1 vp renewal management jobs found in Baltimore, MD

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This position will play a pivotal role in the modernization and redesign of the utilization management department within the Health Services division. The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry. Using a deep understanding of utilization management, the Senor Business Consultant acts as a liaison between the UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of authorization to claims processing by use of a working knowledge of claims system configuration, including claims edits. The ideal candidate will have a deep understanding of proper plan design across all commercial and government programs plans and experience administering plans in a large payer organization. We are looking for an experienced...