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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...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...4 weeks ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Responsible for planning, supervising, assigning, leading, and monitoring work of the department responsible for the planning and engineering of the organization's infrastructure. Ensures that hardware and/or sof...4 weeks ago on Professional Diversity NetworkTools -
HR M&A Senior Project Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget. Initiates, engages, and motivates cross-functional teams to deliver results. Identif...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 -
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 -
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
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