Jobs

Jobs at Carefirst Bluecross Blueshield

 (1 - 15 of 75)

  1. Care Management Coordinator I (Remote)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. This position will support our Medicaid Care Mana...
    Tools
    1 day ago on Professional Diversity Network

  2. Clinical Appeals Nurse (Remote)

    Healthcare · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills...
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    1 day ago on Professional Diversity Network

  3. Quality Assurance Specialist I (Remote)

    Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. Fairly and consistently reviews team interactions...
    Tools
    1 day ago on Professional Diversity Network

  4. Quality Assurance Specialist I (Remote)

    Quality Assurance · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Specialist, Quality Assurance I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. Fairly and consistently reviews team interaction...
    Tools
    2 days ago on Professional Diversity Network

  5. Pediatric Medical Director (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed treatments and approve care management plans - specifically with ...
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    2 days ago on Professional Diversity Network

  6. Senior Business Analyst (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Reston, VA
    Resp & Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted ...
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    3 days ago on Professional Diversity Network

  7. Senior Systems Engineer (Remote)

    IT · Carefirst Bluecross Blueshield · Reston, VA
    Resp & Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organization information systems that support organizational functions. This is achieved by monitoring, supporting and optimizing all networked soft...
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    3 days ago on Professional Diversity Network

  8. Manager, Specialty Pharmacy Financial Value & Solutions (Remote)

    Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications Although this position is REMOTE, candidates MUST live in the MD, DC, VA , PA, DE and surrounding areas in order to travel to offices and client meetings. PURPOSE: The Manager, Specialty Pharmacy Financial Value & Sol...
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    4 days ago on Professional Diversity Network

  9. Broker Relations Advisor (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications Candidates MUST live in the MD, DC, VA area in order to travel into the offices and for client meetings. PURPOSE: The Broker Relations Advisor's primary responsibility is to bring the value of CareFirst to the market...
    Tools
    TopUSAJobs.com ·4 days ago on TopUSAJobs

  10. Lead Data Scientist (Remote)

    Science · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications PURPOSE: Provides Machine Learning service to BCBS plans to improve claim processing, provider prediction, and automation that reducing human intervention process. As extension of ML services to other business cases and a...
    Tools
    4 days ago on Professional Diversity Network

  11. Cybersecurity Engineering Manager (Remote)

    Engineering · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: You will be responsible for managing CareFirsts Cybersecurity engineering team, with a strong emphasis on cloud, identity, and infrastructure security. You will execute and implement the CareFirst Cybersecurity ...
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    5 days ago on Professional Diversity Network

  12. Senior Campus Recruiting Specialist (Remote MD/VA/DC only)

    Everything Else · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications This position is remote but candidate must live in the DC/VA/MD region to attend local events. (Primarily in DC and VA) PURPOSE: Develops relationships with colleges and universities to attract top undergraduate and g...
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    1 week ago on Professional Diversity Network

  13. Quality Assurance Specialist II (Remote)

    Quality Assurance · Carefirst Bluecross Blueshield · Reston, VA
    Resp & Qualifications PURPOSE: The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with regulations, and company guidelines. Fairly and consistently reviews team interactions with bo...
    Tools
    1 week ago on Professional Diversity Network

  14. Senior Data Market-Facing Analytics Analyst (Hybrid)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Sr. Data Analyst will be responsible for driving strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ...
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    1 week ago on Professional Diversity Network

  15. Social Worker - LCSW (Remote)

    Social Services · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Social Worker (SW) may support the Care Managers, Supervisors, Manager, and Director of Care Management for the FEP Population. They are to ensure available resources are being used in a timely and cost-effec...
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    2 weeks ago on Professional Diversity Network