-
Commercial Markets Account Consultant III - 300-999 markets (Remote MD/DC/VA)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This position is responsible for renewing/growing a commercial markets (fully insured & self insured) books of business which includes more complex accounts with indemnity and managed care medical products, ancil...Over 4 weeks ago on Professional Diversity NetworkTools -
Medical Review & Appeals Director (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Ensures alignment with the overall Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Car...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Systems Engineer (Remote)
IT · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Defines, designs and develops Storage system requirements. Performs trade-off analysis of Storage performance, life-cycle cost, risk, producibility, and other Storage system or program requirements. Assesses Stor...Over 4 weeks ago on Professional Diversity NetworkTools -
Principal Cloud Architect (Hybrid)
Architect/Design · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Drives enterprise digital transformation, Cloud adoption, optimization, and automation by applying broad technical skills, with deep industry knowledge and business acumen. Introduces capabilities (inclusive of ...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Cloud Architect (Hybrid)
Architect/Design · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Drives enterprise digital transformation, Cloud adoption, optimization, and automation by applying broad technical skills, with deep industry knowledge and business acumen. Introduces capabilities (inclusive of ...Over 4 weeks ago on Professional Diversity NetworkTools -
SIU Coordinator (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Triage and develops case leads for the department, using various data sources and employing statistical analysis and reporting skills. ESSENTIAL FUNCTIONS: Reactively perform triage on calls, tips, alerts, ...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Underwriter - Pharmacy (Remote)
Insurance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Responsible for evaluating applicant situation and circumstances; studying rate tables, codes, computer records and references, and other resources; calculating premium rates; negotiating reinsurance terms; descr...Over 4 weeks ago on Professional Diversity NetworkTools -
Virtual Nurse Practitioner - CloseKnit (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are currently hiring a Nurse Practitioner to join our CloseKnit team to deliver virtual care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovati...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Stars & Risk Adjustments Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports Risk Adjustment & Stars organization to optimize Risk Adjustment revenue and coding accuracy through data-driven approach to closing gaps and risks in coding and care delivery across Medicare & Medicaid ...Over 4 weeks ago on Professional Diversity NetworkTools -
Custom Provider Networks Program Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages end-to-end oversight of custom (ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through net...Over 4 weeks ago on Professional Diversity NetworkTools -
Director, Pharmacy Government Programs (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications This position is HYBRID and requires frequent travel into the Maryland office; therefore, candidates must live within driving distance. PURPOSE: Director, Pharmacy Government Programs is responsible for implementing th...Over 4 weeks ago on Professional Diversity NetworkTools -
Spec, Provider Credentialing I (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization ...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Software Engineer, (Remote)
Computer/Software · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection ...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Data Engineer-Cloudera Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: This is a Big Data/Cloudera Administrator Lead position and not a developer position and need CDP7 experience. The Lead Data Engineer is responsible for orchestrating, deploying, maintaining and scaling cloud...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Data Engineer- Ab Initio Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: This is an Ab Initio Administration Lead position and not a developer position. The Lead Ab Initio ETL Administrator is responsible for leading all the tasks involved in administration of ETL tool (Ab-Initio) ...Over 4 weeks ago on Professional Diversity NetworkTools