Business Intelligence Manager TidalHealthBusiness Intelligence ManagerSalisbury, MD$95,763.20–$148,428.80 / yearWhether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel. The Business Intelligence Manager provides team leadership, supports effective communication with stakeholders, and helps ensure data and reporting solutions are reliable, timely, and actionable.
Manager of DDA Programs HOUSING ADVOCACY VOCATIONAL AND EMPManager of DDA ProgramsGaithersburg, MDFull timeThis description is tailored to reflect the responsibilities of a true second-in-command to the Director of Programs, with a strong emphasis on staff leadership, participant and family engagement, operational oversight, and program development—all critical functions for a growing Maryland DDA provider. The Program Manager serves as a leader, coach, and problem-solver who builds strong relationships with participants, families, staff, and community partners while supporting the growth and continuous improvement of HAVE Support's programs.
Person Centered Plan (PCP) Coordinator Inspired Options IncPerson Centered Plan (PCP) CoordinatorColumbia, MD$60,000–$68,000 / yearThis is an excellent opportunity for an experienced DDA or human services professional who understands that successful person-centered planning requires more than completing paperwork—it requires ensuring that each individual's goals, choices, needs, supports, and authorized services are effectively translated into everyday service delivery. The PCP Coordinator will serve as a central point of coordination among program participants, Coordinators of Community Services (CCSs), families and guardians, program leadership, nursing staff, Direct Support Professionals (DSPs), billing and quality assurance teams, and other stakeholders.
NewSenior Manager, Insurance and Claims Advocacy Sun LifeSenior Manager, Insurance and Claims AdvocacyBaltimore, Maryland$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will set the vision, drive operational excellence, build scalable processes, and deliver measurable financial and experience outcomes—serving as the final escalation point for sensitive cases and establishing best practices across the organization.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyBaltimore, MD$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerBaltimore, MDRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
NewQuality Manager — QM 1527 HealthBayQuality Manager — QM 1527Baltimore, MarylandYou will serve as a trusted resource to operational leadership, helping identify quality risks, investigate recurring issues, establish corrective actions, and develop sustainable improvements. You will have the opportunity to work directly with leadership and operational teams, identify problems that matter to the business, introduce meaningful improvements, and establish processes that create lasting value.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityBaltimore, MDRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
Consumer Reviewer Administrative Manager Knowesis, Inc.Consumer Reviewer Administrative ManagerMD$140,000–$155,000 / yearRecognizing that patient advocates are the heart of the CDMRP mission, this role develops and manages the national advocacy group sourcing pipeline, oversees layperson orientation and training, and implements "logistical empathy" protocols to ensure that consumer reviewers are fully supported and successfully integrated into scientific peer-review panels. Ensure SROs and Panel Coordinators receive training in group facilitation to provide a safe, respectful space for consumer reviewers to participate alongside scientific experts.
Practice Manager - Medical Oncology & Hematology Mercy Medical CenterPractice Manager - Medical Oncology & HematologyBaltimore, MarylandFull timeOversees and supports staff who use computer system for scheduling, patient registration, charge and payment entry inquiries, inter-departmental communication and document preparation and prints encounter forms, lab slips, patient receipts and other information as needed. Review patient demographic information for completeness and accuracy, makes follow-up inquiries as appropriate, determines patient co-payment, reminds patients of unpaid balances and updates computer master record.
Practice Manager Mercy Medical CenterPractice ManagerBaltimore, MarylandFull timeThe Practice Manager plays a pivotal role in ensuring the smooth functioning of the multispecialty clinic, demonstrating exceptional leadership abilities, business management expertise, and a range of skills that are not easily taught. Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025.
Compliance Manager PE GI SolutionsCompliance ManagerSilver Spring, MDWhat you will be working on: The Compliance Manager supports and manages the organization's day-to-day compliance program to ensure adherence to applicable laws, regulations, and internal policies. This role provides leadership in developing compliance strategies, conducting risk assessments, and fostering a culture of integrity and accountability across the organization.
Reimbursement and CDM Manager, Day Shift, Reimbursement Shady Grove Adventist HospitalReimbursement and CDM Manager, Day Shift, ReimbursementGaithersburg, MD$105,664.42–$158,496 / yearPrepare workpapers supporting the HSCRC Annual Filing, Medicare Cost Report, HSCRC Special Audit, and other reimbursement filings for all entities; coordinate with external auditors and regulatory agencies as needed for issue resolution. As a Reimbursement and CDM Manager, you will: Monitor GBR performance, unit rate compliance, and reimbursement trends for all AHC entities subject to HSCRC and CMMI/AHEAD requirements; recommend and implement pricing adjustments consistent with regulatory requirements and AHC strategy.
Manager of Clinical Appeals and Grievances HealthfirstManager of Clinical Appeals and GrievancesMD$103,400–$149,430 / yearProvides guidance in the preparation of case preparation for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798.
Project Manager, Senior - Group Medicare (Non-IT) Blue Cross and Blue Shield AssociationProject Manager, Senior - Group Medicare (Non-IT)Baltimore, MDOversee the planning, development, and implementation of operational workflows and cross‑functional business processes, ensuring teams collaborate effectively to deliver new or enhanced internal/external programs and services. You will coordinate cross‑functional workstreams, streamline operational processes, and partner closely with internal teams and external employer groups to enhance efficiency and elevate the overall experience for clients and members.
Associate Risk Manager Kennedy Krieger InstituteAssociate Risk ManagerBaltimore, MarylandCollaborate with the Legal Risk Coordinator and Legal Counsel to assist staff with various risk matters including complex patient issues, guardianship and custody issues, legal document review and testimony for legal matters. Overview: The Associate Risk Manager is responsible for identifying, evaluating, and mitigating risks that could impact patient safety, staff well-being, regulatory compliance, and organizational operations.
Nurse Manager - Oncology Certified Nurse - 120k+/yr ResiliencyNurse Manager - Oncology Certified Nurse - 120k+/yrBaltimore, MarylandSummary The Manager of Oncology Services will provide ongoing administrative coordination and management of the services and activities, which comprise the Infusion Center, Lab, Medical Oncology Physician Practice Operations and liaison to scheduling, registration and pharmacy services. To work with Oncology Service Line Leader, physicians, and associates to develop and implement policies and procedures regarding patient care and flow in a manner, which is consistent with the Cancer Center's mission and SPIRIT values.
Capture Manager (Hybrid) 2026-1473 Sedgwick Government SolutionsCapture Manager (Hybrid) 2026-1473Bethesda, Maryland$130,000–$135,000 / yearLead capture strategy and execution for assigned federal opportunities across SGS priority markets * Develop and execute capture plans, including win strategies, competitive analysis and action plans for active pursuits * Coordinate cross-functional teams, including business development, operations, pricing, contracts and proposal teams to advance qualified opportunities * Conduct customer, competitor and market research to strengthen position-to-win and solution differentiation * Drive opportunity qualification and bid/no-bid decisions through structured capture processes and internal reviews * Manage opportunity pipeline data, capture artifacts and reporting within approved systems and processes * Support teaming strategies, partner engagement and continuous improvement by capturing lessons learned and sharing best practices Capture Manager Qualifications * Bachelor’s degree in business, healthcare administration, public administration, communications or a related field required * 5+ years of experience in federal capture, business development, proposal management or other related growth roles with success in government acquisition processes required * Experience supporting federal opportunities and navigating the full federal procurement lifecycle required * Proven experience supporting proposals, including technical, cost and white paper submissions * Ability to manage multiple concurrent opportunities and meet competing deadlines * Experience collaborating with cross-functional teams and maintaining strong attention to detail * Strong written and verbal communication skills including ability to support proposal development * Experience developing capture plans, win strategies and competitive analyses * Strong understanding of federal procurement processes, contract vehicles and bid/no-bid decisions * Ability to analyze solicitations, customer drivers, and competitive positioning to support win strategies. * Experience with CRM tools, pipeline management systems and Microsoft Office applications * Ability to build alignment across stakeholders and manage complex pursuits in a fast-paced environment * Strong organizational, problem-solving and decision-making skills with sound judgment * Preferred experience supporting federal healthcare or related programs and working with federal agencies or teaming partners * Must be able to successfully pass a preliminary credit and background check prior to hiring * U.S. Citizenship required and ability to obtain and maintain a security clearance * Must be able to travel as required For a career path that is both challenging and rewarding, join Sedgwick Government Solution’s talented team.
NCQA Quality Manager (Hybrid) Blue Cross and Blue Shield AssociationNCQA Quality Manager (Hybrid)Baltimore, MD$108,000–$200,475 / yearExperience: 5 years experience in healthcare, public health, health insurance, quality/process improvement or data management business environment; inclusive of 3 years data analytics experience working with large data sets to answer clinical, operational, or business questions; prior experience with healthcare data. QUALIFICATIONS: Education Level: Bachelor''s Degree in population health, public health, healthcare administration, business administration, health policy, economics, statistics, mathematics, data science, or a related field 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.
Health Home RN Case Manager Arundel LodgeHealth Home RN Case ManagerEdgewater, MarylandThe Medical Care Manager serves as a key liaison between consumers, healthcare providers, pharmacies, hospitals, and community resources to ensure continuity of care and positive health outcomes. Arundel Lodge is seeking a dedicated and organized Medical Case Manager to support the coordination and delivery of high-quality healthcare services for individuals enrolled in our Health Home program.