Top 2398 Reimbursement manager Jobs in Baltimore, Md

Payment Policy Manager (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $114,080 - $211,761 a year
- Full-time
- Microsoft Excel
- Management
- Research
- 401(k)
Quick Apply
10d
Virtual Reimbursement Manager
Syneos Health Commercial Solutions —Baltimore, MD
- Mid-level
- Bachelor's degree
- In-person
- Health insurance
- Dental insurance
Quality Manager
Ellicott Dredges —Baltimore, MD
- $95,000 - $120,000 a year
- Full-time
- 5 years
- High school diploma or GED
- Continuous improvement
- AD&D insurance
- Paid holidays
Quick Apply
Construction Project Manager
Nichols Contracting Inc. —Columbia, MD
- $100,000 - $120,000 a year
- Full-time
- Construction site
- 5 years
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
ELECTRIC POWER GENERATION (EPG) SERVICE MANAGER
Carter Machinery Company, Inc. —Elkridge, MD
- $85,000 - $115,000 a year
- Sales
- Computer literacy
- Mid-level
- Disability insurance
- Health insurance
Clinical Therapists LCSW-C & LCPC
Remedy Counseling, LLC —Severna Park, MD
- $130,000 - $160,000 a year
- 8 hour shift
- Hybrid work
- LMFT
- Adults
- Mid-level
- Professional development assistance
- Flexible schedule
Quick Apply
Registered Nurse (RN)
Westgate Hills Rehabilitation and Healthcare Center —Baltimore, MD
- $37 - $46 an hour
- Part-time
- CPR Certification
- RN License
- BLS Certification
- Dental insurance
- Tuition reimbursement
Quick Apply
2d
Territory Manager/Medical Assistant/Dermatology
Aspiriq Health —Nottingham, MD
- $60,000 - $100,000 a year
- Full-time
- Hybrid work
- Spanish
- Marketing
- Hospital
- Travel reimbursement
- Paid holidays
Quick Apply
Program Manager
ELTA North America —Annapolis Junction, MD
- $150,000 - $165,000 a year
- Full-time
- Hybrid work
- Microsoft PowerPoint
- Microsoft Word
- Background check
- Health savings account
- Health insurance
Quick Apply
Practice Manager- Radiation
Maryland Oncology —Silver Spring, MD
- $76,187.90 - $96,700.03 a year
- Full-time
- Supervising experience
- Bachelor's degree
- Team management
- Health savings account
- Health insurance
Quick Apply
People Operations Manager
Feast & Fettle —Elkridge, MD
- $75,000 a year
- Full-time
- Background check
- Spanish
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
Substance Abuse Counselor
Triumph Health and Wellness Center —Baltimore, MD
- $27.75 - $35.00 an hour
- Weekends as needed
- Spanish
- Addiction Medicine
- English
- Health insurance
- Dental insurance
Quick Apply
Clinician (WHNP/CRNP/CNM) Float Full-Time (Balto Metro area)
Planned Parenthood of Maryland —Baltimore, MD
- $60 - $63 an hour
- Full-time
- Nursing
- Doctoral degree
- OSHA
- Continuing education credits
- AD&D insurance
Quick Apply
RN Unit Manager
FutureCare —Baltimore, MD
- $94,000 - $102,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Tuition reimbursement
- Paid time off
Quick Apply
Human Resources Generalist (Bilingual )
Nichols Contracting Inc. —Columbia, MD
- $80,000 - $100,000 a year
- Full-time
- Microsoft Word
- Spanish
- Customer service
- Wellness program
- Health savings account
Quick Apply
Activities Director
Lorien Elkridge —Elkridge, MD
- $50,000 - $60,000 a year
- Full-time
- Background check
- Management
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
14d
Hairstylist/Barber
Ten Sails Salons —Bel Air, MD
- $28 - $40 an hour
- Part-time
- Barbering License
- Cosmetology License
- Hair styling
- Store discount
- Paid training
Quick Apply
Construction Project Manager I
Mantis Innovation —Baltimore, MD
- $85,000 - $110,000 a year
- Extended hours
- Construction site
- Mid-level
- Office
- Paid parental leave
- Health savings account
Quick Apply
Superintendent
Confidential —Beltsville, MD
- $30 - $40 an hour
- Weekends as needed
- Spanish
- Construction site
- Office
- Paid holidays
- Dental insurance
Quick Apply
4d
Test Engineer
Saft America, Inc. —Cockeysville, MD
- $75,000 - $105,000 a year
- Full-time
- Computer science
- Computer Science
- Engineering
- Paid holidays
- Disability insurance
9d

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reimbursement manager jobs near baltimore, md

Payment Policy Manager (Hybrid)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$114,080 - $211,761 a year
10 days ago

Benefits

401(k)

Qualifications

Staff supervision
Management
Internal employee customer service
Health insurance knowledge

Full Job Description

Resp & Qualifications

PURPOSE:
The Payment Policy Manager will ensure that CareFirst maintains accurate, compliant, and financially sound payment policies to support consistent claims adjudication and a value-based health care system. This role is responsible for the research, development, maintenance, and implementation of corporate payment and reimbursement policies aligned with regulatory requirements, provider contracts, and corporate payment strategy. We are looking for an experienced people leader 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.

ESSENTIAL FUNCTIONS:

Manages the research, development, maintenance, and implementation of corporate payment and claims adjudication policies. Collaborates with internal and external partners, including provider contracting, claims operations, and regulatory entities, to interpret and apply payment policies to new or revised benefit and reimbursement structures.
Accountable for corporate systems, processes, and strategies that translate payment policy into claims adjudication rules and configuration. Partners with claims technology teams to assess, customize, and deploy payment logic across appropriate platforms.
Supports network management and contributes to the research and development of corporate reimbursement policies that drive consistent claims payment, improved provider satisfaction, reduced administrative appeals, reduced interest payments, and reduced regulatory complaints.
Represents the division on matters of payment and reimbursement policy to influence provider, subscriber, and community relationships. Evaluates opportunities and recommends future initiatives or partnerships to improve internal and external customer outcomes.
Manages day-to-day activities of the Payment Policy function, including managing, coaching, and guiding associates. Develops annual goals and manages departmental budget planning and variance analysis to ensure appropriate allocation of resources.

SUPERVISORY RESPONSIBILITY:
This position manages people.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Health Administration, Business, Finance, Nursing or related discipline OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire Preferred:

Certified Coder (CCS or CPC)-AHIMA or AAPC AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS).

Experience: 5 years experience in a health insurance environment with focus on payment policy, reimbursement policy, claims operations, or policy implementation and 1 year supervisory experience or demonstrated progressive leadership.

Preferred Qualifications:

MBA, Healthcare Administration, or related discipline.
Experience with Medicare Advantage or Medicaid.

Knowledge, Skills and Abilities (KSAs)

Knowledge of payment policy, reimbursement structures, and claims adjudication.
Knowledge of healthcare operational, legal, ethical, and compliance requirements.
Proven ability to mentor, coach, and develop associates to meet performance goals.
Use of Microsoft Office applications (Excel, PowerPoint, Word).
Understanding of coding standards and payment logic.

Salary Range: $114,080 - $211,761

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-SS1

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Refine Your Search

reimbursement manager jobs in baltimore, md

Payment Policy Manager (Hybrid)

Virtual Reimbursement Manager

Quality Manager

Construction Project Manager

ELECTRIC POWER GENERATION (EPG) SERVICE MANAGER

Clinical Therapists LCSW-C & LCPC

Registered Nurse (RN)

Territory Manager/Medical Assistant/Dermatology

Program Manager

Practice Manager- Radiation

People Operations Manager

Substance Abuse Counselor

Clinician (WHNP/CRNP/CNM) Float Full-Time (Balto Metro area)

RN Unit Manager

Human Resources Generalist (Bilingual )

Activities Director

Hairstylist/Barber

Construction Project Manager I

Superintendent

Test Engineer

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