Hiring: Payment and Medical Policy Coordinator (Remote) Company: CareFirst BlueCross BlueShield Location: Baltimore, MD Job Posted Time: 2026-09-16 11:49:30 Target Skills & Keywords : Microsoft Excel, Microsoft Office, Microsoft PowerPoint About the job Experience: •Bachelor's Degree in Health Administration, Business, Finance or related discipline 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. Required Skills: •Coordinates cross-functional activities required to implement medical and payment policy changes, including alignment across claims, configuration, provider operations, network management, and compliance teams. Tracks key milestones and ensures readiness for policy go-live. •Supports business readiness activities, including impact assessments, readiness checklists, and coordination of implementation plans. Works with stakeholders to identify operational, staffing, and workflow impacts associated with policy changes. •Coordinates testing activities related to policy implementation, including user acceptance testing (UAT), validation of claims adjudication logic, and issue tracking/resolution. Ensures testing results are documented and communicated to stakeholders. •Maintains implementation documentation, including timelines, status reports, risks, and dependencies. Provides regular updates to leadership and ensures transparency across teams. •Supports post-implementation monitoring by coordinating issue tracking, identifying gaps in execution, and escalating risks or defects to appropriate stakeholders for resolution. Qualifications: •Certified Coder (CCS or CPC)-AHIMA or AAPC AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS). •Operational familiarity with claims systems, configuration processes, or policy governance. •Knowledge, Skills And Abilities (KSAs) •Strong organizational and coordination skills across multiple teams and stakeholders. •Demonstrated capacity to manage multiple workstreams and meet deadlines. •Strong communication skills with ability to translate policy decisions into operational tasks •Solid functional working knowledge of managed care, claims processes, and policy implementation workflows. •Demonstrated capacity to identify risks, track issues, and escalate appropriately. •Use of Microsoft Office applications (Excel, PowerPoint, Word) and project tracking tools. Compensation: •$51,264 - $101,816 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!