Top 1511 Reimbursement manager Jobs in Joppa, 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
Sr. Contracts Specialist
Textron Systems —Hunt Valley, MD
- $88,200 - $133,000 a year
- Full-time
- 5 years
- Computer literacy
- Bachelor of Science
- Wellness program
- Paid parental leave
Operations Manager
Mercy Medical Center —Cockeysville, MD
- $29.45 - $48.59 an hour
- Full-time
- Microsoft Outlook
- Hospital
- 5 years
- 403(b) matching
- Paid holidays
Practice Manager
Mercy Medical Center —Glen Burnie, MD
- $29.45 - $48.59 an hour
- Full-time
- Hospital
- Customer service
- Mid-level
- 403(b) matching
- Paid holidays
Regional Account Manager
Carease Health —Parkville, MD
- $85,000 - $100,000 a year
- Full-time
- Skilled nursing facility
- Psychiatry
- Travel
- Travel reimbursement
- Paid training
Quick Apply
Sr Talent Development Specialist
Textron Systems —Hunt Valley, MD
- $88,200 - $133,000 a year
- Full-time
- Office
- Project management
- Continuous improvement
- Wellness program
- Paid parental leave
Middle School Special Education Teacher
Gateway Maryland —Baltimore, MD
- $68,000 - $85,000 a year
- Full-time
- Background check
- School experience
- Classroom
- 403(b) matching
- Health insurance
Quick Apply
7d
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
Senior Procurement Material Buyer
LufCo —Aberdeen, MD
- Full-time
- Microsoft Excel
- 5 years
- Office
- Health insurance
- Dental insurance
RN Care Manager/ Operations Lead
Green Spring Internal Medicine, LLC —Lutherville-Timonium, MD
- $37 - $45 an hour
- Part-time
- Nursing
- RN License
- Internal Medicine
- Free parking
- Continuing education credits
Quick Apply
8d
Carpenter 5+ Yrs EXP REQ
Smithouse Design+Build —Cockeysville, MD
- $20 - $35 an hour
- Full-time
- Carpentry
- Background check
- Construction site
- Health savings account
- AD&D insurance
Quick Apply
Hospice Home Care RN
Stella Maris —Timonium, MD
- $38.05 - $57.05 an hour
- Full-time
- CPR Certification
- RN License
- BLS Certification
- 403(b) matching
- Paid holidays
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
Dietary Director
Lorien Bulle Rock —Havre de Grace, MD
- $63,000 - $65,000 an hour
- Full-time
- Background check
- Hospitality
- Skilled nursing facility
- Paid training
- AD&D insurance
Quick Apply
7h
Sr Manager of Talent and Performance Management
Perdue Farms, Inc. —Baltimore, MD
- $80,520.73 - $96,971.21 a year
- Full-time
- Hybrid work
- Background check
- 7 years
- Office
- Health savings account
- Relocation assistance
Quick Apply
4d
Director of Operations
Valet Living LLC —Baltimore, MD
- $100,000 - $110,000 a year
- Online Application
- 7 years
- Microsoft Outlook
- Business development
- Mileage reimbursement
- Health savings account
Quick Apply
11d
IT Operations Manager
LufCo —Aberdeen, MD
- Full-time
- Google Workspace
- Computer science
- Azure
- Health insurance
- Dental insurance
Senior Audit Manager
Everforth —Lutherville-Timonium, MD
- $145,000 - $185,000 a year
- Full-time
- CPA
- Finance
- Bachelor's degree
- Profit sharing
- Paid holidays
Quick Apply
Restaurant General Manager- North East, MD-7003040
Flynn - Wendy's —North East, MD
- $60,000 - $68,000 a year
- Full-time
- Background check
- Sanitation
- 3 years
- Paid training
- Health savings account
5d
Home Health Registered Nurse (RN)
Stella Maris —Timonium, MD
- $38.05 - $57.05 an hour
- Full-time
- RN License
- Mid-level
- Driver's License
- 403(b) matching
- Paid holidays
13d

I want to receive the latest job alert for reimbursement manager in joppa, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

reimbursement manager jobs near joppa, md

Payment Policy Manager (Hybrid)

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$114,080 - $211,761 a year

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

Quick Apply

Refine Your Search

reimbursement manager jobs in joppa, md

Payment Policy Manager (Hybrid)

Sr. Contracts Specialist

Operations Manager

Practice Manager

Regional Account Manager

Sr Talent Development Specialist

Middle School Special Education Teacher

Supply Chain Manager

Senior Procurement Material Buyer

RN Care Manager/ Operations Lead

Carpenter 5+ Yrs EXP REQ

Hospice Home Care RN

Test Engineer

Dietary Director

Sr Manager of Talent and Performance Management

Director of Operations

IT Operations Manager

Senior Audit Manager

Restaurant General Manager- North East, MD-7003040

Home Health Registered Nurse (RN)

I want to receive the latest job alert for reimbursement manager in joppa, md

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected