Top 10160 Identity manager Jobs in Annapolis Junction, Md

Referral Management (Non-Nurse) Reviewer
Zimmerman Associates, Inc. —Bethesda, MD
- $23.56 an hour
- Microsoft Excel
- Microsoft Outlook
- Customer service
Social Media & Brand Growth Manager
Emage Fibroid Center —Washington, DC
- $80,000 - $85,000 a year
- Full-time
- Hybrid work
- Surgery
- 5 years
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
11d
Fleet Strategy Manager
Westshore Home —Washington, DC
- Full-time
- Background check
- Pass drug screening
- Office
- Paid training
- Health savings account
Quick Apply
6d
Hiring Manager
Roto-Rooter Services Company —Elkridge, MD
- $80,000 - $90,000 a year
- Management
- Mid-level
- Residential
- Profit sharing
- Paid training
Business Development Manager
Skilled Wound Care —Baltimore, MD
- $100,000 - $150,000 a year
- Skilled nursing facility
- Mid-level
- Driver's License
- Dental insurance
- 401(k)
Quick Apply
Workforce Management Analyst I (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $45,072 - $89,518 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Continuous improvement
- 401(k)
5d
Client Experience Manager
T. Rowe Price —Baltimore, MD
- $87,000 - $185,000 a year
- Full-time
- Hybrid work
- 5 years
- Research
- Mid-level
- Paid time off
- Adoption assistance
Human Services Specialist I - County Administration, Office of Human Rights & Equity
Howard County —Columbia, MD
- $27.37 - $30.86 an hour
- 8 hour shift
- Background check
- Ability to walk for extended periods
- Pass drug screening
- Paid jury duty
- Paid parental leave
3d
Senior Manager, Policy Communications
Netflix —Washington, DC
- $260,000 - $463,000 a year
- Office
- Senior level
- 10 years
- Paid holidays
- Health insurance
Senior Desktop Support Specialist
K&L Gates —Washington, DC
- $80,000 - $120,000 a year
- Full-time
- Remote
- Background check
- Addiction Medicine
- Mid-level
- Profit sharing
- Wellness program
13d
Crime Analyst
Metropolitan Police Department —Washington, DC
- $74,893 - $96,547 a year
- Full-time
- Microsoft Access
- Mid-level
- Office
- Disability insurance
- Health insurance
13d
Account Manager, Outdoor Specialty
Under Armour —Baltimore, MD
- $110,000 - $150,000 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Travel
- Store discount
- Health insurance
Law Enforcement Outreach Manager
Meta —Washington, DC
- $169,000 - $237,000 a year
- Weekends as needed
- Presentation skills
- Fair chance
- Senior level
3d
Outreach Specialist
Wounded Warrior Project —Washington, DC
- $60,211 - $75,264 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Up to 50% travel
- Wellness program
- AD&D insurance
Program Operations Specialist
Johns Hopkins University —Baltimore, MD
- $48,000 - $84,100 a year
- Full-time
- Remote
- Background check
- Mid-level
- Administrative experience
13d
Contract Manager
Accenture Federal Services —Arlington, VA
- $95,700 - $211,700 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- US work authorization
Sr. Manager, Territory Lead - MD, DE, & Montgomery County
Moët Hennessy —Baltimore, MD
- $120,000 - $150,000 a year
- Full-time
- Hybrid work
- Clean driving record
- 7 years
- Inventory management
- Commuter assistance
- Paid parental leave
Community Engagement Specialist I
GEICO —Bethesda, MD
- $73,800 - $115,825 a year
- Full-time
- Office
- Bachelor's degree
- Organizational skills
10d
Manager, Regulatory Response
Google —Washington, DC
- $211,000 - $293,000 a year
- Full-time
- Office
- Supervising experience
- Bachelor's degree
- Paid holidays
- Disability insurance
11d
Project Manager, Inclusion
Warner Bros. Discovery —Washington, DC
- $71,400 - $132,600 a year
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Paid holidays
6d

I want to receive the latest job alert for identity manager in annapolis junction, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

identity manager jobs near annapolis junction, md

Account Manager jobs in Baltimore, MD

Outreach Manager jobs in Washington, DC

Contract Manager jobs in Remote

Project Manager jobs in Washington, DC

Crime Analyst jobs in Washington, DC

Policy Manager jobs in Washington, DC

Nurse jobs in Bethesda, MD

Business Development Manager jobs in Baltimore, MD

Program Specialist jobs in Baltimore, MD

Office Administrator jobs in Columbia, MD

Outreach Specialist jobs in Washington, DC

Management Analyst jobs in Baltimore, MD

Fleet Manager jobs in Washington, DC

Social Media Manager jobs in Washington, DC

Community Engagement Specialist jobs in Wausau, WI

Community Engagement Specialist jobs in Ann Arbor, MI

Engagement Manager jobs in Remote

Community Engagement Specialist jobs in Lillington, NC

Remote Charge Capture Specialist jobs in Remote

Community Health Worker jobs in Long Beach, CA

Referral Management (Non-Nurse) Reviewer

Zimmerman Associates, Inc. -
Bethesda, MD

Apply Now

Job Details

$23.56 an hour

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Customer service
Associate's degree
Medical terminology

Full Job Description

Zimmerman Associates, Inc. (ZAI) is seeking to hire multiple Referral Management (Non-Nurse) Reviewers to support our contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Region’s premier authority for appointment coordination and referral management services for beneficiaries within the Defense Health Network.

Pay Rate: $23.56 per hour plus $4.93 Health & Wellness Fringe

Role and Responsibilities:

Referral Management (Non-Nurse) Reviewers will facilitate centralized product line and specialty referrals for Active-Duty Service Members and TRICARE Prime beneficiaries enrolled at Military Treatment Facilities (MTFs) within the National Capital Region.

This is an onsite opportunity

Qualifications / Skills / Experience:

Minimum of an Associate’s degree
At least 2 years of experience in Utilization Management, Referral Management, Authorization/Denials, or Medical Claims Processing/Insurance Referral
U.S. Citizenship required, with the ability to obtain a Public Trust Clearance
Knowledge of medical care criteria such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs), or other evidence-based Military Health System (MHS) guidelines
Familiarity with medical terminology and ability to learn MHS, VA-DOD Sharing Program, TRICARE, HIPAA, and release of medical information protocols
Excellent communication and interpersonal skills
Strong customer service orientation
Understanding of Access to Care Standards within the Direct Care System
Attention to detail, including correct use of deferral codes
Strong organizational skills with ability to prioritize tasks and manage time effectively
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook) and internet navigation

Essential Tasks:

Review and process referrals for administrative and clinical completeness and appropriateness, completing disposition within 24 hours of referral date
Collaborate with appointing centers, case managers, product line nurses, providers, clinics, managed care contractors, and other healthcare team members to ensure appropriate use of Direct Care and civilian network resources
Ensure patients are scheduled with the right provider, at the right time and place
Review compliance with Specialty Referral Guidelines (SRGs) per IRMAC protocols
Complete and return Clear Legible Reports (CLR) to ordering civilian providers within required Return of Favorable Response (ROFR) timelines
Manage telephone, written, and electronic communications regarding specialty appointments and referrals
Monitor and process referral management worklists (e.g., Genesis Work Lists) to ensure timely consult processing
Communicate referral status to patients, including benefit counseling and advocacy resources as needed
Reschedule or redirect patients within 3 days when referrals are disapproved or invalid, advising on other care options and Line-of-Duty issues
Receive and enter ROFR referrals in MHS-GENESIS from Military Contractor Support Centers (MCSC) portals for assigned specialties/product lines, adhering to all timelines and business rules
Verify patient eligibility and update demographics in MHS-GENESIS
Document patient interactions, especially when appointments are refused, and coordinate with Beneficiary Counselor and Assistance Coordinator as appropriate
Coordinate with product line nurses and clinics for special accommodations
Interface with MCSC and multidisciplinary teams to ensure referral appropriateness
Submit referrals to non-network providers for TRICARE Service Center medical necessity reviews
Monitor referral management voicemail and return patient calls within established guidelines
Provide External Provider Referral Online (EPRO) information as requested
Close unused referrals following DHA IPM and NCR Medical Directorate policies, notifying ordering providers accordingly
Orient and train new IRMAC staff on referral processes and timelines
Perform other duties as assigned

Zimmerman Associates, Inc. is an equal opportunity employer. We comply with Federal and State Equal Opportunity laws and consider qualified applicants without regard to race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status, or any other protected status.

#INDSPN

Apply Now

Refine Your Search

identity manager jobs in annapolis junction, md

Referral Management (Non-Nurse) Reviewer

Social Media & Brand Growth Manager

Fleet Strategy Manager

Hiring Manager

Business Development Manager

Workforce Management Analyst I (Remote)

Client Experience Manager

Human Services Specialist I - County Administration, Office of Human Rights & Equity

Senior Manager, Policy Communications

Senior Desktop Support Specialist

Crime Analyst

Account Manager, Outdoor Specialty

Law Enforcement Outreach Manager

Outreach Specialist

Program Operations Specialist

Contract Manager

Sr. Manager, Territory Lead - MD, DE, & Montgomery County

Community Engagement Specialist I

Manager, Regulatory Response

Project Manager, Inclusion

I want to receive the latest job alert for identity manager in annapolis junction, md

Related Searches

Explore jobs in more locations

Role and Responsibilities:

Qualifications / Skills / Experience:

Essential Tasks:

Job Seeker Tools

Employer Tools

Browse

Stay Connected