Jobs at Carefirst Bluecross Blueshield in Jacksonville, Maryland

 (1 - 15 of 63)

  1. Operations Supervisor (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. Functional areas may include but not lim...
    Tools
    16 hours ago on Professional Diversity Network

  2. Customer Service Advocate II (Remote)

    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
    16 hours ago on Professional Diversity Network

  3. Utilization Management Supervisor (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as, regulatory...
    Tools
    1 day ago on Professional Diversity Network

  4. Client Onboarding Manager (Remote)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Client Onboarding Manager (OM) serves as the primary point of contact for new clients and provides them with an excellent experience throughout the onboarding lifecycle. The OM works directly with the Sales T...
    Tools
    4 days ago on Professional Diversity Network

  5. Claims Adjuster I (Remote MD/DC/VA)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Investigate and perform adjustment of claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewing claims...
    Tools
    5 days ago on Professional Diversity Network

  6. Audit and Compliance Intern - Fall Recruitment (Remote MD/DC/VA/DE only)

    Jobs · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications The intern position resides within the Compliance and Audit Support Services Department. This team is responsible for supporting the Compliance, Audit Support, Information Technology, Cybersecurity stakeholders and responsi...
    Tools
    5 days ago on Professional Diversity Network

  7. Accounting Intern - Fall Recruitment (Remote MD/DC/VA/DE only)

    Accounting/Finance · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Accounting Operations department at CareFirst is a fast-faced department that handles the day-to-day functions of the Accounting cycle including account reconciliations, journal entries, account research and...
    Tools
    6 days ago on Professional Diversity Network

  8. Oncology Care Manager (Remote)

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

  9. Sales & Marketing Specialist Veteran Medicare Advantage Product (Remote)

    Marketing/PR · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: This position is responsible for sales of Medicare Advantage products designed to meet the needs of the veteran population. Assessing customer needs and suggesting appropriate products, services and/or solutions...
    Tools
    1 week ago on Professional Diversity Network

  10. Data Engineering Manager (Hybrid)

    Engineering · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Sets organizational goals and fosters a culture of innovation within a team of engineers and data scientists. Bridges the gap between strategic management and technical staff. Collaborates with senior management ...
    Tools
    1 week ago on Professional Diversity Network

  11. Senior Regulatory Compliance Analyst (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: This Senior Regulatory Compliance Analyst position will conduct independent data mining, analysis and reporting. Participate in the design, development, validation and delivery of data to provide insight into bus...
    Tools
    1 week ago on Professional Diversity Network

  12. Senior Public Policy Analyst - Medicare Advantage (Hybrid)

    Everything Else · Carefirst Bluecross Blueshield · Washington, DC
    Resp & Qualifications PURPOSE: The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in support of the companys business objectives an...
    Tools
    1 week ago on Professional Diversity Network

  13. MCG Senior Product Owner- Clinical Platform (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/...
    Tools
    2 weeks ago on Professional Diversity Network

  14. Account Installation Specialist II (Remote)

    Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PUROSE: The Specialist, Account Installation II is responsible for the installation of more complex assigned accounts into core platforms and complimentary systems, including, but not limited to: development of the accoun...
    Tools
    2 weeks ago on Professional Diversity Network

  15. West Baltimore Community Health Navigator, (Hybrid - Field Work)

    Everything Else · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through outreach, follow-up, coordination su...
    Tools
    2 weeks ago on Professional Diversity Network
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