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CareFirst
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Baltimore, Maryland
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; guides the discussion, contributes ideas and suggestions. Financial Management
Executes PMO Financial Management process
Tracks and reports the financials for each project and program, with
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CareFirst
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Baltimore, Maryland
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the Company in an effective, ethical and appropriate manner. Reports directly to the Audit and ... .
o Serves as the primary contact for Centers for Medicare and Medicaid Services (CMS) for Medicare
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CareFirst
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Baltimore, Maryland
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management, third party risk management, audit, compliance, security governance or legal services role ... Resp & Qualifications
PURPOSE:
The Senior Risk Management Analyst is responsible
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CareFirst
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Baltimore, Maryland
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management, third party risk management, audit, compliance, security governance or legal services role ... Resp & Qualifications
PURPOSE:
The Senior Risk Management Analyst is responsible
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CareFirst
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Owings Mills, Maryland
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functions. Participates in collaborative meetings with internal and external stakeholders to coordinate both ... senior engineers in-person or via code reviews and assists in problem solving. Provide mentorship
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CareFirst
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Baltimore, Maryland
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suggesting appropriate products, services and/or solutions. They will play a pivotal role in planning, developing, and delivering the marketing strategy for products/services that encompasses direct sales
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CareFirst
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Baltimore, Maryland
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technical staff. Collaborates with senior management to develop team goals and implements new strategies to ... services to support critical operational processes, analytical models, and machine learning applications
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CareFirst
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Columbia, Maryland
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, processes and/or services and translates them into specifications ensuring the business objectives are met ... . Under the direction of a Lead or Senior Business Analyst, participates in the creation of requirements
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CareFirst
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Baltimore, Maryland
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financial close process and the annual Financial Audit; review of various account reconciliations and key ... the Manager with the coordination of the annual financial audit. Responsible for ensuring that
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CareFirst
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Baltimore, Maryland
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Resp & Qualifications
PURPOSE:
Acts as an internal expert to ensure that ... expertise on various consequences for different financial and incentive models. Strategizes alternatives and
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CareFirst
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Baltimore, Maryland
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financial risk.
ESSENTIAL FUNCTIONS:
Ensure the retention and profitability of existing ... arrangements. Update appropriate billing rate files, contracts, internal databases, etc. Produces and monitors
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CareFirst
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Baltimore, Maryland
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retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation (RADV) audit and any ... :**
Education Level: Associate's Degree in Health Information Technology, Business or related field OR in
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CareFirst
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Baltimore, Maryland
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Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record ... :**
Education Level: Associate's Degree in Health Information Technology, Business or related field OR in
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CareFirst
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Baltimore, Maryland
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include but not limited to clinical support, operations and services related to health care providers and ... excellence, ensuring our services align with the highest standards and contribute positively to our
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CareFirst
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Baltimore, Maryland
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Resp & Qualifications
PURPOSE:
This Senior Regulatory Compliance Analyst position ... to make informed decisions and assist the organization in making better business decisions. Audit
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