. We are in search of a highly motivated candidate to join our talented Team. Job Title: Health Services - Utilization Management... Specialist. Location: Baltimore, MD. Purpose: Utilizing key principles of utilization management, the Utilization Review...
Job Description: Pay Range: $43.21hr - $48.21hr The Utilization Management Specialist determines medical necessity... in acute or managed care settings. Experience in care management, utilization review, or medical management. Experience...
reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team...Description : What to expect The Utilization Review Clinical Specialist provides timely, comprehensive utilization...
Management Specialist Duration: March 02, 2026 June 30, 2026 (with option to renew through June 30, 2028) Location: Baltimore...) Senior Database Management Specialist to design, develop, optimize, administer, govern, and maintain complex databases...
About this Position: Job Title: Senior Database Management Specialist Duties / Responsibilities: Design, develop... or complex health and human services systems or applications. A minimum of five (5) years of experience with processing EDI...
marketplace systems or complex health and human services systems or applications. A minimum of five (5) years of experience... Management Office (PMO) processes, policies, and procedures. MHBE / Project Background The Maryland Health Benefit Exchange...
, developing reports, and/or supporting federal or state-based marketplace systems or complex health and human services systems... creating data validation rules, data quality checks, and metadata management and understanding the unique data requirements...
marketplace systems or complex health and human services systems or applications. A minimum of five (5) years of experience... creating data validation rules, data quality checks, and metadata management and understanding the unique data requirements...
, and metadata management and understanding the unique data requirements and challenges of the health insurance marketplace. Provide..., developing reports, and/or supporting federal or state-based marketplace systems or complex health and human services systems...
, govern, and maintain complex databases and provide various database operational support services for the Maryland Health..., and/or supporting federal or state-based marketplace systems or complex health and human services systems or applications. A minimum...
, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health..., Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS...
. You have the ability to effectively manage assigned accounts in terms of driving utilization, customer relationship management... and more personalized! Your role: Achieving sales of all applicable disposable products and services in assigned territory; assisting...