• Provider Contracting

    CareFirst (Baltimore, MD)
    …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... business or related field. + 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… more
    CareFirst (09/18/25)
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  • Utilization Management Specialist

    CareFirst (Baltimore, MD)
    …process. Coordinates non-par provider /facility case rate negotiations between Provider Contracting , providers and facilities. Follows member contracts to ... to the medical directors. Collaborates with medical directors, sales and marketing, contracting , provider and member services to determine appropriate benefit… more
    CareFirst (10/22/25)
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  • Senior Medical Coding Specialist

    CareFirst (Baltimore, MD)
    …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for… more
    CareFirst (09/27/25)
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  • Project Management Office Support…

    Link Solutions Inc (Aberdeen Proving Ground, MD)
    …Services and Development. Link Solutions is seeking a Project Management Office (PMO) Support Specialist to join our team at Aberdeen Proving Ground, MD. + Must be a ... US Citizen + Must have an active DoD Secret Clearance + Non- remote (relocation incentive available) The Project Management Office (PMO) Support Specialist will… more
    Link Solutions Inc (10/08/25)
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