Page 2: Jobs at Carefirst Bluecross Blueshield in Annapolis, Maryland

 (16 - 30 of 66)

  1. Functional Analyst I (Hybrid)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Provides analysis and reporting to enable the effective credentialing of institutional and ancillary providers by obtaining provider related data; analyzing gaps in provider records; designing solutions; carrying...
    Tools
    1 week ago on Professional Diversity Network

  2. Program Integration Consultant-Clinical Configuration (Remote)

    Consulting · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The GuidingCare System Configuration Consultant is a highly technical and strategic role, responsible for the hands-on configuration of the GuidingCare platform (supporting Care Management, Utilization Management...
    Tools
    1 week ago on Professional Diversity Network

  3. Medicaid Quality Analyst (Hybrid)

    Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Medicaid Quality Analyst is responsible for defining, measuring, analyzing, and evaluating population health, while prioritizing, developing, and operationalizing innovative initiatives to improve HEDIS measu...
    Tools
    1 week ago on Professional Diversity Network

  4. Senior Risk Management Analyst (Hybrid) - Third Party Risk Management

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Senior Risk Management Analyst is responsible for supporting, facilitating, and training associates on operational risk programs designed to ensure the identification and mitigation of risks; management of co...
    Tools
    1 week ago on Professional Diversity Network

  5. Customer Service Advocate I- MD Aug (Hybrid)

    Customer Service · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides i...
    Tools
    1 week ago on Professional Diversity Network

  6. Care Manager (MD-DC-Northern VA) (Remote)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE : Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplina...
    Tools
    1 week ago on Professional Diversity Network

  7. Clinical Navigator (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both care management and utilization management includin...
    Tools
    1 week ago on Professional Diversity Network

  8. Program Manager (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coordina...
    Tools
    1 week ago on Professional Diversity Network

  9. Community Health Navigator (Hybrid) Must Reside in Baltimore Zip Codes: 21215

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING ZIP CODES: 21215, 21216, 21217 PURPOSE: This position will support the Maryland government programs division, working as a bridge between the member, clinical and administ...
    Tools
    2 weeks ago on Professional Diversity Network

  10. Senior Quality Analyst (Hybrid)

    Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MD
    Salary Range Disclaimer PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of RAF and Risk Revenue/HCC projections for multiple LOB's. Initiates, engages, and motivates cross-functional teams to deli...
    Tools
    2 weeks ago on Professional Diversity Network

  11. Healthcare Policy Manager (Hybrid)

    Healthcare · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications PURPOSE: Ensure that CareFirst is on the cutting edge of medical policy to support and accelerate the emergence of a value-based health care system. Responsible for the thorough research, development, maintenance, and imp...
    Tools
    2 weeks ago on Professional Diversity Network

  12. Virtual Family Physician - CloseKnit (Remote)

    Healthcare · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: We are currently hiring physicians to join our CloseKnit team to deliver care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovating in the practic...
    Tools
    2 weeks ago on Professional Diversity Network

  13. Virtual Nurse Practitioner - CloseKnit (Remote)

    Healthcare · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & 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...
    Tools
    2 weeks ago on Professional Diversity Network

  14. Senior Embedded Compliance Analyst (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: This role will support the division and corporate compliance in the delivery and performance of a compliance program to help ensure compliance and alignment with Federal, State, and related regulatory statutes, a...
    Tools
    2 weeks ago on Professional Diversity Network

  15. Senior Cyber Security Analyst (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications PURPOSE: To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cybersecurity team while supporting business...
    Tools
    2 weeks ago on Professional Diversity Network
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