Emdeon Jobs in Maryland

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Emdeon is an organization focused on relentlessly innovating the world’s most intelligent healthcare network. Our mission is to optimize workflow, payments and insights through our intelligent healthcare network so that we can achieve our vision of improving healthcare through insights. We are customer centric, committed to performing in the top 10% of our industry, we empower with accountability,...
We have an immediate need for an Inside Sales Representative in our Pharmacy Division. In this position, you will utilize their sales experience in our telephonic inbound/outbound sales team to generating new business among small to mid-sized potential customers. In this position, you aggressively prospect and develop accounts, generate sales quotes, and handle customer inquiries. This position wi...
Under general supervision, formulates and defines systems scope and objectives through research and fact-finding combined with an understanding of applicable business systems and industry requirements. With this knowledge, develops or modifies moderately complex information systems. Includes analysis of business and user needs, documenting requirements, and revising existing system logic difficult...
The Manager works independently with considerable discretion to complete job responsibilities. The incumbent has a significant effect on the day-to-day functioning of the department and their processes and policies. The incumbent must consistently identify opportunities and implement practices for process improvements. People management of up to 18 direct reports. Essential Duties and Responsibil...
The Care Management Nurse will develop and implement a targeted plan of care to decrease avoidable Emergency Department usage for MaineCare members. • Partner with hospitals to provide ongoing education to members and provider community on selected members. • Work with the Care Management Unit staff members to monitor work queues and complete assigned tasks. • Attend and participate in bi-weekl...
Chamberlin Edmonds, an Emdeon Company, is currently seeking compassionate and driven Contractor Health Care Representatives (HCRs). HCRs acts as advocates and meet with patients and their families daily. They are responsible for tracking every application they receive and obtaining high rates of successful outcomes. If you appreciate helping people and possess great communication and computer skil...
The Information Systems Security Officer creates and institutes measures in order to safeguard sensitive information within our network. They ISSO will research, develop, implement, test and review our information security in order to protect information and prevent unauthorized access. The ISSO will inform users about security measures, explain potential threats, install software, implement secur...
Investigates, researches, and analyzes medical review cases. Validates clinical requirements/care administered. Reviews contract language and medical record documentation from providers, payers, and outside entities to determine the appropriateness of services billed. Identifies issues that warrant medical review. Documents and summarizes pertinent findings. Ensures high-level confidentiality in a...
The Casualty Subrogation Specialist will be responsible for using established methods to investigate, pursue, and collect settlements on behalf of our Medicaid payer clients in various types of third-party liability (TPL) cases. Successful candidates will possess: Qualifications • Must have a Bachelor’s degree • At least two years in a relevant field (casualty or subrogation – health payer, au...
The Proposal Writer IV/Team Lead position is responsible for coordinating all aspects of proposal development—ensuring accuracy and integrity of all proposal documentation, coordinating internal flow and review of all proposal inputs, and directing final production of the proposal. The Proposal Writer IV/Team Lead creates, maintains, revises and responds to complex, high-quality proposal documents...
Provide pharmacy or rebate-related support for customer or drug manufacturer inquiries or disputes received via email and/or data exchange portal. Assess nature of product, service or account issues and resolve basic to complex account problems. Maintain correspondence log of issues for audit purposes. Escalate to higher level of support the complex account problems. Has knowledge of commonly-used...
The Medical Care Coordinator reviews records and compile reports for use by Registered Nurses providing care management to member population • Provide reports and monitor member outcomes in accordance with established procedures • Communicate with all medical care personnel providers, employers, health insurance companies and members in order to determine member level of care and appropriate com...
Pharmacy/Point-of-Sale (POS) Helpdesk Technician. This position is Monday through Friday and is responsible for responding to calls from healthcare professionals regarding the Preferred Drug List (PDL), processing of prior authorizations, and handling pharmacy claims. Must have a working knowledge of pharmaceutical drug names and be able to apply policies and business rules relative to this proces...
The IT Compliance Analyst will audit and evaluate information systems, platforms and operating procedures in accordance with established FISMA requirements. The analyst will evaluate IT infrastructure in terms of NIST800-53 and must have analyze and define security requirements for complex IT issues that may involve enterprise wide initiatives and projects. Identify vulnerabilities and track secur...
The Manager works independently with considerable discretion to complete job responsibilities. The incumbent has a significant effect on the day-to-day functioning of the department and their processes and policies. The incumbent must consistently identify opportunities and implement practices for process improvements. People management of up to 18 direct reports. Essential Duties and Responsibil...

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