140 operations jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Manages the daily activities of a multi-functional operations area. Functional areas may include but not limited to: installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles claims or other customer service related issues not resolvable by lower staff members. ESSENTIAL FUNCTIONS: Achieves operational objectives by contributing information and analysis to strategic plans and reviews; preparing and completing action plans; implementing production, productivity, quality, customer-service standards; identifying and resolving problems; identifying, developing, and implementing system improvements. Meets departmental financial objectives by estimating requirements; preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE : Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. Functional areas may include but not limited to: installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Reviews and resolves complex service issues not resolvable by subordinates. ESSENTIAL FUNCTIONS: Supervise employee outcomes by training, assigning, scheduling, coaching, and counseling employees; communicating job expectations; planning, monitoring, and appraising job contributions; adhering to policies and procedures. Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service; resolving problems; identifying...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. Functional areas may include but not limited to: installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Reviews and resolves complex service issues not resolvable by subordinates. ESSENTIAL FUNCTIONS: Supervise employee outcomes by training, assigning, scheduling, coaching, and counseling employees; communicating job expectations; planning, monitoring, and appraising job contributions; adhering to policies and procedures. Meets operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service; resolving problems; identifying...

Aledade As an IT Operations Engineer I, you are a vital contributor to the health, stability, and efficiency of our production environments. Sitting at the intersection of traditional systems administration and modern DevOps, you are responsible for deploying standard infrastructure components and ensuring that our systems remain reliable and secure. While this role focuses on the execution of foundational IT operations, you will work closely with Senior Engineers to automate manual processes and uphold rigorous compliance standards. You will be expected to understand how server and cloud uptime impacts the broader business, ensuring that every task—from server patching to incident resolution—is performed with accuracy, documentation, and a culture of continuous improvement in mind. Primary Duties Hybrid Infrastructure & Identity Support : Deploy standard infrastructure components; assist in cloud computing architectures and identity migrations (e.g., AD to Microsoft...

Aledade Aledade is recruiting for 2026 Summer Interns! Interns receive guidance from senior leaders and take part in substantive, hands-on projects that foster an understanding of overall operations at Aledade and the function of our complex healthcare system in general. This internship will begin on June 1st, 2026, and last for 10 weeks until August 7th, 2026. This intern will support the design and build of a standardized ETL data pipeline to automate Quality Bonus payments for Aledade’s partner practices. You will work closely with Finance, Engineering, and Revenue teams to document payment logic, maintain data mapping inventories, and test system outputs against complex business rules. Throughout this project, you will gain hands-on experience in healthcare data transformation, learning how raw claims and financial data flow through a modern pipeline into auditable payment platforms. By participating in the full project lifecycle—from initial discovery to go-live—you will...

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 CANDIDATES MUST LIVE IN THE MD, DC, VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. CURRENT HEALTH & LIFE LICENSE IS REQUIRED PURPOSE: This position is responsible for renewing/growing a book business which includes the most complex and jumbo accounts with indemnity and managed care medical products, ancillary/specialty products, and life products. This position drives revenue and manages current and prospective relationships to ensure success with products. Leads sales initiatives and strategies within their assigned territory. Achieves sales and profitability objectives by effectively managing new and existing accounts. TPA experience preferred. ESSENTIAL FUNCTIONS: Ensures that each assigned account renews annually and aggressively pursues growth within groups by developing and implementing account specific benefit and financial strategies. Manages...

Aledade As a Senior IT Operations Engineer II, you will ensure that the organization's IT infrastructure and systems remain reliable, secure, and performing at peak efficiency. This role sits at the intersection of traditional systems administration and modern DevOps, focusing on maintaining uptime, automating manual processes, and supporting the scalability of digital services while upholding rigorous compliance standards. As a Senior IT Operations Engineer II, you are responsible for the health and stability of our production environments. You will be a key driver in defining, documenting, and implementing Standard Operating Procedures (SOPs) across all critical IT systems. Beyond reactive troubleshooting, you will proactively design resilient systems that prevent issues before they occur, championing a culture of continuous improvement through automation and the mentorship of junior engineers. As a strategic partner to Product, Engineering, and Security teams, you...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This Behavioral Health Care Manager position will support members within the Medicare Advantage line of business. Under minimal supervision, the Care Manager researches and analyzes a member's behavioral health needs, along with related medical 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 behavioral health clinician 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 or care provider location based on business needs and work activities/deliverables that week. ESSENTIAL FUNCTIONS: Identifies members with...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Technician, Enrollment I is responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner, and according to the account contract or service agreement. To accomplish this, the associate in this role may interact and coordinate activity with key client account contacts, subscribers, CareFirst Sales, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation department of other BlueCross BlueShield Plans. ESSENTIAL FUNCTIONS: Enroll subscribers and dependents for all lines of business as requested via fax, U.S. mail, and/or e-mail. Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events. Complete monthly reconciliation process and resolve discrepancies....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This Behavioral Health Care Manager position will support members within the Medicare Advantage line of business. Under minimal supervision, the Care Manager researches and analyzes a member's behavioral health needs, along with related medical 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 behavioral health clinician 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 or care provider location based on business needs and work activities/deliverables that week. ESSENTIAL FUNCTIONS: Identifies members with...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. ESSENTIAL FUNCTIONS: Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution. Supports operations systems by providing operating information to customers; answering questions; providing training. Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation. Verifies operations systems by developing testing methods; conducting and documenting tests. Improves operations analysis job knowledge by attending...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes; completing reports, logs, and audit records. ESSENTIAL FUNCTIONS: Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines. Updates claims audit records by entering, verifying, and securing data. Settle standard/complex claims through payment or denial. Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends. Improves claims adjustment job knowledge by attending training sessions...

Wabtec Job Description Who will you be working with? This position with support the Digital Onboard Solutions vertical with Train Performance and Automation in Digital Intelligence. The Program Manager will be a customer facing and will be responsible for delivering projects on schedule and on budget. This will include managing the project through quality, engineering and operations. This person will be expected to understand earned value financials, responsible for communicating cost, schedule, and production deliveries to customer (internal and/or external). The position will be responsible for identifying and managing risk associated with each project. This person will also work closely with the manufacturing team to drive material and drive parts for projects assigned. This position would preferably be located in Germantown Maryland where the Digital Onboard Solutions products reside. How will you make a difference? The Program Manager is responsible for leading...

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...

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...

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: Provide timely and efficient completion of client transactions while maintaining accurate records and thorough proper handling of all monies assigned. Deliver superior quality service, identifying and...

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...

ALDI ALDI is looking for enthusiastic part-time cashiers and stockers. As a cashier, you'll provide friendly, efficient checkout service, while as a stocker, you'll help keep shelves stocked and organized to ensure a great shopping experience. Each role plays an important part in maintaining smooth store operations and delivering an excellent customer shopping experience. 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. * Models and fulfills all customer service principles and escalates concerns to store management as necessary. * Assists store management in achieving operational efficiency goals. * Assists store management in achieving total loss goals. * Complies with all established company policies and processes. * Supports...

NJM Insurance Group Formal NJM Title: Distribution Representative - Maryland / Delaware Territory Department Name: Commercial Lines Sales Position Reports To: Administrator, CL Sales Job Location: Maryland market General Summary: Do you have a strong network with property and casualty insurance brokers in the greater Maryland / Delaware area? Do you have prior experience in Commercial Lines Sales, Commercial Lines Production Underwriting, or as a Broker Relationship Manager in Commercial Lines? If so, this is the perfect opportunity for you! This position offers a generous base of $86,000 to $100,000 (commensurate with relevant experience) with a quarterly and annual incentive opportunity that has the potential to add a significant amount to your total compensation annually. You are also eligible for our incredible benefits package, which includes a 401k with a dollar for dollar match up to 8% with immediate vesting and and an additional employer contribution...