Medicaid Appeals & Provider Sanctions Specialist II
State of Maryland
State of Maryland seeks a professional to interpret and apply Medicaid regulations to provider and recipient appeals, and to assist in sanctions and terminations. This role coordinates with federal and state programs to exchange termination data and protect program integrity. The position prepares reports, ensures procedural compliance for appeals, and supports the Medical Care Program staff. Strong analytical and communication skills are essential for success. #J-18808-Ljbffr State of Maryland
- A state government agency in Maryland is seeking individuals to determine eligibility for various Medicaid programs including HCBS Services and others. Responsibilities include verifying financial information, ensuring accurate determinations, maintaining database records...Suggested
$74.26k - $118.85k
Montgomery College in Maryland seeks a full-time Employee and Labor Relations Specialist II to provide subject‑matter expertise across the college. The role focuses on labor relations, investigations, bargaining, policy development, and training, with telework eligibility...SuggestedRemote jobFull time- ...environments throughout the state. MOPD is further committed to providing equal opportunity and reasonable accommodation for... ...GRADE ASTD9 Main Purpose of Job The Public Defender Intake Specialist I & II, is the first interaction clients have with the Office of the...SuggestedWork at office
- ...accepting applications for the position of Plumber (Skilled Trade Specialist II) at the Baltimore/Washington International Thurgood Marshall... ...services for qualified individuals with disabilities will be provided upon request. Please notify in advance. MD Relay Service...SuggestedPermanent employmentFull timePart timeH1bVisa sponsorshipFree visaShift workNight shiftRotating shiftAfternoon shift
- ...Part Time ID Card Specialist (Personnel Assistant II); Annapolis, MD This is a part time position, 20 hour work week. Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations...SuggestedContract workPart timeFor contractorsWork at office
- TRAX International Corporation seeks a Technician II (NDT) for a temporary position at Aberdeen Proving Ground, MD. The role focuses on evaluating and inspecting to applicable standards, with work that may be guided by codes and precedents in nondestructive testing. The...Temporary work
- Nourish is seeking a Provider Partnerships Associate to grow a provider referral territory in the Baltimore area. You will spend the... ...time in the field building trust with primary care physicians, specialists, and clinic staff to drive referrals and improve patient access...
$100k
...posting will be used to fill a Full Time, Permanent, Program Specialist II (Archaeology Laboratory & Collections Manager) within the Department... ...are directly related to the department's/agency's mission of providing services to County residents. This field of work is...Permanent employmentFull timeFor contractorsInternshipWork at officeLocal areaRemote workFlexible hours- ...of Education, the Division of Rehabilitation Services (DORS) provides services to assist students with disabilities prepare for the... ...each week). Position Duties The Vocational Rehabilitation (VR) Specialist provides services to increase employment and advancement opportunities...Work at officeRemote work3 days per week
- ...injuries, illness and other incidents in a manner that effectively ensures the attainment of business unit targets and objectives.* Provide training and education to Company personnel regarding safety and health requirements.* Support pre-job safety planning meetings to...For subcontractorNight shift
- The Maryland State Department of Education is seeking a Vocational Rehabilitation Specialist to provide essential services aiding individuals with disabilities in securing and maintaining gainful employment. This role involves comprehensive assessments, coordination of...Flexible hours
$37.87 - $59.63 per hour
...s policies and procedures. The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account,... ...processing for compliant and optimized hospital accounts. Evaluates, provides education and guidance to revenue cycle, revenue practice teams...Hourly payWork at officeRemote workFlexible hours- CoorsTek is seeking a Quality Control Specialist II - CMM Operator to perform visual and measurement inspections and operate Zeiss and other CMM machines. The role involves interpreting complex technical drawings, applying tight tolerances, and documenting inspection data...
- ...serving over 27 million passengers annually. MDOT MAA is currently accepting applications for the position of Plumber (Skilled Trade Specialist II) at the Baltimore/Washington International Thurgood Marshall Airport (BWI Marshall Airport). Responsibilities Installing,...Permanent employmentShift workNight shiftDay shiftAfternoon shift
- The Maryland Military Department is seeking a Skilled Trades Specialist II to maintain safe, code‑compliant facilities statewide, with journey‑level work in plumbing, carpentry, electrical, HVAC, locksmith, masonry, painting and welding. The role supports mission readiness...
$21.1 - $49.08 per hour
...community at a time. Job Summary The Analyst Quality Audit Control II OPS will support the team and business by serving as a quality... ...communicate quality trends and opportunities for improvement. Provides technical and subject matter expertise related to policies,...Hourly payFull timeLocal area3 days per week- Description Title: Human Resources Analyst II Clearance Type: Secret Scope: Provide services in support of development, training, and tracking of the CPE IEW&S workforce. Responsibilities (including But Not Limited To) Track workforce training and development. Maintain...
$99.63k - $150.13k
...Executive Director of Human Resources, the Human Resources Analyst II, Classification and Compensation Analyst II plays a key role in... ...expert in classification and compensation, the Analyst II provides guidance, training, and strategic support to HCPSS employees and...Permanent employmentTemporary workWork at officeLocal areaRemote work- MedStar Health is seeking an experienced Patient Accounts Specialist I to support straight Medicaid claims within ourPatient Accounting team. The role emphasizes timely follow-up, accurate reimbursement, and adherence to state Medicaid requirements. Ideal candidates will...
- ...across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers... ...7:30am- 4pm Weekend Rotations Required Will Consider IVF Lab Specialist I, II, or III Position Summary: Reports to the Laboratory Director/...Full timeWork experience placementLocal areaWeekend work
$18.7 - $32.72 per hour
...experienced Patient Accounts Specialist I to join our Patient Accounting... ...team, supporting straight Medicaid claims. MedStar Health is a... ...work and grow your career. We provide a supportive and inclusive work... ...Interprets and evaluates appeals to include follow-up with payers...$47.77k - $71.65k
...requisition id: JR107349The Expense Management Specialist supports hospice financial operations by... ...in EPIC in accordance with guidance provided by the Revenue Cycle team.* Other duties... ...Hospice care is covered under Medicare, Medicaid, most private insurance plans.***What We...Local area- A leading construction firm in Maryland seeks a Safety Manager to coordinate and implement safety programs across various project locations. The ideal candidate will have a Bachelor's degree in Safety and Health, with 3-6+ years of experience preferred in the construction...
$27.02 per hour
...anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and... ...including documentation improvement, provider education, analyzing reports, and identifying... ...Risk Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information Technician...For contractorsWork at officeLocal areaRemote workFlexible hours$103.95k - $180.53k
...Responsibilities For over 25 years, Noblis has provided specialized engineering, acquisition, and program management services to the... ...forefront of aviation technology. Role Overview: The FAA ATEPS II Human Factors Engineer supports the design, development,...Full timeContract workPart timeWork at officeLocal areaRemote workWorldwideShift work- Spring Grove Hospital Center in Catonsville, MD, seeks a Dietitian/Nutritionist to provide clinical nutrition services within a psychiatric care setting. This is a repost with opportunity to join a large state-run facility committed to quality mental health care. Requirements...
$22.88 - $38.13 per hour
Engineering Technician II Location US-MD-St Inigoes ID 2026-11443 Category Electronics Technician Position Type... ...an advanced information technology and engineering company that provides innovative products and services to government and private industry...Full timeFor contractorsLocal area$40k - $89k
Logistics Analyst - Level II Department: Soldier Medical Devices (SMD) Employment Type: Full Time Location: Fort Detrick, MD Compensation... ..., Inc. is a Woman-Owned Small Business professional services provider of engineering and technical services to the United States...Full timeContract work- ...settings and in handling of Medical Records Provide excellent customer service at all times... ...relationships The Patient Access Specialist plays a role in protecting patient safety... ...insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required. Basic...Full timeFlexible hoursNight shift
$66.84k - $83.55k
Title: Instructional Specialist I, Emergency Medical Services (EMS) Department: EMS- Emergency... ...(EMS) department is responsible for providing high-quality education with associated curriculum... ...Paramedic experience. Instructor I and II certification through the International...Full timeContract workH1bFlexible hoursShift workAfternoon shift
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