Page 2: Jobs at Carefirst Bluecross Blueshield in Nottingham, Pennsylvania

 (16 - 30 of 49)

  1. 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
    3 weeks ago on Professional Diversity Network

  2. 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
    3 weeks ago on Professional Diversity Network

  3. 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
    3 weeks ago on Professional Diversity Network

  4. 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
    3 weeks ago on Professional Diversity Network

  5. 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
    4 weeks ago on Professional Diversity Network

  6. Client Relationship Manager (Hybrid)

    Marketing/PR · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications Please note that this role will require approximately 3-4 days per month in either our Baltimore (Canton) office or at Maryland Broker sites. PURPOSE: This position is a critical resource for large accounts within the ...
    Tools
    4 weeks ago on Professional Diversity Network

  7. 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
    4 weeks ago on Professional Diversity Network

  8. 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
    4 weeks ago on Professional Diversity Network

  9. 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
    4 weeks ago on Professional Diversity Network

  10. 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
    4 weeks ago on Professional Diversity Network

  11. Functional Analyst I - Credentialing (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
    4 weeks ago on Professional Diversity Network

  12. Clinical Appeals Nurse (Remote)

    Healthcare · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  13. West Baltimore Community Health Navigator (Hybrid)

    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
    Over 4 weeks ago on Professional Diversity Network

  14. Community Health Navigator (Hybrid - Field Work)

    Everything Else · Carefirst Bluecross Blueshield · Owings Mills, 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 external outreach, follow-up, coordi...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  15. 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
    Over 4 weeks ago on Professional Diversity Network
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