Top 4103 Program quality manager Jobs in Baltimore, Md

Quality Assurance Specialist II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $47,880 - $87,780 a year
- Full-time
- Remote
- Research
- High school diploma or GED
- Analysis skills
- 401(k)
Quick Apply
2d
Health Home RN Care Manager
Arundel Lodge, Inc. —Edgewater, MD
- $30 - $32 an hour
- Overtime
- Nursing
- Vital signs
- RN License
Quick Apply
Project Manager - Substation
Stella May Contracting, Inc. —Edgewood, MD
- $85,552.54 - $115,308.11 a year
- 8 hour shift
- Construction site
- Mid-level
- Supervising experience
- Health savings account
- Health insurance
Quick Apply
Superintendent
Confidential —Beltsville, MD
- $30 - $40 an hour
- Weekends as needed
- Spanish
- Construction site
- Office
- Paid holidays
- Dental insurance
Quick Apply
6d
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
Radiology Quality Control Manager
MedStar Radiology Network - Washington, D.C. & Maryland —Bel Air, MD
- Full-time
- Anatomy knowledge
- Mid-level
- Clinic
- Paid holidays
- Disability insurance
Quick Apply
9d
CHB Operations Associate
Maersk —Baltimore, MD
- $56,000 - $60,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- US work authorization
- Health insurance
- Paid time off
Commercial Electrical Foreman
Dvorak LLC —Dundalk, MD
- $35 - $46 an hour
- Full-time
- Background check
- Construction site
- Mid-level
- Health savings account
- Relocation assistance
Quick Apply
Corporate Food Safety Manager
Northeast Foods —Baltimore, MD
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- Up to 50% travel
- Analysis skills
- Travel
- Health insurance
- Dental insurance
Quick Apply
4d
Care Manager (RN) *Baltimore
Maryland Care Management Inc —Baltimore, MD
- Full-time
- Hybrid work
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
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
Lutron Programmer
Gramophone —Timonium, MD
- Full-time
- Mid-level
- Driver's License
- Travel
- Health insurance
- Dental insurance
Quick Apply
Physical Therapist Home Care, Mongomery County
MedStar Health —Greenbelt, MD
- $74,214 - $134,596 a year
- Part-time
- Computer literacy
- BLS Certification
- Physical & Rehabilitation Medicine
Registered Nurse
Total Health Care —Baltimore, MD
- $40.87 - $45.67 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
Quick Apply
Grading Foreman
Comer Construction, Inc. —Forest Hill, MD
- $75,000 - $125,000 a year
- Full-time
- Management
- Construction site
- 5 years
- Health savings account
- Disability insurance
Quick Apply
Senior Executive Leader/ Deputy Director, Special Defense Task Force (DC)
National Security Agency —Fort Meade, MD
- $195,200 - $207,500 a year
- On call
- Military encouraged
- Recruiting
- Senior level
13d
Social Worker *Baltimore ToC
Maryland Care Management Inc —Linthicum, MD
- Full-time
- Hybrid work
- Skilled nursing facility
- Hospital
- Licensed Clinical Social Worker
- Disability insurance
- Health insurance
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
Commercial HVAC/R and Foodservice Install Technician
Quick Servant Co Inc —Baltimore, MD
- $20 - $45 an hour
- Full-time
- Clean driving record
- Schematics
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Physical Therapist Home Care, Fort Washington
MedStar Health —Greenbelt, MD
- $74,214 - $134,596 a year
- Full-time
- Computer literacy
- BLS Certification
- Physical & Rehabilitation Medicine

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program quality manager jobs near baltimore, md

Quality Assurance Specialist II (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$47,880 - $87,780 a year
2 days ago

Benefits

401(k)

Qualifications

Customer communication
Research
Medical claims processing software
High school diploma or GED
Internal employee customer service
Productivity software
Insurance claims auditing

Full Job Description

Resp & Qualifications

PURPOSE:
The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with regulations, and company guidelines. Fairly and consistently reviews team interactions with both internal and external parties to ensure accuracy and support success in executing superior service and quality. Acts as subject matter expert and actively participates in projects.

ESSENTIAL FUNCTIONS:

Audits assigned function claims for accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Identifies, documents and reports transaction errors utilizing departmental quality monitoring templates in a timely manner to ensure prompt resolution.
Conducts structured coaching and feedback sessions. Provides feedback and recommends improvement action plans for areas of deficiency within the group or for an individual.
Participates in the creation and implementation of new methods, processes and/or products
Prepares reports and submits them to manager. Assists in development of special department projects and participates in divisional projects.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Experience: 5 years Auditing, Quality Assurance, Operations, Training, Project Management or comparable work experience. Must have claims processing experience in Facets/G6 systems.

Knowledge, Skills and Abilities (KSAs)

Knowledge of quality assurance and production technologies.
Proficient in Microsoft Office programs.
Knowledge of industry standards, quality control techniques and procedures.
Excellent communication skills both written and verbal.
Excellent research and organizational skills.
Strong Interpersonal skills.
Extensive analytical and problem solving skills.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $47,880 - $87,780

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

Quick Apply

Refine Your Search

program quality manager jobs in baltimore, md

Quality Assurance Specialist II (Remote)

Health Home RN Care Manager

Project Manager - Substation

Superintendent

Quality Manager

Radiology Quality Control Manager

CHB Operations Associate

Commercial Electrical Foreman

Corporate Food Safety Manager

Care Manager (RN) *Baltimore

Construction Project Manager

Lutron Programmer

Physical Therapist Home Care, Mongomery County

Registered Nurse

Grading Foreman

Senior Executive Leader/ Deputy Director, Special Defense Task Force (DC)

Social Worker *Baltimore ToC

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

Commercial HVAC/R and Foodservice Install Technician

Physical Therapist Home Care, Fort Washington

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