Top 67 Policy advisor Jobs in Baltimore Md

Payment and Medical Policy Coordinator (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $51,264 - $101,816 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Finance
- 401(k)
Payment Policy Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $58,320 - $115,830 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Mid-level
- 401(k)
Policy Coordinator (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $51,264 - $101,816 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
- 401(k)
9d
Policy Analysis, Senior Advisor
Peraton —Windsor Mill, MD
- $135,000 - $216,000 a year
- 11+ years
- Bachelor's degree
- Senior level
- Health savings account
- Paid holidays
Program Manager - Payment Policy (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Analysis skills
- Bachelor's degree
- US work authorization
- 401(k)
Research Assistant (Health Policy and Management)
Johns Hopkins University —Baltimore, MD
- $17.20 - $30.30 an hour
- Part-time
- Remote
- Background check
- Analysis skills
- Bachelor's degree
Policy Advisor (ADMINISTRATOR V)
State of Maryland - Governor's Office for Children —Annapolis, MD
- $87,253 - $104,281 a year
- Full-time
- Hybrid work
- Office
- 3 years
- Master's degree
2d
Administrative Coordinator (Office for Disability Employment Advancement and Policy (ODEAP))
State of Maryland - Department of Disabilities —Baltimore, MD
- $55,710 - $59,121 a year
- Online Application
- Google Workspace
- High school
- Experience working with individuals with disabilities
- AD&D insurance
- Health insurance
5d
HEALTH POLICY ANALYST ADVANCED
State of Maryland - MDH Behavioral Health Admin - Community Services —Catonsville, MD
- $81,750 - $105,759 a year
- Online Application
- Doctoral degree
- Mid-level
- Office
13d
Policy Advisor (ADMINISTRATOR IV)
State of Maryland - Governor's Office —Annapolis, MD
- $88,490 - $95,787 a year
- Full-time
- Office
- Bachelor's degree
- Organizational skills
13d
Applied Social Scientist
National Security Agency —Fort Meade, MD
- $85,447 - $187,093 a year
- 8 hour shift
- Doctoral degree
- No experience needed
- Mid-level
Program Coordinator (Health Policy and Management)
Johns Hopkins University —Baltimore, MD
- $21.80 - $37.80 an hour
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
12h
Senior Policy Analyst
Spry Methods —Linthicum, MD
- $150,000 - $170,000 a year
- Full-time
- Analysis skills
- Organizational skills
- Senior level
- Paid holidays
- Health insurance
Research Assistant (Health, Behavior & Society)
Johns Hopkins University —Baltimore, MD
- $17.65 - $31.05 an hour
- On call
- Background check
- Mid-level
- Office
2d
Project Research Associate
Morgan State University —Baltimore, MD
- $75,000 a year
- Full-time
- Nursing
- Mid-level
- University
Research Project Coordinator (Dept. of Health Policy & Management, Center for Gun Violence Solutions)
Johns Hopkins University —Baltimore, MD
- $17.65 - $31.05 an hour
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
12h
Research Assistant – Nashville, TN (Health Policy and Management)
Johns Hopkins University —Baltimore, MD
- $17.65 - $31.05 an hour
- Part-time
- Background check
- Mid-level
- Analysis skills
7d
Research Project Assistant II (Department of Mental Health)
Johns Hopkins University —Baltimore, MD
- $16.10 - $26.90 an hour
- Full-time
- Hybrid work
- Background check
- Laboratory experience
- Mid-level
Director, DDA Analytics and Policy
University of Maryland Baltimore County —Baltimore, MD
- $140,000 - $158,000 a year
- Full-time
- Background check
- Writing skills
- Office
- Disability insurance
14d
Senior Policy Analyst
Spry Methods, Inc —Linthicum, MD
- $150,000 - $170,000 a year
- Full-time
- Analysis skills
- Organizational skills
- Senior level
- Paid holidays
- Health insurance

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Payment and Medical Policy Coordinator (Remote)

CareFirst BlueCross BlueShield -
Baltimore, MD

Apply Now

Job Details

Full-time
$51,264 - $101,816 a year

Benefits

401(k)

Qualifications

Health insurance knowledge

Full Job Description

Resp & Qualifications

PURPOSE:
The Policy Coordinator will support the end-to-end implementation of medical and payment policies by coordinating cross-functional activities required to operationalize policy decisions. This role ensures business readiness across impacted functions, including claims, configuration, provider communications and operations, and provides support during testing, implementation, and post-implementation validation. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.

ESSENTIAL FUNCTIONS:

Coordinates cross-functional activities required to implement medical and payment policy changes, including alignment across claims, configuration, provider operations, network management, and compliance teams. Tracks key milestones and ensures readiness for policy go-live.
Supports business readiness activities, including impact assessments, readiness checklists, and coordination of implementation plans. Works with stakeholders to identify operational, staffing, and workflow impacts associated with policy changes.
Coordinates testing activities related to policy implementation, including user acceptance testing (UAT), validation of claims adjudication logic, and issue tracking/resolution. Ensures testing results are documented and communicated to stakeholders.
Maintains implementation documentation, including timelines, status reports, risks, and dependencies. Provides regular updates to leadership and ensures transparency across teams.
Supports post-implementation monitoring by coordinating issue tracking, identifying gaps in execution, and escalating risks or defects to appropriate stakeholders for resolution.

QUALIFICATIONS:

Education Level: Bachelor's Degree in Health Administration, Business, Finance 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 Preferred:

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

Experience: Experience in health plan operations, project coordination, policy implementation, claims operations, or related functions.

Preferred Qualifications:

Experience working in a health plan environment (Medical Policy, Payment Policy, Claims, or Operations).
Experience coordinating cross-functional projects or implementations.
Familiarity with claims systems, configuration processes, or policy governance.

Knowledge, Skills and Abilities (KSAs)

Strong organizational and coordination skills across multiple teams and stakeholders.
Ability to manage multiple workstreams and meet deadlines.
Strong communication skills with ability to translate policy decisions into operational tasks
Working knowledge of managed care, claims processes, and policy implementation workflows.
Ability to identify risks, track issues, and escalate appropriately.
Use of Microsoft Office applications (Excel, PowerPoint, Word) and project tracking tools.

Salary Range: $51,264 - $101,816

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

policy advisor jobs in baltimore md

Payment and Medical Policy Coordinator (Remote)

Payment Policy Analyst (Remote)

Policy Coordinator (Hybrid)

Policy Analysis, Senior Advisor

Program Manager - Payment Policy (Hybrid)

Research Assistant (Health Policy and Management)

Policy Advisor (ADMINISTRATOR V)

Administrative Coordinator (Office for Disability Employment Advancement and Policy (ODEAP))

HEALTH POLICY ANALYST ADVANCED

Policy Advisor (ADMINISTRATOR IV)

Applied Social Scientist

Program Coordinator (Health Policy and Management)

Senior Policy Analyst

Research Assistant (Health, Behavior & Society)

Project Research Associate

Research Project Coordinator (Dept. of Health Policy & Management, Center for Gun Violence Solutions)

Research Assistant – Nashville, TN (Health Policy and Management)

Research Project Assistant II (Department of Mental Health)

Director, DDA Analytics and Policy

Senior Policy Analyst

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