Management & Executive Jobs at Carefirst Bluecross Blueshield in Nottingham, Pennsylvania

 (1 - 15 of 19)

  1. Vice President, Quality, STARS & Risk Adj (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: We are looking for an experienced leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and ...
    Tools
    1 week ago on Professional Diversity Network

  2. Care Management Supervisor (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The Supervisor of Care Management will oversee and coordinate the activities of Inpatient Management Clinical Navigators (RNs). They are also responsible to provide support to confirm adherence to policies, and p...
    Tools
    1 week ago on Professional Diversity Network

  3. Clinical Appeals Supervisor (Remote)

    Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on behalf of members for Commercial and Government Programs ...
    Tools
    1 week ago on Professional Diversity Network

  4. Program Manager - Inter-Plan Programs (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Manages end-to-end oversight of Inter-Plan Program (IPP) policies, projects, and initiatives in support of Inter-Plan Programs and Sales Enablement. The Program Manager will work across multiple divisions ensurin...
    Tools
    1 week ago on Professional Diversity Network

  5. 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
    2 weeks ago on Professional Diversity Network

  6. 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

  7. 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

  8. 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

  9. Sales Enablement Data Analytics Manager (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The purpose of the Sales Enablement Manager and Network Data Analytics is to execute on business objectives with data and to ensure alignment with the vision of the Network Innovation and Strategy team (the busin...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  10. Care Management Manager (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Reporting directly to the Director of Care Management/Inpatient Management, provides management and oversight, of Inpatient Clinical Navigators. The candidates must be familiar with MCG and the Concurrent Review ...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  11. Behavioral Health Services Director (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Expert clinical practitioner responsible for providing direct management and oversight of all behavioral health services to include all functions of behavioral health care management and the programs and services...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  12. Senior Project Manager - Risk Adjustment Programs (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within Ca...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  13. Manager, Proposals (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MD
    Resp & Qualifications PURPOSE: The Manager, Proposal Development manages a team of proposal development consultants to create consistent, high-quality, competitive, and compliant proposals for new and existing clients. This role reviews propos...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  14. Commercial Accounts Director (Mid-Market) Remote

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings. PURPOSE: The Director, Commercial Accounts (middle-markets) provides strategic direction to the ...
    Tools
    Over 4 weeks ago on Professional Diversity Network

  15. VP, Chief Ethics & Compliance Officer (Hybrid)

    Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MD
    Resp & Qualifications PURPOSE: The VP, Ethics & Compliance oversees and manages the Company's Corporate Ethics & Compliance Program, serving as an independent and objective individual that reviews and evaluates compliance issues and concerns w...
    Tools
    Over 4 weeks ago on Professional Diversity Network

SET LOCATION

Nottingham, PA +50 miles
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