• SHP Pharmacy Benefits Specialist ( Remote )

    Marshfield Clinic (Marshfield, WI)
    …**Minimum Required:** High school diploma or equivalent. **Preferred/Optional:** Associate or Bachelor's Degree in business administration. ** EXPERIENCE ... with knowledge of electronic pharmacy claims processing. Demonstrated proficiency with customer service skills. **Preferred/Optional:** One year experience in a… more
    Marshfield Clinic (11/11/25)
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  • Senior Business Analyst ( Remote )

    CareFirst (Washington, DC)
    …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 . ** Experience :** ... solutions. + Moderate understanding of business analysis core competencies + Experience writing and running SQL queries **Knowledge, Skills and Abilities (KSAs)**… more
    CareFirst (01/14/26)
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  • Configuration Management Analyst - Clinical…

    CareFirst (Baltimore, MD)
    …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 ... + Certified Configuration Management Professional ** Experience :** 3 years' experience implementing CM policies, plans, and procedures. Experience with… more
    CareFirst (01/14/26)
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  • Senior Business Process Analyst ( Remote )

    CareFirst (Baltimore, MD)
    …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 in Business Analysis -PMI ** Experience :** 5 years operational analysis experience or...be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within… more
    CareFirst (01/08/26)
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  • Account Consultant IV - Public Sector…

    CareFirst (Baltimore, MD)
    …quickly and effectively. + Gets feedback and suggests ways to increase customer engagement. **QUALIFICATIONS** : **Education Level** : Bachelor's Degree in Business, ... Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work...of CRM and other client management tools. + Strong customer service orientation. + Ability to recognize, analyze, and… more
    CareFirst (01/06/26)
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  • Actuary - Pharmacy ( Remote )

    CareFirst (Baltimore, MD)
    …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 Required:** Fellow of the Society of Actuaries (FSA) ** Experience :** 8 years progressively responsible pricing and actuarial experience in health care.… more
    CareFirst (12/20/25)
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  • Appeals Specialist I ( Remote )

    CareFirst (Baltimore, MD)
    …and entry process. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. ** Experience :** 3 years' experience in settings such as managed care, ... insurance payor environment. **Preferred Qualifications:** + College Degree; previous experience working with government programs enrollees (Maryland Medicaid; Medical… more
    CareFirst (01/06/26)
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  • Provider Contracting Specialist ( Remote )

    CareFirst (Baltimore, MD)
    …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 . ** Experience :** ... 2 years healthcare, business or related field. 1 year experience in contracting, provider recruitment or provider relations. **Preferred Qualifications:** + Master's… more
    CareFirst (12/16/25)
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  • Insurance Verification Representative-…

    Community Health Systems (Franklin, TN)
    …smooth scheduling and billing process for patients. **This is a REMOTE position** **Essential Functions** + Verifies insurance benefits, eligibility, and ... all policies and standards. **Qualifications** + HS Diploma or GED required + Associate Degree in Healthcare Administration, Business, or a related field preferred +… more
    Community Health Systems (01/15/26)
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  • Product Manager - Fusion ( Remote )

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Develops and Implements strategy for the Experience and Digital Marketing product line and is responsible for the product ... throughout the Product Lifecycle, including gathering and prioritizing product and customer requirements, defining the product vision. Working with Product Owners,… more
    CareFirst (01/08/26)
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