Top 356 Business continuity Jobs in Baltimore, Md

Medical Management Coordinator I (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $39,024 - $71,544 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- 401(k)
Quick Apply
7d
Executive Assistant (In-Office)
CareFirst BlueCross BlueShield —Baltimore, MD
- $80,424 - $147,444 a year
- Full-time
- 7 years
- Office
- High school diploma or GED
- 401(k)
Quick Apply
Business Analyst
Cogent People Inc —Columbia, MD
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Director of Security | Full-Time | CFG Bank Arena
Oak View Group —Baltimore, MD
- $125,000 - $135,000 a year
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
Pre-Release and Juvenile Justice Reentry Specialist
Roca, Inc —Baltimore, MD
- $76,000 - $80,000 a year
- Weekends as needed
- Computer literacy
- Mid-level
- 3 years
Quick Apply
Strategic Account Manager Job in Baltimore, MD | $95K Salary & Uncapped Sales Commissions | Paycom Careers
PAYCOM —Baltimore, MD
- $95,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
5d
Microsoft Systems Administrator
DUIT —Baltimore, MD
- Urgently hiring
- Background check
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Transporter
MedStar Health —Baltimore, MD
- $18.00 - $29.74 an hour
- PRN
- Computer literacy
- Basic math
- Inpatient
Magnetic Resonance Sales Consultant - Radiology - Baltimore, MD
Bayer —Baltimore, MD
- $95,680 - $143,520 a year
- Residential
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Business Applications Analyst II
Johns Hopkins Credit Union —Baltimore, MD
- $31.69 - $39.61 an hour
- Full-time
- Hybrid work
- System design
- Research
- Mid-level
Quick Apply
Sr. Records Management Program Manager
Abaco Strategy LLC —Fort Meade, MD
- $135,000 - $140,000 a year
- Full-time
- Office
- US work authorization
- Military encouraged
- Health savings account
- Health insurance
Quick Apply
Paving Superintendent
Gray & Son, Inc. —Lutherville-Timonium, MD
- Full-time
- Microsoft Word
- Microsoft Outlook
- Management
- Health insurance
- Dental insurance
Quick Apply
9d
Trauma Therapist/Behavioral Health Clinician
TurnAround, Inc. —Baltimore, MD
- $65,000 - $70,000 a year
- 8 hour shift
- Background check
- Computer literacy
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Journeyman Electrician
HMG,LLC —Maryland
- $37.10 an hour
- Weekends as needed
- Background check
- Pass drug screening
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
12d
Supply Chain Manager
Saft America, Inc. —Cockeysville, MD
- $125,000 - $145,000 a year
- Full-time
- Microsoft Excel
- Oracle
- 5 years
- Paid holidays
- Disability insurance
Radiation Therapist
SkinCure Oncology —Owings Mills, MD
- $40 - $60 an hour
- Email
- Mid-level
- Driver's License
- Patient care
- Paid holidays
- Disability insurance
Quick Apply
9d
Physical Therapist Homecare, Prince George's County
MedStar Health —Greenbelt, MD
- $74,214 - $134,596 a year
- Full-time
- Computer literacy
- BLS Certification
- Physical & Rehabilitation Medicine
Physical Therapist Home Care, Fort Washington
MedStar Health —Greenbelt, MD
- $74,214 a year
- Full-time
- Computer literacy
- BLS Certification
- Physical & Rehabilitation Medicine
Senior Rail and Transit Engineer
Whitman, Requardt & Associates, LLP —Baltimore, MD
- $100,000 - $180,000 a year
- Full-time
- 11+ years
- Bachelor's degree
- US work authorization
- Paid holidays
- Disability insurance
Quick Apply
Mission Critical Architect
Whitman, Requardt & Associates, LLP —Baltimore, MD
- $100,000 - $180,000 a year
- Full-time
- 11+ years
- Master's degree
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply

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Medical Management Coordinator I (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$39,024 - $71,544 a year
7 days ago

Benefits

401(k)

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Resp & Qualifications

PURPOSE:
The Medical Management Coordinator will be part of the care management team that support the Maryland Medicaid line of business. This position supports the clinical teams by handling non-clinical tasks related to preauthorization functions, inpatient care, utilization review, care coordination and/or quality of care, enabling clinical staff to perform at the top of their license. 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. The ideal candidate will have hands-on experience working directly with patients and/or health plan members, demonstrating strong communication skills, empathy, and the ability to navigate healthcare-related needs and resources.

ESSENTIAL FUNCTIONS:

Provides ongoing internal and external customer support for operational inquiries from members, providers and/or other customers including benefit verification, authorization creation and management, claims inquiries and/or case documentation. Assists with member follow up and coordination of care that does not require intervention from a clinician including post-discharge monitoring, appointments and/or arranging services, enabling clinicians to work at full capacity.
Reviews authorization requests for initial determination and/or triages for clinical review and resolution. Screens, and/or prioritizes members using targeted intervention business rules and processes to identify needed services and transitions to appropriate clinical resources/programs as required.
Provides general support and coordination services for the department including but not limited to answering and responding to telephone calls, taking messages, letters and correspondence, researching information and assisting in solving problems.
Assists with reporting, data tracking, gathering, organization and dissemination of information such as Continuity of Care processes and/or tracking of Peer-to-Peer reviews.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: 3 years experience in a health care or health insurance setting.

Preferred Qualifications:

Previous experience in a health care/managed care setting or previous customer facing experience, especially in a medical management related department.

Knowledge, Skills and Abilities (KSAs)

Ability to effectively participate in a multi-disciplinary team including internal and external participants.
Excellent communication, organizational and customer service skills.
Knowledge of basic medical terminology and concepts used in care management.
Knowledge of standardized processes and procedures for evaluating medical support operations business practices.
Excellent independent judgment and decision-making skills, consistently demonstrating tact and diplomacy.
Ability to pay attention to the minute details of a project or task.
Advanced knowledge in the use of web-based technology and Microsoft Office applications such as Word, Excel, and Power Point.

Salary Range: $39,024 - $71,544

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

business continuity jobs in baltimore, md

Medical Management Coordinator I (Remote)

Executive Assistant (In-Office)

Business Analyst

Director of Security | Full-Time | CFG Bank Arena

Pre-Release and Juvenile Justice Reentry Specialist

Strategic Account Manager Job in Baltimore, MD | $95K Salary & Uncapped Sales Commissions | Paycom Careers

Microsoft Systems Administrator

Transporter

Magnetic Resonance Sales Consultant - Radiology - Baltimore, MD

Business Applications Analyst II

Sr. Records Management Program Manager

Paving Superintendent

Trauma Therapist/Behavioral Health Clinician

Journeyman Electrician

Supply Chain Manager

Radiation Therapist

Physical Therapist Homecare, Prince George's County

Physical Therapist Home Care, Fort Washington

Senior Rail and Transit Engineer

Mission Critical Architect

I want to receive the latest job alert for business continuity in baltimore, md

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