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Healthcare Management

Hybrid Clinical Appeals Lead—Compliance & Quality

Job in Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: CareFirst, Inc.
Full Time position
Listed on 2026-02-01
Job specializations:
  • Healthcare
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 96160 - 178497 USD Yearly USD 96160.00 178497.00 YEAR
Job Description & How to Apply Below
A healthcare organization in Baltimore is seeking an experienced clinical leader to manage the appeal process for members and providers. The role involves ensuring compliance with State and Federal requirements, developing performance standards, and leading a team. Candidates should have a Bachelor's Degree in a relevant field and significant experience in managed care. This hybrid position allows for a flexible work environment, and competitive salary range is between $96,160 and $178,497.
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