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Results based on filters ( 24 jobs found )
Job Description Resp & Qualifications PURPOSE: This position is responsible ...
Details
Summary
About the job:
for new business development within the middle market space. This role leads sales initiatives and strategies as well as relationship building with both our external partners and prospects as well internal constituents. The Sales Consultant position requires a deep level of knowledge and understanding of selling to self-insured customers with complex benefit arrangements. In addition, the role requires having experience and excellent presentation skills in meeting with C-suite prospects as well large consultant...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Securities, Commodities, and Financial Services Sales Agents
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications We are looking for an experienced ...
Details
Summary
About the job:
professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. PURPOSE: This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and across the company to provide communication, education, issue/dispute resolution and...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications We are looking for an experienced ...
Details
Summary
About the job:
professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. PURPOSE: Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality service, strengthening relationships through...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: This position is responsible ...
Details
Summary
About the job:
for new business development within the middle market space. This role leads sales initiatives and strategies as well as relationship building with both our external partners and prospects as well internal constituents. The Sales Consultant position requires a deep level of knowledge and understanding of selling to self-insured customers with complex benefit arrangements. In addition, the role requires having experience and excellent presentation skills in meeting with C-suite prospects as well large consultant...
Location:
Columbia, MD
Job Type:
Full-Time
Permanent
Occupation:
Securities, Commodities, and Financial Services Sales Agents
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: Under direct supervision, ...
Details
Summary
About the job:
reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication of claims following organizational policies and procedures. ESSENTIAL FUNCTIONS: - Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure timely payments are generated and calculate deductibles and maximums as well as research and resolve pending claims. The Claims Processor also use automated...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Insurance Claims and Policy Processing Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: The Director's primary ...
Details
Summary
About the job:
responsibility is to lead the team responsible for bringing the value of Government Programs centralized technology solutions and services to the marketplace through the BCBSA Plans. They will review client specific data/reporting, technology platforms and strategic plans, and make recommendations to help clients (BCBSA Plans) meet their corporate goals and key performance initiatives relating to health and welfare benefits. Serves as key subject matter expert and strategic partner for the BCBSA Plans and BCBSA and...
Location:
Reston, VA
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: The Senior Business Analyst ...
Details
Summary
About the job:
will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of regulatory and legislative business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: Optimizes Operations results ...
Details
Summary
About the job:
by identifying and analyzing business requirements and operations; conducting performance studies; identifying key business metrics; developing and calibrating analytical, recommending process improvement priorities; identifying low-cost designs, materials, processes, and sources; evaluating new technologies. Lead and mentor lower-level Analysts. ESSENTIAL FUNCTIONS: - Assesses adequacy of current processing operations by identifying and analyzing business requirements and operations; conducting performance studies;...
Location:
Reston, VA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: This position will manage all ...
Details
Summary
About the job:
key aspects of systems operations, including configuration setup, system and integration testing, production issues triage and resolution, and interface monitoring/ resolution. The position will also support the operations team in defining and building reports and queries for key operational data. The Business Systems Manager is critical in ensuring systems optimization and availability in a mission-critical, high availability environment. ESSENTIAL FUNCTIONS: - Manages the team's leadership and planning efforts....
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Computer and Information Systems Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
Job Description Resp & Qualifications PURPOSE: Investigate and perform ...
Details
Summary
About the job:
adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. ESSENTIAL FUNCTIONS: - Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A

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