Top 2102 Medical care program associate Jobs in Baltimore, Md

Clinical Provider Auditor I - Maryland Behavioral Health
Elevance Health —Hanover, MD
- $28.75 - $35.94 an hour
- Full-time
- Research
- Office
- Fair chance
- Employee stock purchase plan
- Paid holidays
11d
RN Inpatient Case Manager
MedStar Health —Baltimore, MD
- $89,065 - $162,801 a year
- Full-time
- Acute care
- Nursing
- Microsoft Excel
8d
Provider Data Coordinator
Maryland Care Management Inc —Linthicum, MD
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
Medical Field Case Manager
Enlyte —Baltimore, MD
- $79,000 - $95,000 a year
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Shift Lead - Halethorpe
DoorDash Essentials, LLC —Baltimore, MD
- $20.55 an hour
- Full-time
- 18 years or older
- Mid-level
- High school diploma or GED
- Commuter assistance
- Paid parental leave
Quick Apply
Stocker
Walmart —Baltimore, MD
- $17 - $30 an hour
- Part-time
- High school
- Forklift
- Ability to lift 50 pounds
- Paid jury duty
- Disability insurance
Claims Recovery Specialist II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $42,624 - $78,144 a year
- Full-time
- Remote
- Basic math
- Mid-level
- High school diploma or GED
- 401(k)
Quick Apply
14d
Patient Service Coordinator MHUC
MedStar Health —Baltimore, MD
- $18.70 - $32.72 an hour
- PRN
- Urgent Care
- High school diploma or GED
- Computer skills
5d
MEDICAL CARE PROGRAM ASSOCIATE I (REPOST)
State of Maryland - Maryland Department of Health —Baltimore, MD
- $52,121 - $72,989 a year
- Online Application
- Office
- Administrative experience
- High school diploma or GED
Patient Service Associate
Mercy Medical Center —Baltimore, MD
- $17.83 - $26.75 an hour
- Full-time
- Hospital
- High school diploma or GED
- Clinic
- 403(b) matching
- Paid holidays
Personal Shopper (In-Store)
Walmart —Baltimore, MD
- $17 - $30 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Payment and Medical Policy Coordinator (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $51,264 - $101,816 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Finance
- 401(k)
Quick Apply
Medical Assistant
MedStar Health —Baltimore, MD
- $19.55 - $34.25 an hour
- Full-time
- Vital signs
- Customer service
- Computer literacy
- Vision insurance
Quick Apply
Checkout Team Associate
Walmart —Baltimore, MD
- $17 - $30 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
Community Health Worker (Community Programs)
Johns Hopkins University —Baltimore, MD
- $15.70 - $26.25 an hour
- Weekends as needed
- Background check
- HIPAA
- Mid-level
MEDICAL CARE PROGRAM ASSOCIATE II (REPOST)
State of Maryland - Maryland Department of Health —Baltimore, MD
- $55,426 - $77,620 a year
- Online Application
- Mid-level
- Office
- High school diploma or GED
Medical Receptionist
Mercy Medical Center —Baltimore, MD
- $17.83 - $26.75 an hour
- Full-time
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- 403(b) matching
- Paid holidays
Seasonal Team Associate
Walmart —Baltimore, MD
- $17 - $30 an hour
- Part-time
- High school
- Merchandising
- Entry level
- Paid jury duty
- Disability insurance
Cosmetics Cashier
Walmart —Baltimore, MD
- $17 - $30 an hour
- Part-time
- High school
- Entry level
- Paid jury duty
- Disability insurance
6d
Backroom Associate - Sam's Club
Sam's Club —Baltimore, MD
- $18 - $26 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
3h

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medical care program associate jobs near baltimore, md

Clinical Provider Auditor I - Maryland Behavioral Health

Elevance Health -
Hanover, MD

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Job Details

Full-time
$28.75 - $35.94 an hour
11 days ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Research

Full Job Description

Clinical Provider Auditor I

Supports Payment Integrity & Behavioral Health

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.

Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.

Location: The ideal candidate would need to reside within the state of Maryland and within distance our Hanover, MD Pulse Point.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Clinical Provider Auditor I will be responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.

How you will make an impact:

Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.
Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.
Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.

Minimum Requirements:

Requires a AA/AS and minimum of 1 year related medical coding/auditing experience; or any combination of education and experience, which would provide an equivalent background.
Must achieve coding certification (CPC, CCS, CPMA) within one year of starting in this position.

Preferred Skills, Capabilities and Experiences:

Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology strongly preferred.
Behavioral Health coding and auditing experience preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $28.75/hr. - $35.94/hr.

Location: Maryland.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

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Refine Your Search

medical care program associate jobs in baltimore, md

Clinical Provider Auditor I - Maryland Behavioral Health

RN Inpatient Case Manager

Provider Data Coordinator

Medical Field Case Manager

Shift Lead - Halethorpe

Stocker

Claims Recovery Specialist II (Remote)

Patient Service Coordinator MHUC

MEDICAL CARE PROGRAM ASSOCIATE I (REPOST)

Patient Service Associate

Personal Shopper (In-Store)

Payment and Medical Policy Coordinator (Remote)

Medical Assistant

Checkout Team Associate

Community Health Worker (Community Programs)

MEDICAL CARE PROGRAM ASSOCIATE II (REPOST)

Medical Receptionist

Seasonal Team Associate

Cosmetics Cashier

Backroom Associate - Sam's Club

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