28 quality lead jobs found in Baltimore

Transamerica Job Family Operational Risk 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 employees...

Transamerica Job Family Actuarial 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 employees...

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...

Creative Circle Product Operations Lead Position Overview Our client is a well-established consumer financial services company undergoing a large-scale digital and product transformation. They are building new ways of working across Product, Design, Engineering, and Go-to-Market teams and are hiring a Product Operations Lead to help scale product excellence and measurable impact across the organization. This is a hybrid opportunity, onsite Tuesday, Wednesday, and Thursday in New York, NY, Wilmington, DE, Baltimore, MD, or Dallas/Irving, TX. The Product Operations Lead will focus on building the systems, partnerships, and visibility that enable teams to consistently deliver high-quality product outcomes that drive customer retention and growth. This role is highly hands-on and fluid-one day focused on documentation and workflows, another on training and enablement, and another on experimenting with GenAI tools to redefine how Product, Design, and Engineering operate in an...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Shape and execute reporting strategy for data collected. Help drive critical business decisions by analyzing metrics and designing reports. Communicate results to stakeholders and provide suggestions based on findings. ESSENTIAL FUNCTIONS: Collaborates with stakeholders to understand data needs to create reports that meets the needs of the business. Identifies functional requirements through process analysis, review of documents and procedures, and interviews and meetings with stakeholders. Occasionally works alongside Developers and the System Architects to use the requirements to design the system concept of operations from both business and technical perspectives. Analyzes data and develops observations and findings based on analysis. Creates and test reports utilizing feedback and revisions into reporting products. Conducts quality control, communicates findings, and obtains sign-off from...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, codes, tests, develops, and documents application programs for computer systems. Works with end-users and project stakeholders to define system scope and objectives. Manages modifications to and maintenance of operational programs and procedures. Leads stakeholder and product owner meetings to define software requirements and creates highly complex systems. Acts as a mentor to junior engineers. ESSENTIAL FUNCTIONS: Lead a team of software engineers in the design, development, and implementation of multiple applications. Performs and leads the detail technical design, coding, code review and testing of new applications and enhancements of...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Provides expertise and mentoring to other team members. 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...

CareFirst BlueCross BlueShield Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Data Governance Equal Employment Opportunity CareFirst...

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 PURPOSE: Your role involves managing the entire lifecycle of enterprise data products and services to align with company goals. You will lead the strategic direction of data products and coordinate teams of business leaders, data engineers, data architects, data analysts, and data scientists. As a Data Product Manager, you will establish and execute the data product operating model, define the vision and strategy for data products, implement product management processes, and produce roadmaps for high-quality, high-performing data products. You will also deliver data solutions that enhance the analytical experiences of CareFirsts customers and internal teams. You create value from the organization's data assets and enable internal/external analytics and insights. This includes developing strategies to achieve business outcomes, drive innovation, and ensure compliance with regulatory, legal, and ethical...

Transamerica Job Family Research & Analytics - General 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...

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 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...

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...

Cystic Fibrosis Foundation The Cystic Fibrosis Foundation is a leading healthcare nonprofit organization like no other. For decades, we have been taking major steps and pioneering new ways to advance the mission to find a cure for cystic fibrosis and to provide all people with CF the opportunity to lead long, fulfilling lives by funding research and drug development, partnering with the CF community, and advancing high-quality, specialized care. By joining the Cystic Fibrosis Foundation , you will be part of a dedicated team committed to our core values and working towards a cure for cystic fibrosis. We offer a collaborative and supportive work environment, opportunities for professional growth, and the chance to make a meaningful impact in the lives of those affected by CF. Learn more about why work at the Cystic Fibrosis Foundation . Position Summary: The Development Manager supports the chapter's fundraising and volunteer engagement efforts by managing the...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Senior Data Architect will support the design and implementation of enterprise data architecture across strategic initiatives. As a key leader in the organization, you will leverage your expertise in architecture, governance, integration, and analytics to enable data-driven decisions and regulatory compliance in a highly complex healthcare environment. This role requires effective leadership skills, technical expertise, and strategic thinking as it involves collaboration with cross-functional teams to ensure the integrity, scalability, and performance of our data platforms and analytics ecosystems. You will be responsible for the development of data models, data integration strategies, and data governance policies to implement industry best practices and advance the organizations modernization journey consistent with the enterprise data strategy. ESSENTIAL FUNCTIONS: Architecture and Design: Lead...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Provides strategic and tactical planning, as well as, knowledge services relating to the implementation of key mandate initiatives, covering a broad range of legislative and regulatory matters including: Federal, BCBSA, Government Programs, State. Provides internal and external liaison functions, workflow, customer service, communications, training, strategic delivery, efficiency, cost reduction and skill development initiatives. We are looking for an experienced professional to work remotely. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Analyzes legislation and regulations as it relates to CareFirst and creates high level compliance requirements. Primary/dedicated Regulatory point of contact for Project Managers who implementation projects. Takes a lead role in various...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Director, Pharmacy Services is responsible for implementing the organization's pharmacy vision and strategic plan for government programs including Maryland Medicaid, Dual Prime Special Needs Plan (DSNP), and Medicare Advantage products. This role has oversight of pharmacy staff and develops and maintains collaborative relationships with clinical, administrative, and other key stakeholders including external vendors to ensure effective operations and value realization of pharmacy programs. This role also serves as a key point of contact with the Maryland Department of Health (MDH) and U.S. Centers for Medicare and Medicaid Services (CMS). ESSENTIAL FUNCTIONS: Provides oversight and support for the management of multi-faceted Pharmacy Services Government Programs to reduce pharmacy spend, total cost of care, and improve health outcomes. Supports programs from evaluation through implementation and value...

CareFirst BlueCross BlueShield Resp & Qualifications This is a hybrid role. Candidate must be local to DMV offices to attend in-person meetings on a regular basis. PURPOSE: Lead the Narrative. Shape the Strategy. Win the Business. Are you a master storyteller with a strategic mindset and a passion for driving business growth? Join our dynamic team as a Proposal Manager, where your expertise will directly influence how we present our value to clientsand win their trust. As a Proposal Manager, youll be the architect behind high-impact, customer-focused proposals that showcase our solutions and set us apart in the marketplace. Youll lead the full proposal lifecyclefrom planning and development to deliveryensuring every response is compliant, compelling, and strategically aligned with our mission. ESSENTIAL FUNCTIONS: Lead the Charge: Manage all aspects of complex proposal requestsresearching, writing, editing, and ensuring compliance with bid requirements....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates business needs for the domain into architectural solutions that meet performance, reliability and security expectations. Applies enterprise roadmaps, principles, standards, and practices to drive their domain strategies and execution. ESSENTIAL FUNCTIONS: Leads preparation of domain architecture viewpoints and models depicting current, target, and interim states. Use current state viewpoints to identify and analyze pain points and opportunities (PPOs). Lead advanced modeling and analysis to meet the strategic needs of the organization with respect to system, information, functional/non-functional needs, performance and security/regulatory requirements. Create and utilize architecture patterns...