Credentialing & Legal Appeals Quality Analyst
Johns Hopkins Health Plans
Johns Hopkins Health Plans is seeking a Quality Management Analyst for Credentialing & Legal Appeals to manage high-risk credentialing files, ensure accuracy, compliance, and timely completion. The role reports to the Credentialing Supervisor and interacts with attorneys, medical directors, and providers. Responsibilities include coordinating meetings with the SCR C chair and board, preparing reports, developing risk assessment packets, scheduling legal meetings and hearings, and creating #J-18808-Ljbffr
- ...litigation in federal circuit courts of appeals and leading nearly all immigration matters... ...must have up to one (1) year of legal experience. To qualify at the GS-12 grade... ...Applicants should also have excellent academic credentials and outstanding advocacy and legal...LegalFull timeTemporary workPart timeWork at officeTrial period
$100k - $150k
...intake through administrative resolution, settlement, trial, or appeal, including proceedings before the U.S. Tax Court, federal district... ...taxing authority audits, appeals, and refund claims.Conduct legal research, draft pleadings, protests, discovery requests/responses...LegalFull time$55 - $90 per unit
...elderly. Our work is driven by a deep-seated commitment to making quality, affordable emotional support services easily accessible to a... ...aggregate) or be willing to purchase a policy prior to start. Credentials: Must have an active NPI. (Existing Medicare credentialing or...SuggestedFull timePart timeFor contractorsRemote workHome officeMonday to Friday10 hours per weekFlexible hoursShift workWeekend work- ...The MIL Corporation is seeking a Journeyman (Quality Assurance, Analyst) to support QA activities at NAWCAD Webster Outlying Field, St. Inigoes, Maryland. You will perform inspections, tests, and verification of materials, products, and processes to ensure compliance...Suggested
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$104.9k - $174.7k
Would you like to serve as a trusted legal advisor while contributing specialist insight to strategy, policy, and decision-making?About... ...healthy work/life balance across the organization. We offer an appealing working prospect for our people. With numerous wellbeing...LegalFull timeLocal areaImmediate startWork from homeWorldwideFlexible hours$35 per hour
...leading telemedicine provider, delivering high-quality virtual care across 44 states. Since our... ...: dedicated concierge support through credentialing and setup Malpractice insurance fully covered (3M/1M), with dedicated legal and compliance support Modern, physician...LegalFor contractorsWork at office$150k - $200k
...of a seasoned Workers Compensation Attorney to join our dynamic legal team. This is a permanent position that provides an exciting opportunity... ...claims, including hearings, trials, settlements, and appeals. Conduct thorough and meticulous case research and analysis to...LegalPermanent employmentLocal area$325k
...(CPE), the VPMA provides leadership for credentialing, peer review, physician accountability,... ...physician leaders, hospital administration, and legal/compliance teams to ensure fair,... ...standards.Promote a culture of patient safety, quality improvement, evidence-based practice,...LegalFull time- ...Centers, we continuously refine our methods, ensuring we remain industry leaders.We are Sparksoft!ROLE & RESPONSIBILITIES:The Data Quality Analyst II drives continuous improvement in program data quality by developing solutions and strategies that address business...Work at officeImmediate startFlexible hours
$50k
...Blackbird Health, you’ll play a vital role in delivering high-quality virtual and in-person therapy to children, adolescents, young... ...Key Advantages Do the work you trained for — we handle credentialing, billing, insurance, and EMR so you can focus entirely on your...Weekly payPrice workPart timeFor contractorsImmediate startRemote workWeekend workWeekday work- ...Blue Cross NC is seeking a Clinical Quality Management Analyst to join the Clinical Quality Reporting & Compliance Team. This role evaluates and monitors staff and provider performance, delivering actionable feedback and plans to close gaps in quality and compliance....Work at officeRemote workFlexible hours
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$45k
...Blackbird Health, you’ll play a vital role in delivering high-quality virtual and in-person therapy to children, adolescents, young... ...Blackbird & Your Impact Do the work you trained for — we handle credentialing, billing, insurance, and EMR so you can focus entirely on your...Weekly payPart timeImmediate startRemote workFlexible hoursWeekend workWeekday work$108.6k - $180.6k
...products supporting Provider Contracting, Credentialing, and Network capabilities within... ...Backlog Management: Ensure accuracy and quality in requirement definition and backlog management... ...: This job adheres to the ethical and legal standards and behavioral expectations as...LegalFull timeFor contractorsWork at officeLocal areaRemote workWork from home$120k - $135k
...The staff attorney provides a variety of legal services as directed by the General Counsel... ...system’s mission by providing high-quality legal support to schools and staff as well... ...of experience in handling administrative appeals, preferably special education due process...LegalPermanent employmentFull timeTemporary workWork at officeLocal areaRemote workShift workAfternoon shift$78.8k - $131.3k
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...experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Description Performing quality assurance inspections for kitting and integration of C5ISR systems, equipment, and components FILLING THIS POSITION IS CONTINGENT...For contractorsLocal area- ...A prominent legal recruitment firm is seeking a Maryland Associate Attorney for its Creditors’ Rights practice. This full-time remote position requires candidates to be licensed in Maryland and possibly Virginia or North Carolina. Responsibilities include courtroom appearances...LegalFull timeRemote work
$115k
...practice in Maryland. Being a member of the DC Bar is a plus. Preparing for and conducting civil litigation in court Prepare and draft legal documents on behalf of clients Negotiate settlements for legal disputes Comply with all legal standards and regulations Qualified...LegalFull timeWork at officeImmediate start$69.45k - $115.75k
...knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Description Providing comprehensive quality assurance services that result in operational and workforce efficiencies, delivery of quality products, and standardization of...For contractorsLocal area$65.6k - $109.2k
About our Team:LexisNexis Legal & Professional, which serves customers in more than 150 countries with 11,800 employees worldwide, is... ...healthy work/life balance across the organisation. We offer an appealing working prospect for our people. With numerous wellbeing...LegalFull timeTemporary workWork at officeLocal areaImmediate startWorldwideFlexible hours- ...with a premier platform to deliver high-quality virtual care at scale. We offer proven strategies... ...in the nationwide network are credentialed, trained, and matched with vetted companies... ...opportunities without regard to legally protected characteristics. Start Your Application...LegalFull timeContract workPart timeWork at officeRemote workFlexible hoursAfternoon shift
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$90k - $110k
...Maryland bar status, and commuting ability for court appearances. Seniority level Associate Employment type Full-time Job function Legal Industries Legal Services and Law Practice Referrals increase your chances of interviewing at Executive Alliance by 2x Inferred from...LegalFull timeRemote workRelocation package- ...Contact Center Quality Assurance AnalystAt Immersion Consulting, we're driven by a simple mission: deliver meaningful work that makes... ..., and professional growth.The Contact Center Quality Assurance Analyst is responsible for monitoring, analyzing, and reporting on the...
$200k
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