1909 jobs found in Baltimore, MD

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 advanced 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 extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality for FWA prevention. ESSENTIAL FUNCTIONS: Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to...

Creative Circle Associate Director, Digital Product Manager - Insurance (Optional Products) Position Overview Our client is a well-established consumer financial services company undergoing a significant digital transformation. They are expanding their Digital Product organization to build connected, customer-centric experiences across lending, credit, insurance, and financial wellness. The Associate Director, Digital Product Manager is a senior individual contributor role within the Digital Product Team, responsible for defining and driving the digital strategy for the organization's optional insurance products. This role does not manage a team and does not have a dedicated scrum team; instead, it requires a highly experienced product leader who can work across domains and teams, scope new initiatives, and influence delivery through strong product thinking and stakeholder alignment. This role owns the end-to-end digital insurance experience across web and mobile, with a...

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...

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: The Wealth Private Advisors primary responsibility is to deepen client relationships around banking, credit, and insurance with Wealth segment clients. Located within a virtual, the Wealth Private Advisor will...

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 an Inside Sales Rep, you will serve as a key customer contact and consultant at our branch, with responsibility for recommending solutions to the customer, quoting, selling and fulfilling orders for our equipment and services based on their needs. It's a great job for an ambitious professional who has an interest in our industry and can build relationships and provide outstanding customer service. You'll multi-task, learn plenty and build your ability to drive sales and branch growth. What you'll do: Process rental quotations, reservations and contracts Establish new rental and sales accounts by serving walk-in and call-in customers Negotiate prices on equipment rentals and contractor supplies in accordance with pricing policies and procedures...

ALDI Enhance the ALDI customer shopping experience in a collaborative team environment as an ALDI Cashier or Stocker. As a member of our team, you'll be operating the registers or other machinery, stocking our shelves, keeping our stores looking their best, and serving our customers. Start a job that offers up something new each day. Position Type: Part-Time Average Hours: Fewer than 30 hours per week Starting Wage: $19.50 per hour Wage Increases: Year 2 - $20.00 | Year 3 - $20.50 | Year 4 - $20.50 | Year 5 - $21.50 Duties and Responsibilities: Must be able to perform duties with or without reasonable accommodation. * Collaborates with team members and communicates relevant information to direct leader * Upholds the security and confidentiality of documents and data within area of responsibility * Other duties as assigned Cashier Responsibilities: * Processes customer purchases, performs general cleaning duties, stocks shelves and merchandise displays...

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...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Risk Adjustment Supervisor supports the execution of the corporate risk adjustment strategy across Medicare Advantage, Medicaid, and ACA markets. This role ensures operational compliance by supervising day-to-day activities, monitoring performance metrics, and facilitating cross-functional collaboration to drive cost-effective risk adjustment actions and optimize health plan performance to achieve equitable resource allocation based on population health risk profiles. This role is also responsible for overseeing the accurate collection, submission, and validation of risk adjustment data, ensuring compliance with regulatory standards and optimizing organizational performance under various risk adjustment programs. 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...

Creative Circle Graphic Designer (Digital + Print) Web & Email Focus Location: Baltimore, MD (Hybrid ~3 days onsite/week) Schedule: 9:00 AM-5:00 PM Team: Digital Strategy Reports To: Head of Digital Strategy About the Role Our agency client is seeking a versatile Graphic Designer with strong digital design experience and solid print design skills. This is a hands on, execution focused role supporting web, email, social, digital advertising, and print deliverables. You'll work across multiple clients and industries, producing social graphics, paid ads, email designs, web mockups, landing pages, presentations, and print collateral. Candidates with agency or multiclient experience who enjoy switching between diverse tasks will excel in this role. You will collaborate closely with the Digital Strategy Team. Key Responsibilities - Create digital assets including social graphics, ad creative, email layouts, web wireframes, mockups, and presentations. - Support web and email...

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: The Marketing Technology & Insights Intern will support Marketing Technology (MarTech) initiatives focused on data strategy and platform enablement, while also assisting with enterprise survey research efforts led by the Insights team. Approximately 75% of this role will focus on MarTech responsibilities, including marketing systems, data flows, and platform evaluation. The remaining 25% will support survey research initiatives that inform marketing, experience, and business decisions across audiences. This is a year-round internship opportunity. We are looking for students who can commit to our work up to 15-20 hours per week during the academic year in the Fall/Spring and 35-40 hours per week during the Summer. The start date for the internship will be May 18th or June 1st. ESSENTIAL FUNCTIONS: 75% Marketing Technology (Data Strategy & Platform Enablement) Support marketing data...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This entry level position is responsible for the attainment, effective management, and profitability of a designated book of business. This position utilizes underwriting judgment and exercises a level of authority. Pricing concessions are permitted up to the designated level of authority without further review. This position works closely with Sales and Account Management to ensure that client needs are met ESSENTIAL FUNCTIONS: Works closely with the Account Manager and Underwriting Manager to provide alternate benefit plans, risk and/or funding arrangements. Update appropriate billing rate files, contracts, internal databases, etc. Complete the renewal process on smaller accounts, complete/update ASO and Stop Loss contracts and quote alternate funding arrangements with assistance from senior underwriter, consultant or management. Support attainment of corporate sales and profitability goals...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Digital Marketing Project Manager Provider & Member Engagement leads the planning, execution, and optimization of digital communications across email, web, SMS, and mobile-first channels. This role manages campaigns that support both member and provider audiences, ensuring timely, compliant, and engaging communications that align with organizational goals and customer experience strategies. ESSENTIAL FUNCTIONS: Manage end-to-end project delivery for mobile engagement/SMS, email, and web campaigns targeting both member and provider audiences. Develop project plans, timelines, budgets, and resource allocations for lifecycle, operational, and promotional communications. Coordinate with cross-functional teams including marketing, provider relations, business areas, clinical teams, compliance, analytics, product, and IT. Oversee campaign workflows from intake and strategy through build,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Responsible for the attainment, effective management, and profitability of a designated book of business. This position utilizes underwriting judgment and exercises a level of authority. Pricing concessions are permitted up to the designated level of authority without further review. This position works closely with Sales and Account Management to ensure that client needs are met without compromising the corporate objectives. This position is responsible for monitoring financial performance and apprising management as needed. Responsibilities also include pharmacy related underwriting functions, such as evaluating pharmacy benefit structures, reviewing high-cost drug utilization and trends, assessing risk tied to specialty medications, and collaborating with Pharmacy Benefits Management (PBM) partners to ensure appropriate pricing, risk mitigation, and compliance. ESSENTIAL FUNCTIONS: Ensure the...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems. by architecting and engineering/developing trusted systems into secure systems. Assists in the development of implementation and deployment plans that are aligned to the organizational strategic plan objectives and security requirements. Advises management in developing cybersecurity policies, processes, and procedures. ESSENTIAL FUNCTIONS: Manage Splunk Cloud app and add-on deployments within FedRAMP boundary constraints, coordinating with Splunk support where cloud admin controls are limited: Respond to and resolve customer tickets related to data ingestion issues, search performance, access requests, and platform health. Administer user roles, access controls, and index permissions in alignment with HIPAA and FedRAMP compliance requirements. Maintain accurate documentation for all configurations, deployments,...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems. by architecting and engineering/developing trusted systems into secure systems. Assists in the development of implementation and deployment plans that are aligned to the organizational strategic plan objectives and security requirements. Advises management in developing cybersecurity policies, processes, and procedures. ESSENTIAL FUNCTIONS: Manage Splunk Cloud app and add-on deployments within FedRAMP boundary constraints, coordinating with Splunk support where cloud admin controls are limited: Respond to and resolve customer tickets related to data ingestion issues, search performance, access requests, and platform health. Administer user roles, access controls, and index permissions in alignment with HIPAA and FedRAMP compliance requirements. Maintain accurate documentation for all configurations, deployments,...

Rentokil North America Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve consumer and business customers across multiple industries. We are extremely proud of our legacy of excellence and constantly work to fulfill our mission to "protect people, enhance lives, and preserve the planet." What do our Regional Account Executives do? As a Regional Account Executive your assignment will include prospecting for new clients with the objective of selling our industry leading pest elimination solutions. The Regional Account Executive will be calling on a full spectrum of market segments including hospitality, food & beverage processing, healthcare, retail, and...

McGuireWoods Job Description: The Baltimore office of McGuireWoods seeks an Associate to join its Financial Services and Securities Enforcement Department. The cornerstone of McGuireWoods' financial services and securities enforcement group is the team's ability to effectively represent the interests of the vital, growing and increasingly complex financial services sector. This representation includes securities, lender liability, regulatory issues, loan workouts, foreclosures, class actions and credit card-related matters. Lawyers' experience encompasses the expanding services offered by financial institutions, including recent cases involving securities fraud, failed asset securitizations and defaulted syndicated loans. The firm also represents banks in connection with commercial disputes, business torts and intellectual property matters. McGuireWoods, one of the world's leading law firms, has provided legal solutions to corporate, individual and nonprofit clients since...

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 members, family and providers...

CareFirst BlueCross BlueShield Resp & Qualifications Maryland/ 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 clinician 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...