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Remote Government Programs Appeals Consultant

Remote / Online - Candidates ideally in
Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: CareFirst, Inc.
Full Time, Remote/Work from Home position
Listed on 2026-07-15
Job specializations:
  • Business
  • Healthcare
Salary/Wage Range or Industry Benchmark: 88848 - 176462 USD Yearly USD 88848.00 176462.00 YEAR
Job Description & How to Apply Below

Care First Blue Cross Blue Shield is seeking a Business Consultant to join the Appeals and Grievances Government Programs team from the greater Baltimore area. The role collaborates with Claims Operations, Service Operations, Utilization Management, Payment Integrity and Compliance to design, launch, and optimize processes for Medicare and Medicaid programs.

You will develop dashboards, manage audits, and help ensure timely, compliant handling of appeals.

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