89 services operations manager jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We are looking for an experienced Care Manager to support our Maryland Medicare enrollees. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members 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. We are looking for an experienced professional 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. Bi-lingual / Spanish speaking a plus! ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and...

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: Responsible for planning and managing day to day activities regarding network development. Responsibilities include provider recruiting/contracting for commercial business and government programs, new networks, coordination with the Payment and Practice Transformation Team for value-based contracts, managing department-related RFP responses, tracking hospital-based practices and provider resignations, maintenance of participation agreements, reporting departmental metrics and overall management of all non-standard contract negotiations including single case...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Join our team to lead the creation of CareFirsts next-generation Integration Platform, seamlessly blending API-first design with a product-based approach to advance our cloud-native strategy. Play a pivotal role in transforming how we operate, enabling faster innovation, streamlined execution, and cost-effective solutions that scale across our Enterprise Portfolio. CareFirst is undertaking a digital transformation which requires enterprise agility paired with the retooling of our technology stack to speed-up delivery and to expand our reach. The Digital Factory organization is leading this charge by advancing our Scaled Agile Framework (SAFe) ways of working across the organization. To drive this transformation, the Platform Engineering Manager is a key role within the Integration & Interoperability team that builds technical depth, expertise, and resource management within the Nexus platform....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Manages end-to-end oversight of the Stored Information Retrieval (SIR) system and related operational processes including front-end mail room services, document scanning and digital record storage related to member and provider submitted paper claims, correspondence, appeals, finance checks, enrollment forms and provider credentialing forms. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coordinates activities internally and across departments. Facilitates process improvement and identifies and articulates stakeholder needs to drive strategies and maximize outcomes related to ROI, customer satisfaction, and organizational metrics and performance. Takes full ownership of all components of program from day to day tasks to building road maps, driving strategy and leading organization wide initiatives...

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...

AIT - Arctic Information Technology, Inc Overview: JOB SUMMARY: The Associate Service Delivery Manager position is responsible for delivering our IT managed services to a portfolio of client accounts with the support of a cross-functional team. This role involves helping designDATA safeguard our revenue, retain our clients, grow our accounts, and spearhead projects to modernize client infrastructure. Responsibilities: ESSENTIAL FUNCTIONS: Account Management Manage 8 to 10 client accounts with the support of a dedicated cross functional team Drive contract renewal and project sales activities within assigned accounts to meet service renewal and expansion targets, to include cultivating leads and generating and presenting proposals Motivate clients to adopt designDATA infrastructure and IT offerings Analyze clients' environments and needs regularly to identify new sales opportunities Meet with clients regularly to ensure satisfaction with our services...

AIT - Arctic Information Technology, Inc Overview: JOBSUMMARY: TheService Delivery Managerpositionisresponsiblefordeliveringour ITmanaged servicestoaportfolioofclientaccountswiththesupportofa cross-functionalteam. This roleinvolveshelpingdesignDATAsafeguardourrevenue,retainourclients,growour accounts,andspearheadprojectstomodernizeclientinfrastructure. Responsibilities: ESSENTIAL FUNCTIONS: Account Management Manage 8 to 12 client accounts with the support of a dedicated cross functional team. Drive contract renewal and project sales activities within assigned accounts to meet service renewal and expansion targets, to include cultivating leads and generating and presenting proposals. Motivate clients to adopt designDATA infrastructure and IT offerings. Analyze clients' environments and needs regularly toidentifynew salesopportunities. Meet withclients regularly toensuresatisfaction with our services. Establish andmaintainkeyrelationshipswithourclients....

CareFirst BlueCross BlueShield Resp & Qualifications Join our Platform team to play a key role in shaping CareFirsts next-generation Integration Platform, with a strong emphasis on MuleSoft as a cornerstone of our future-state architecture. This role drives innovation, defines technical strategy, and champions developer enablement to accelerate adoption of an API-first, product-based integration approach. By leveraging MuleSofts platform capabilities, you will help streamline execution, enable reusability, and deliver scalable, cost-effective solutions that power our enterprise portfolio. CareFirst is undergoing a digital transformation that demands enterprise agility and a modernized technology stack to increase speed-to-market and broaden our impact. The Integration & Interoperability organization is at the forefront of this shift, advancing Scaled Agile Framework (SAFe) practices across the enterprise. As a Sr. Platform Engineer, you will lead MuleSoft platform...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We are looking for an experienced people leader in the greater Baltimore 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: Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance of each team member, generates development plans and sets goals within the context of the corporate policies and procedures. Ensure appropriate usage of resources in order to...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We are looking for an experienced clinical leader in the greater Baltimore 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: Supervise the daily operations of the UM staff. Recruits, retains and develops a high performing team. Evaluates performance of each team member, generates development plans and sets goals within the context of the corporate policies and procedures. Ensure appropriate usage of resources in order to...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Develops and Implements strategy for the company's product line and is responsible for the product planning and execution throughout the Product Lifecycle, including gathering and prioritizing product and customer requirements, defining the product vision. Working with Product Owners, IT, and other stakeholders to prioritize product and customer requirements against the business strategy, product roadmap, and value drivers. Partners closely with engineering to ensure we deliver winning products that meet CareFirst and member needs. Oversees the product roadmap development process ensuring it includes the UX, design teams, operations managers, engineering managers, and finance teams. Confirms project deadlines with support from the product owners and delivery team. To ensure the product development stages meet internal and external stakeholders. expectations. Also, provide timely and accurate communication...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Inpatient Management Onsite Care Management Supervisor will direct and coordinate the activities of Onsite Care Management staff, Onsite Clinical Navigators and/or other Registered Nursing roles embedded at a partnering hospital. This role will assist leadership with the development and review of Care Management standards, program criteria, policies, and procedures to ensure quality of care and manage healthcare costs. The incumbent will function as a liaison working onsite at partner hospitals up to 5 days a week. Based on hospital assignments and admission volumes on a week-to-week basis, management may occasionally approve the onsite care management supervisor to perform limited functions telephonically, at its sole discretion.The candidate may also be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. The candidate's primary...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members 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. We are looking for an experienced professional 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: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a...

CareFirst BlueCross BlueShield Resp & Qualifications MD-DC-Northern VA PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members 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. This position will support the Federal Employee Program line of business. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington DC metropolitan areas. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop...

Core Spaces Who We Are Core Spaces (Core) is more than a real estate company, it’s a people company. Where building relationships is just as important as building properties. From researchers and architects to designers and operators, Core is made up of risk takers and dreamers who are on a mission to invent the future of living. Our six cultural values guide us every day and we strive to live them in everything we do: PUSH (Invent Better Places to Live), GRIT (We Got This), LIFT (Help Each Other Win), SHINE (Bring Your Full Self), UPHOLD (Never Break Trust), GROW (Always Get Better). Everything Core does stems from this culture of collaboration and innovation, and the drive to constantly improve the resident experience. This unique approach has led to creating spaces and services that are redefining the way people live. What We Do Founded in 2010, Core is a vertically integrated company, focused on acquiring, developing, and managing across the student...

Truist The position is described below. If you want to apply, click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application, you'll be invited to create a profile, which will let you see your application status and any communications. If you already have a profile with us, you can log in to check status. Need Help? If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st shift (United States of America) Please review the following job description: Responsible for providing an industry leading client service experience both in person and on the phone through the development and expansion of new and existing client relationships. Provides financial...

WIN Waste Innovations WIN Waste Innovations is looking for a Shift Supervisor. They will be responsible for directing and supervising Operations Department and other plant personnel to ensure the facility is operated and maintained in a clean, safe, and efficient manner in accordance with all Company policies and environmental standards, under the direction of the Operations Manager or Plant Manager. Responsibilities: Directs and supervises Operations Department and other personnel to ensure the facility is operated and maintained in a clean, safe, and efficient manner during duty hours. Maintains and enforces Company policies and procedures, environmental compliance, and safety and health requirements. Trains shift personnel in safety procedures and equipment use, plant operating procedures, and environmental standards and compliance. Implements corporate and plant training programs and ensures continued progress in the programs by shift personnel. Responsible...

Kaiser Permanente Please note, this position is designated as Flexible, which means at least part of the time each week the selected candidate will need to report to the assigned office in CA, CO, GA, HI, MD, OR, or WA. Job Summary: This senior technical/functional leader role is primarily responsible for defining product strategy, vision, and product roadmaps from ideation to launch for complex or high impact products, and making decisions on new products or enhancements to bring to market. This includes leading the development of product enhancements based on validated learnings, serving as an expert facilitator and consultant for product teams and diverse stakeholder groups across the organization, and partnering with operations teams and market stakeholders to support product adoption. This role is also responsible for leading and driving internal and external discovery for new and existing products, identifying best in class marketplace innovation, driving prototyping...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Director, Data Transformation & Portfolio Management, will direct the development and implementation of high-level Data & Analytics strategies and oversee complex organizational change initiatives, involving technology, people, and processes. This role also oversees the portfolio of enterprise D&A initiatives through a scaled agile operating model. ESSENTIAL FUNCTIONS: Strategic Leadership Define and evolve the D&A transformation roadmap. Establish governance, KPIs, and reporting. Oversee major initiatives and advise senior leadership. Portfolio & Agile Oversight Manage data portfolio and scaled agile operations across nine domains. Drive workforce planning, talent alignment, and capacity forecasting. Resource & Budget Optimization Develop resource allocation strategies. Monitor $60M+ budget, ensuring financial rigor and cost-effective delivery in...

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: Responsible for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality service, strengthening relationships through proactive training, education, communication, and ensuring complex problem resolution to all network providers in Maryland, DC, Northern Virginia and continuous counties. ESSENTIAL FUNCTIONS: Responsible for improving provider experience; anticipates provider issues and develops a plan to reduce concerns through better alternatives; responsible for issue...