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Provider Enrollment and Data. 3 years physician credentialing experience or health insurance/managed care operations experience in a customer service, claims, billing and enrollment, or call center environment.
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The Federal Contract Manager/Business Operations Support Manager is responsible for providing contract support to Federal, Commercial, State and Local Business. Competitor analysis and opportunity data gathering, mining and analysis Reviewing and advising on documents prepared by clients, such as statements of work, service level agreements, pricing schedules and customer obligations.
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You will provide the intelligence needed to support infantry and tank units in combat operations while learning highly sought-after skills that will help you in your civilian career. Plus, the skills you learn as a Fire Support Specialist can prepare you for a rewarding civilian career in computer consulting, information technology support, or data processing.
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10+ years of experience in health plan operations including but not limited to enrollment, finance, call center, claims, Case Management and Utilization Management. Provide technical direction to data engineering team while collaborating with client partners and business analysts to manage client relationships.
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This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards.
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With $13 billion in revenue on a combined pro forma basis from operations, Berry is a leading global supplier of a broad range of innovative nonwoven, flexible, and rigid products used every day within consumer and industrial end markets.
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The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients.
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Primary Skills - Large-Scale, Translate, Problem-Solving, Project Management, Business Requirements, Documenting, Data Analysis, Marketing Analysis, Agile, RFP, Relational Database, ETL, Software as a Service, Mainframe, AS400, SAAS, COTS, Technical Specifications, Documentation, Test Cases, Test Plans, Quality Assurance, RFI, Regression Testing, Database Management, User Testing, Facilities Operations, Capital Project Management.
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Positioned to be the IT partner you need, Zones, a Minority Business Enterprise (MBE) in business for over 35 years,specializes in Digital Workplace, Cloud & Data Center, Networking, Security, and Managed/Professional/Staffing services.
$38 - $40 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Helps ensure data/media recoverability by following a schedule of system backups and database archive operations. Aids with ensuring workstation/server data integrity by implementing standard software and hardware solutions.
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Security Analyst- Entry to Mid Level (Maryland) A Security Analyst applies Department of Defense (DoD), Intelligence Community (IC), and National Security Agency's (NSA's) policies, standards, and tradecraft to identify, analyze, understand, and assess counterintelligence and counterterrorism threats to NSA's operations and equities.
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Work closely with members of the Operations Engineering Systems Reliability team to respond to open case directions and provide data where requested. Respond to corrective maintenance cases on commercial solar PV, commercial energy storage systems, vehicle charging stations and updating online case logs accurately.
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Applies prescribed method to complete limited and specific portions of the broader assignment of an experienced engineer, adjusts and correlates data, recognizes discrepancies in results and follows operations through a series of related detailed steps or processes.
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Maintains awareness of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.
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Serving as a compliance specialist for academic records, the RSS also provides guidance on overall student academic records in CampusVue and student files and assures that academic policies and procedures are properly followed in Registrar operations.
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data operations jobs in Baltimore, MD
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