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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 -
Document Automation Center Solution Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a Solution Manager for Document Automation in our Card to Care Value Stream. These systems deliver bulk document generation, omnichannel transmission, archiving, and desktop audits across CareF...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 -
Care Manager - Bilingual (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a bilingual care manager (fluent in English and Spanish) to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a ...Over 4 weeks ago on Professional Diversity NetworkTools -
Oracle ERP Financials Principal (Remote)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the design, implementation, testin...Over 4 weeks ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (In Office)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Audio-Visual Support Supervisor to work in multiple CareFirst office locations and outside event space. The Supervisor will develop, implement, and promote standards, systems, and resources for supporting CareFir...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing input to company, divisiona...Over 4 weeks ago on Professional Diversity NetworkTools -
Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports Benefit Contract Management (BCM) by assisting or performing accountabilities/tasks that include but are not limited to: revising/updating contract forms and templates; reviewing contract forms, template...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead ERP Business Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Lead ERP Business Analyst is a hands-on role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business stakeholders and technical teams. This in...Over 4 weeks ago on Professional Diversity NetworkTools
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