- CareFirst (Baltimore, MD)
- …**PURPOSE:** Manages end-to-end oversight of the Stored Information Retrieval (SIR) system and related operational processes including front-end mail room services, ... **SUPERVISORY RESPONSIBILITY:** Leads a team utilizing a matrix management system . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Business Management,… more
- CareFirst (Baltimore, MD)
- …analyzing user and potential user input; evaluating similar and related products and systems . Develop system automation and system integration of business ... APIs, and data exchange using EDI/X12 and flat files. + Evaluates new systems by performing in-depth tests, including end-user reviews. Research software and related… more
- CareFirst (Baltimore, MD)
- …for enterprise data modernization, interoperability capabilities, and legacy system decommissioning. Manage complex cross-domain programs spanning multiple technical ... coordinating transparency through dashboards, KPIs, and executive updates. + Legacy System Retirement: Lead structured deprecation programs for legacy and redundant… more
- CareFirst (Baltimore, MD)
- …language in the source document which may be utilized to update existing system edits or new system edits. **QUALIFICATIONS:** **Education Level:** Bachelor's ... **Preferred Qualifications:** + Master's Degree in Health Administration, Information Systems , or related field. **Knowledge, Skills and Abilities (KSAs)** +… more
- CareFirst (Baltimore, MD)
- …continuing to improve computer skills. + Support corporate initiatives and projects, system deployments and overall system functionality by participating and ... acceptance testing, participating in deployment and shakedown testing activities, reporting system issues, assisting in the rate validation process based on approved… more
- CareFirst (Baltimore, MD)
- …+ Recruit, onboard, and train new team members in company policies, systems , and broker service best practices. Operational Excellence + Develop and implement ... Manage and optimize the use of Broker360 and ticketing systems to track interactions, issues, and resolutions. + Ensure...service trends to senior leadership. + Communicate policy updates, system changes, and important information to the team and… more
- CareFirst (Baltimore, MD)
- …partners. **SUPERVISORY RESPONSIBILITY:** Leads a team utilizing a matrix management system . **Education Level:** Bachelor's Degree in Business Management or related ... goals. + Ability to translate business needs as it relates to technology, systems , and vendor platforms. + Ability to identify and shepherd strategic opportunities… more
- CareFirst (Baltimore, MD)
- …**SUPERVISORY RESPONSIBILITY:** Leads a team utilizing a matrix management system **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Business Management ... goals. + Ability to translate business needs as it relates to technology, systems , and vendor platforms. + Ability to identify and shepherd strategic opportunities… more
- CareFirst (Baltimore, MD)
- …needed. Clarifies and ensures consistency of contract benefits with respective system benefit coders. Revises/updates contract forms and templates as appropriate and ... 3 years experience health insurance benefit/product knowledge and benefits delivery systems . **Knowledge, Skills and Abilities (KSAs)** + Strong time-management and… more
- CareFirst (Baltimore, MD)
- …resource to junior or senior level Reporting Analysts. + Translates business system processes and requirements into Use Case scenarios. Conducts analysis and ... industry, insurance products, and regulation. + Knowledge of CareFirst operations, claims systems , and policies. + Microsoft Power BI and Power BI Report Builder.… more