117 customer service jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Performs advanced actuarial and oversight skills in the performance of actuarial analytics to develop actionable items in support of departmental goals Provides actuarial leadership support to Medical, Pricing, Underwriting, Sales, Finance and other applicable Business Units. Responsible for actuarial modeling to support financial objectives. and making recommendations to executives and senior management. ESSENTIAL FUNCTIONS: Responsible for directing the efforts of Actuarial staff (Pricing, Actuarial Finance, Actuarial Medicare Advantage, Actuarial Innovation and Research) to accomplish near and long-term goals set by senior management. In collaboration with senior management, responsible for setting long term strategy within the Actuarial department. Responsible for representing the Actuarial department to internal and external customers including state and federal regulators. Hiring, recruiting...

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: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. ESSENTIAL FUNCTIONS: Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures Collect, analyze, and interpret data to glean insights, and develop business appropriate recommendations Serve as an expert resource supporting data questions and issues from...

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...

Kaiser Permanente Job Summary: Under direct physician supervision, assists providers, nurses and allied health personnel in delivering comprehensive, high quality patient care to Kaiser Permanente members. Accountable for traveling within a Zone and/or reasonable geographical area. Essential Responsibilities: Assists the physician in providing comprehensive medical care to targeted patient population in the ambulatory clinic setting by: Preparing the patient for the medical examination. Performing rooming-in, screening activities and patient histories for the appropriate to patient population. Performing assigned clinical tasks and/or procedures. Set up patient for virtual visit in clinic. Turnover room following patient visit. Serve as chaperone for exams if requested by patient. Assisting with scheduling follow-up appointments and activities as recommended by the physician. Performs clinical tasks and/or procedures appropriate to targeted patient population under...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The intern is an integral member of the Product team, part of the larger Enterprise Product and Specialty division at CareFirst BlueCross BlueShield. This team is responsible for the product lifecycle of CareFirsts Commercial Medical and Ancillary Products from strategic conception to launch to maintenance. Ideally this opportunity would run as a year-round internship program. The ideal candidate is someone who can work throughout the year up to 15-20 hours in the Fall/Spring AND full time (35 to 40) in the summer. This is a hybrid internship, and the student will be expected to come into the office once per week. ESSENTIAL FUNCTIONS: Seek to learn and understand insurance products in-depth. Analyze and gather competitive intelligence information for differing lines of business (medical, dental, pharmacy, life, disability, wellness, etc.). Analyze market and segment competitors. Conduct ad hoc...

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 : The Clinical Medical Review Nurse handles day-to-day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle post claim medical review for Commercial and Federal. This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies. This role will also understand the merits of legal or accreditation actions. We are looking for an experienced RN to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Receives, researches, reviews and analyzes professional and...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We are looking for an experienced Nurse Care Manager to work remotely from within the greater Baltimore, Maryland metropolitan area with both Adult and Pediatric members. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. Under minimal supervision, the Nurse Care Manager researches and analyzes the Adult and Pediatric member's medical and behavioral health needs and healthcare cost drivers. The Nurse Care Manager works closely with the member / members family and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle pre claim medical review for Commercial and Federal lines of business. This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies. This role will also understand the merits of legal or accreditation actions. We are looking for an experienced RN to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Receives, researches, reviews and analyzes...

Carter's, Inc. If you are a CURRENT Carter's employee, do not apply via this external application. Search "Browse Jobs" in Workday to apply internally. Love what you do. Carter's Careers. As a Sales Associate, you will be the first face of the brand for growing families. You'll congratulate new parents and grandparents, introduce them to our new baby essentials, help them prep for their first day of school, and all the big and little moments of their parenting journey. You'll join a welcoming and inclusive environment that values and optimizes skills and talents. What we love about Carter's: Carter's Inc. is the largest North American apparel retailer exclusively for babies and young children, encompassing Carter's, OshKosh B'gosh, Skip*Hop, and Little Planet brands. Carter's is the #1 most-purchased children's clothing brand.* We've become an industry leader by providing quality - from the first Original Bodysuit to the lasting careers we offer our team....

Apex Systems, Inc. Job#: 3024860 Job Description: Scrum Master - Portfolio & Program Management Delivery Location: Columbia, MD 21044 (Onsite 4 days/week) About the Role We're looking for a deliveryfocused Scrum Master who understands where work is going, how it's sequenced, and when value is released. You'll help teams move initiatives forward, not just run standups. Think Agile execution with just enough programlevel structure to keep work on track and outcomes clear. What You'll Do Own delivery execution for a ProductOriented Delivery (POD) team Turn initiatives and roadmaps into clear delivery plans, milestones, and sprint execution Drive sprint work toward defined release dates and portfolio goals Facilitate Agile ceremonies with purpose (not just checking the box) Partner closely with Product Owners on backlog readiness and prioritization Proactively manage risks, dependencies, and delivery forecasts Communicate progress, risks, and release...

United Rentals Great company. Great people. Great opportunities. If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As a Fence Installation Driver at Reliable Onsite Services, you will deliver, install, remove, and repair temporary fencing equipment in a safe, timely, and courteous manner. You will deliver install, remove, and/or repair of temporary fencing equipment while providing exceptional customer service and maintaining an open line of communication with dispatch. What you'll do: Follow all safety guidelines and procedures Safely operate a fencing truck daily, ensure proper load securement Perform pre-trip and post-trip inspections on vehicles, ensure safe and correct operation Perform pre-use and post-use inspections on any fence installation tools to ensure their safe and correct operation Ensure truck is loaded with all necessary equipment/materials,...

United Rentals Great company. Great people. Great opportunities. If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As a Power HVAC Mechanic (Service Tech III) within the Power/HVAC division at United Rentals, you'll use your skills to perform maintenance tasks as well as minor repairs on equipment in a safe and professional manner. You will be responsible for the maintenance and repair of diesel engines, HVAC equipment, and dehumidification/air purification equipment. Every day, you can improve and challenge yourself, and if you have the desire and ambition, you'll have the potential to work towards higher level Tech roles in our Service Department. Like every member of our team, we will rely on you to provide exceptional customer service to our customers. What you'll do: Maintenance and repair of mechanical, electrical, hydraulic, and diesel systems on a variety of...

Workday Your work days are brighter here. We're obsessed with making hard work pay off, for our people, our customers, and the world around us. As a Fortune 500 company and a leading AI platform for managing people, money, and agents, we're shaping the future of work so teams can reach their potential and focus on what matters most. The minute you join, you'll feel it. Not just in the products we build, but in how we show up for each other. Our culture is rooted in integrity, empathy, and shared enthusiasm. We're in this together, tackling big challenges with bold ideas and genuine care. We look for curious minds and courageous collaborators who bring sun-drenched optimism and drive. Whether you're building smarter solutions, supporting customers, or creating a space where everyone belongs, you'll do meaningful work with Workmates who've got your back. In return, we'll give you the trust to take risks, the tools to grow, the skills to develop and the support of a company...

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 PURPOSE: We are looking for Medical Management Coordinator to work remotely from within the greater Baltimore/ Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. In this position, you will have direct and measurable impact on the lives of CareFirst members that are part of the Maryland Medicaid line of business. The Medical Management Coordinator plays a critical role in ensuring members receive timely, appropriate, and coordinated care. This position supports the clinical teams and Care Managers by addressing non-clinical tasks related to care coordination enabling clinical staff to perform at the top of their license. This position includes frequent telephone and email communications with members, providers, and interdisciplinary care teams. Included in these communications are monitoring...

NFP Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance who has also earned the WORK180 employer endorsement. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com. Basic Function: This is a temporary internship, working with SVPs, Account Executives, and Account Managers to service client accounts and build strong relationships with internal team members. The position requires day to day account management for a specific set of clients and entails a great deal of verbal, electronic and other written communications. Essential Core Duties and Responsibilities To perform this job successfully, individual must be able to perform each essential duty...

United Rentals Great company. Great people. Great opportunities. If you'd like the chance to make your mark with the world's largest equipment rental provider, come build your future with United Rentals! As a Class A CDL Driver at United Rentals, your goal will be to deliver equipment to our customers in a safe, timely, efficient and courteous manner. At the same time, you will have the opportunity to advance your career and contribute to our company's tremendous success and unparalleled growth. Frequently interacting with our customers, you will serve as a company ambassador and will provide exceptional customer service. And since we're local, you'll be home every night. What you'll do: Drop off and pick up equipment for customers Operate construction equipment, such as semi-trucks and trailers ("low boys") consistent with DOT classification CDL-A Adhere to all safety requirements particular to equipment including Federal Motor Carrier Safety Regulations...

NFP Who We Are: NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance who has also earned the WORK180 employer endorsement. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com. Basic Function: This is a temporary internship, working with SVPs, Account Executives, and Account Managers to service client accounts and build strong relationships with internal team members. The position requires day to day account management for a specific set of clients and entails a great deal of verbal, electronic and other written communications. Essential Core Duties and Responsibilities To perform this job successfully, individual must be able to perform each essential duty...

American Red Cross Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are you ready to be part of the world's largest humanitarian network? Join us-Where your Career is a Force for Good! Job Description: We provide Paid-Training - no prior medical experience required! Phlebotomy experience preferred. Joining The American Red Cross is like nothing else - it's as much something you feel as something you do. You become a vital part of the world's largest humanitarian network. Joining a team of welcoming individuals who are exceptional, yet unassuming. Diverse, yet uncompromising in unity. You grow your career within a movement that matters, where success is measured in people helped, communities made whole, and individuals equipped to never stop changing lives and situations for the better. When...