37 administration jobs found in Baltimore

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Manage the Sales Compensation and Broker Administration teams responsible for processing internal sales incentives, administering broker contracts and compensation programs, and delivering sales reporting and forecasting analysis. This role ensures accurate and timely execution of compensation and incentive programs, maintains operational excellence, and provides analytical insights to support sales force effectiveness and business decision-making. ESSENTIAL FUNCTIONS: Team Leadership & Development: Supervise and develop the Sales Compensation and Broker Administration teams, including hiring, onboarding, training, and performance management. Set clear performance expectations, provide regular coaching and feedback, and conduct performance reviews. Foster a collaborative team environment focused on accuracy, timeliness, and customer service. Develop team member capabilities through training on...

CareFirst BlueCross BlueShield Resp & Qualifications We are looking for an experienced 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 will lead, guide, strategize and manage negotiations for provider-specific institutional, ancillary, and professional contracts. Key responsibilities include negotiating contract terms in accordance with regulatory requirements, analyzing financial data to evaluate implications across various business lines, while ensuring compliance with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care. This role will also oversee complex projects related to provider...

CareFirst BlueCross BlueShield Resp & Qualifications This is a year-round internship. The ideal candidate is someone who can commit to work throughout the year full-time 40 hours in the Summer and part-time up to 15-20 hours in the Spring/Fall. (Remote MD/VA/DC only) PURPOSE: The Human Resources Operations Intern will sit within our HR Connect team that supports the entire organization. You will have the unique opportunity to learn how to respond to general associate inquiries about human resources programs, procedures, and policies. You will serve as the initial point of contact for HR inquiries for the workforce (Tier 1 support). Assist functional teams daily to ensure all customer requests are handled in a timely and confidential manner. ESSENTIAL FUNCTIONS: Learn to respond to general intake inquiries from employees and manages the process necessary to bring to resolution in a timely manner. Assist with maintaining information systems and...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We are looking for an RN with significant clinical educator experience to work in a hybrid role from within the greater Baltimore/ Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, trainings, provide training support for Care Management employees and/or other business-related activities. This role provides relevant new hire and supportive ongoing training/professional development which create and maintain a motivated, skilled and effective team through which organizational goals are achieved. In this position, the incumbent will be supporting all market segments of the Care Management Department providing training for Care Management employees related to new technology and documentation with our Guiding Care platform, the Care Management process, and interventions to drive outcomes for our members. Demonstrated experience with...

CareFirst BlueCross BlueShield Resp & Qualifications CANDIDATES MUST BE LOCAL TO MD, DC, NORTHERN VA AND ABLE TO COME IN TO BALTIMORE OFFICE APPROXIMATELY ONCE A MONTH. PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. ESSENTIAL FUNCTIONS: Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution. Supports operations systems by providing operating information to customers; answering questions; providing training. Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation, Verifies operations systems by...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Business Consultant ACA Individual provides strategic, analytical, and operational expertise to support the design, launch, and execution of initiatives that strengthen ACA Individual market performance. This role contributes directly to CareFirsts ACA growth strategy by delivering insights, driving operational efficiencies, and supporting cross-functional alignment in a rapidly evolving healthcare environment. ESSENTIAL FUNCTIONS: Support the development of ACA dashboards in partnership with the external analytics vendor to segment member populations, identify cost-saving opportunities, and drive performance improvement. Leverage analytics to inform ACA marketing strategies by identifying priority populations and geographic segments. Collaborate with risk adjustment, care management, quality, and network teams to i improve coding performance and overall ACA member outcomes. Conduct competitive...

CareFirst BlueCross BlueShield Resp & Qualifications Summer Recruitment MD, DC, VA CareFirsts Strategic Growth division is accepting internship applications for our Summer 2026 program, spanning the companys marketing and communications, commercial sales, government programs, federal employee program, and strategic enablement functions.Through this internship program you will join a small team of driven, optimistic individuals seeking to improve healthcare - for our members and the world at large. Combining diverse backgrounds, viewpoints, life experiences, and skillsets we seek to be a proactive agent of meaningful change. We are not just reimagining healthcare for the future, we are actively transforming the way it is delivered, supported, and experienced today.We are looking for like-minded individuals who both share our mission of improving healthcare and remain humbled (if undaunted) by scale of the challenge. Whether your passion lies in distilling insights from...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Public Health & Community Impact (PHCI) team serves as the enterprise hub for public health strategy, community engagement, and philanthropic investment across Maryland, DC, and Northern Virginia. PHCI works across departments to embed public health principles into programs, policies, and practices while advancing measurable community health impact. This summer internship is designed for a motivated undergraduate or graduate student interested in public health, community engagement, social impact strategy, and data-informed philanthropy. The intern will primarily support the Community Engagement Pod, while also contributing to impact measurement, light data analytics, and philanthropic portfolio reporting. This role offers exposure to executive leadership within the Office of the CEO and hands-on experience at the intersection of public health, corporate engagement, and measurable community...

CareFirst BlueCross BlueShield Resp & Qualifications CANDIDATES MUST LIVE IN THE MD, DC, NORTHEN VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. ACTIVE HEALTH AND LIFE LICENSE IS REQUIRED. PURPOSE: As a key member of our Account Management Team, the Account Manager II plays a pivotal role in driving client success and business growth. This position combines strategic consulting, relationship management, and marketing expertise to deliver exceptional value to our clients. Youll serve as a trusted advisor, promoting our suite of benefits and services, and leading initiatives that enhance client satisfaction, increase enrollment, and strengthen long-term partnerships. ESSENTIAL FUNCTIONS: Drive Growth & Engageme nt: Lead the charge in growing group enrollment by marketing directly to client associates. Plan and execute impactful communication and education strategies that resonate with diverse employee...

CareFirst BlueCross BlueShield Resp & Qualifications CareFirst runs a year-roundinternship program. The ideal candidate is someone who can commit to work throughout the year part-time up to 15-20 hours in the Spring/Fall AND full-time 40 hours in the Summer. ESSENTIA FUNCTIONS: Gather and analyze clinical data related to high-cost claimants and utilization pattens driving cost trends Create PowerPoint presentations Support day to day operational process and identify streamline opportunities Work under Clinical Advisors and Wellbeing Consultants to learn and lead strategies and go to market solutions Represent CareFirst at client meetings and wellness events (as appropriate and available) Understand the full continuum of wellbeing products and service in-depth QUALIFICATIONS: Must be a student enrolled in an accredited College or University working towards a Graduate level degree Target Majors: Business Administration, Healthcare Management, Project...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Population Health Strategy Consultant works closely with physicians and health systems ("providers") enrolled in CareFirst's commercial and government value-based programs to understand patterns in their population's health data and effectuate practice transformation strategies that improve quality and reduce global health care costs. The Practice Consultant collaborates with internal subject matter experts to provide consulting services to physicians, key physician practice staff, executive level health system administrators, and other stakeholders to achieve program or contract goals. Participates in senior level peer workgroups to research and suggest new best practices and workflows to enhance the success of the consulting team. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will...

CareFirst BlueCross BlueShield Resp & Qualifications CareFirsts Strategic Growth division is accepting internship applications for our Summer 2026 program, spanning the companys marketing and communications, commercial sales, government programs, federal employee program, and strategic enablement functions.Through this internship program you will join a small team of driven, optimistic individuals seeking to improve healthcare - for our members and the world at large. Combining diverse backgrounds, viewpoints, life experiences, and skillsets we seek to be a proactive agent of meaningful change. We are not just reimagining healthcare for the future, we are actively transforming the way it is delivered, supported, and experienced today.We are looking for like-minded individuals who both share our mission of improving healthcare and remain humbled (if undaunted) by scale of the challenge. Whether your passion lies in distilling insights from data, crafting inspiring...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Vendor Management Manager is responsible for driving key business relationships with critical business partners, managing global partner issues, and working with internal teams such as Information Technology to ensure understanding of customer and business needs. This position will contribute to enhancing and optimizing the processes and workflows established between CareFirst and contracted vendors. In addition, the Vendor Management Manager will hold vendors accountable for contracted performance guarantees to ensure members receive the highest quality of service and ensure financial compliance to contracts. This role will manage a stable of vendors in the Information Technology space. ESSENTIAL FUNCTIONS: Responsible for overseeing the vendor management process including supervision and monitoring of Division vendor performance. Responsible for ensuring processes are in place to monitor vendor...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Senior FP&A Analyst supports CareFirsts enterprise cost management and transformation agenda by combining strong FP&A fundamentals with driver based budgeting (DBB), business case development, and performance tracking. This role partners with Finance and business leaders to improve forecasting accuracy, enhance cost transparency, and ensure initiatives deliver measurable financial impact. The analyst also leverages BI skills to help FP&A produce more scalable and insight driven reporting. ESSENTIAL FUNCTIONS: Produce and update cost forecasts and annual plan inputs using driver based models and scenario analysis. Deliver monthly and quarterly variance analysis with clear explanations of drivers, risks, and recommended actions. Translate operational drivers (headcount, vendor spend, utilization) into financial impacts supporting G&A decision making. Partner with business...

CareFirst BlueCross BlueShield Resp & Qualifications MD/DC/VA/DE Only CareFirsts Strategic Growth division is accepting internship applications for our Summer 2026 program, spanning the companys marketing and communications, commercial sales, government programs, federal employee program, and strategic enablement functions.Through this internship program you will join a small team of driven, optimistic individuals seeking to improve healthcare - for our members and the world at large. Combining diverse backgrounds, viewpoints, life experiences, and skillsets we seek to be a proactive agent of meaningful change. We are not just reimagining healthcare for the future, we are actively transforming the way it is delivered, supported, and experienced today.We are looking for like-minded individuals who both share our mission of improving healthcare and remain humbled (if undaunted) by scale of the challenge. Whether your passion lies in distilling insights from data,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This position supports the clinical teams by handling non-clinical tasks related to preauthorization functions, inpatient care, utilization review, care coordination and/or quality of care, enabling clinical staff to perform at the top of their license. ESSENTIAL FUNCTIONS: Provides ongoing internal and external customer support for operational inquiries from members, providers and/or other customers including benefit verification, authorization creation and management, claims inquiries and/or case documentation. Assists with member follow up and coordination of care that does not require intervention from a clinician including post-discharge monitoring, appointments and/or arranging services, enabling clinicians to work at full capacity. Reviews authorization requests for initial determination and/or triages for clinical review and resolution. Screens, and/or prioritizes members using targeted...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This position supports the clinical teams by handling non-clinical tasks related to preauthorization functions, inpatient care, utilization review, care coordination and/or quality of care, enabling clinical staff to perform at the top of their license. ESSENTIAL FUNCTIONS: Provides ongoing internal and external customer support for operational inquiries from members, providers and/or other customers including benefit verification, authorization creation and management, claims inquiries and/or case documentation. Assists with member follow up and coordination of care that does not require intervention from a clinician including post-discharge monitoring, appointments and/or arranging services, enabling clinicians to work at full capacity. Reviews authorization requests for initial determination and/or triages for clinical review and resolution. Screens, and/or prioritizes members using targeted...

Transamerica Job Family Business Intelligence About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network providers including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business. We are looking for an experienced 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. ESSENTIAL FUNCTIONS: RELATIONSHIP MANAGEMENT: Establishes and maintains relationships with providers and key stakeholders, by ensuring regular communications and...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE The Senior Analyst, FP&A Workforce Planning & Operations Analytics develops longrange operational forecasts, workforce capacity models, and analytical tools that guide staffing, budgeting, and servicelevel decisions. The role combines financial planning, data analytics, and workforce modeling to deliver clear insights that optimize staffing and labor costs. This position is ideal for a datasavvy analyst looking to deepen FP&A and operational strategy experience while applying advanced technical skills (SQL, Excel, Python, Power BI, MS Fabric/Azure) ESSENTIAL FUNCTIONS: Forecasting & Demand Modeling: Develop driver-based demand forecasts using enrollment, product changes, seasonality, regulatory shifts, digital adoption, and other operational trends/drivers. Translate business growth (membership, product launches, group movement) into actionable operational workload across all teams in...