Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Credentialing & Legal Appeals Quality Analyst in Annapolis, MD vacancy
  •  ...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... 
    Legal
    Full time
    Temporary work
    Part time
    Work at office
    Trial period

    Justice Management Division

    Annapolis, MD
    2 days ago
  • $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... 
    Legal
    Full time

    Frost Law

    Annapolis, MD
    2 days ago
  • $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... 
    Suggested
    Full time
    Part time
    For contractors
    Remote work
    Home office
    Monday to Friday
    10 hours per week
    Flexible hours
    Shift work
    Weekend work

    Total Life Inc.

    Annapolis, MD
    4 days ago
  •  ...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

    The MIL Corporation

    Annapolis, MD
    5 days ago
  •  .... The PMHNP helps expand access to high-quality behavioral health services, empowering patients...  .... Ensure compliance with all applicable legal, ethical, and organizational standards....  ...remote clinical workflows. Licensure & Credentialing Requirements The PMHNP must maintain... 
    Legal
    Contract work
    For contractors
    Remote work

    Close Knit

    Annapolis, MD
    3 days ago
  • $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... 
    Legal
    Full time
    Local area
    Immediate start
    Work from home
    Worldwide
    Flexible hours

    RELX Group

    Annapolis, MD
    5 days ago
  • $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... 
    Legal
    For contractors
    Work at office

    QuickMD

    Annapolis, MD
    3 days ago
  • $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... 
    Legal
    Permanent employment
    Local area

    Jobot

    Annapolis, MD
    3 days ago
  • $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,... 
    Legal
    Full time

    Luminis Health

    Annapolis, MD
    1 day ago
  •  ...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 office
    Immediate start
    Flexible hours

    Sparksoft

    Annapolis, MD
    3 days ago
  • $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 pay
    Price work
    Part time
    For contractors
    Immediate start
    Remote work
    Weekend work
    Weekday work

    Blackbird Health

    Annapolis, MD
    1 day ago
  •  ...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 office
    Remote work
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Annapolis, MD
    3 days ago
  •  ...Lumicera Health Services is seeking an Analyst, Pharmacy Quality to join our team. This role develops, implements, and monitors processes to audit key performance metrics and support leadership with KPI reporting. You will monitor call quality, document outcomes, and... 
    Remote work

    Lumicera

    Annapolis, MD
    2 days ago
  •  ...communities and lives. About The Role We are seeking experienced Quality Assurance Consultants to support food, dietary supplement,...  ...reimbursement Employee Assistance program parental leave optional legal coverage and ID theft Equal Opportunity Employer Pace® provides... 
    Legal
    Hourly pay
    Full time
    Contract work
    Part time
    Relief
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Pace Analytical

    Annapolis, MD
    1 day ago
  • $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 pay
    Part time
    Immediate start
    Remote work
    Flexible hours
    Weekend work
    Weekday work

    Blackbird Health

    Annapolis, MD
    1 day ago
  • $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... 
    Legal
    Full time
    For contractors
    Work at office
    Local area
    Remote work
    Work from home

    Highmark

    Annapolis, MD
    2 days ago
  • $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... 
    Legal
    Permanent employment
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Shift work
    Afternoon shift

    Howard County Public School System

    Annapolis, MD
    3 days ago
  • $78.8k - $131.3k

     ...healthy work/life balance across the organization. We offer an appealing working prospect for our people. With numerous wellbeing initiatives...  ...with your charity of choiceAbout the businessLexisNexis Legal & Professional provides legal, regulatory, and business information... 
    Legal
    Full time
    Local area
    Immediate start
    Flexible hours

    RELX Group

    Annapolis, MD
    4 days ago
  • $63.15k - $105.2k

     ...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 contractors
    Local area

    Scientific Research

    Annapolis, MD
    3 days ago
  •  ...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... 
    Legal
    Full time
    Remote work

    Executive Alliance

    Annapolis, MD
    1 day ago
  • $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... 
    Legal
    Full time
    Work at office
    Immediate start

    Pikesville Law Firm, LLC

    Annapolis, MD
    3 days ago
  • $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 contractors
    Local area

    Scientific Research

    Annapolis, MD
    3 days ago
  • $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... 
    Legal
    Full time
    Temporary work
    Work at office
    Local area
    Immediate start
    Worldwide
    Flexible hours

    RELX Group

    Annapolis, MD
    2 days ago
  •  ...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... 
    Legal
    Full time
    Contract work
    Part time
    Work at office
    Remote work
    Flexible hours
    Afternoon shift

    WHEEL

    Annapolis, MD
    2 days ago
  •  ...We Are Legal Revolution is seeking a Litigation Attorney in Maryland with a remote work option. You will lead a broad portfolio of disputes, develop litigation strategies, and drive outcomes through pleadings, discovery, motions, and trial preparation. You will advocate... 
    Legal
    Remote work
    Flexible hours

    We Are Legal Revolution

    Annapolis, MD
    1 day ago
  • $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... 
    Legal
    Full time
    Remote work
    Relocation package

    Executive Alliance

    Annapolis, MD
    1 day ago
  •  ...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... 

    Immersion Consulting

    Annapolis, MD
    3 days ago
  • $200k

     ...We Are Legal Revolution in Maryland is seeking a Corporate Attorney to join our expansion-minded team. This role offers up to $200K base with six-figure bonus potential, representing a compelling alternative to big law. You will provide counsel on corporate transactions... 
    Legal

    We Are Legal Revolution

    Annapolis, MD
    2 days ago
  • NexRep LLC is seeking a Quality Specialist to analyze calls, emails, social media posts, and SMS contacts from independent contractors, identify trends, and collaborate with certification and operations teams to ensure client standards are met. The role requires strong... 
    For contractors
    Remote work
    Night shift
    Day shift
    Afternoon shift

    NexRep LLC

    Annapolis, MD
    3 days ago
  •  ...responding to written discovery, overseeing document production, and coordinating e-discovery processes. Draft pleadings, motions, and legal memoranda. Conduct and defend depositions, including preparing witnesses and analyzing testimony. Reviewing, investigating, and... 
    Legal
    Remote work

    Peak Partners SA

    Annapolis, MD
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Credentialing & Legal Appeals Quality Analyst. Be the first to apply!