunities that fit their lifestyle and schedule.
Healthcare Front Office Professional – Flexible Schedule Care Workforce SolutionsHealthcare Front Office Professional – Flexible ScheduleColumbia, MarylandAbout CARE Workforce Solutions, LLC Based in Columbia, Maryland, CARE Workforce Solutions provides healthcare staffing, payroll, HR, and compliance support to private medical and dental practices. Position Overview PRN team members with CARE Workforce Solutions provide as-needed coverage for private medical, dental, and aesthetic practices.
Area Manager Healthcare Reimbursement Operations TalentBridgeArea Manager Healthcare Reimbursement OperationsBethesda, MDRemote$25–$34 / hourCandidates with leadership experience in one or more of the following environments are especially encouraged to apply: Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations . The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs , along with proven experience managing teams in a fast-paced environment.
Mid-Senior Healthcare Professional Hire Resolve.comMid-Senior Healthcare ProfessionalMarylandHire Resolve is assisting healthcare organizations in hiring experienced healthcare professionals for a range of mid–senior level roles across clinical leadership, healthcare administration, care delivery operations, quality, and patient services. This is a multi-role opportunity designed to attract licensed medical professionals and healthcare administrators working across hospitals, outpatient facilities, physician groups, and integrated care networks.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareMD$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
Federal Healthcare Programs Subject Matter Expert SparksoftFederal Healthcare Programs Subject Matter ExpertMarylandThe FHPSME will work collaboratively with the product manager, product owners, business owners, program management team and the data and reporting services teams to deliver business value in support of the Centers for Medicare & Medicaid Services (CMS) in detecting and preventing fraud, waste, and abuse within government-sponsored health programs. Analyse federal and industry data sources, including SSA, Treasury, State Medical Boards, Department of Justice, HRSA, Board Certification, and State Medical Boards, to support provider screening, sanctions, and fraud, waste, and abuse (FWA) detection activities.
NewCustomer Service Coordinator II- Healthcare Billing Call Center Johns Hopkins HospitalCustomer Service Coordinator II- Healthcare Billing Call CenterMiddle River, MDThe Johns Hopkins Health System Corporation (JHHS) is a not-for-profit organization, academically based health system, dedicated to providing the highest quality patient health care in the treatment and prevention of human illness. Navigate rapidly changing situations, from evolving patient needs to technological advancements, by remaining flexible, continuously learning, embracing new challenges, and quickly recovering from setbacks.
Healthcare Account Associate MedVanta CareersHealthcare Account AssociateBethesda, MarylandThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client claim activities; disseminates necessary information and reporting to management and clients.
Healthcare Account Associate MedVanta Interco, LLC.Healthcare Account AssociateBethesda, MD$90,000 / yearPart timeThrough a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client claim activities; disseminates necessary information and reporting to management and clients.