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Senior Investigator (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of all levels (low to...17 hours ago on Professional Diversity NetworkTools -
Training & Quality Specialist (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: As part of the Care Management Training and Quality teams, this position will support the Guiding Care platform for all lines of business within the Care Management department. This includes workflow design, poli...17 hours ago on Professional Diversity NetworkTools -
MCG Senior Product Owner- Clinical Platform (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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/...1 day ago on Professional Diversity NetworkTools -
Clinical Applications Operations Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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/...1 day ago on Professional Diversity NetworkTools -
Business Analyst - Clinical Technology (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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/...1 day ago on Professional Diversity NetworkTools -
Client Relationship Manager (remote)
Marketing/PR · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This position is a critical resource for large accounts within the Account Management Team providing day to day expertise on benefit administration and serves as the primary client contact for service issue resol...2 days ago on Professional Diversity NetworkTools -
West Baltimore Community Health Navigator, (Hybrid - Field Work)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 days ago on Professional Diversity NetworkTools -
Account Installation Specialist II (Remote)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & 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...2 days ago on Professional Diversity NetworkTools -
Web Content Intern Fall Recruitment - MD, DC, VA (Remote)
Jobs · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications As a Web Content intern, you will be an integral part of CareFirsts marketing team. We are looking for candidates with a passion for learning and a desire to advance their knowledge. You will collaborate closely with other ...6 days ago on Professional Diversity NetworkTools -
Care Management Coordinator I (Remote MD/DC/VA)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE : Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. ESSENTIAL FUNCTIONS : Assists with member fo...1 week ago on Professional Diversity NetworkTools -
Functional Analyst I (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Program Integration Consultant-Clinical Configuration (Remote)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Medicaid Quality Analyst (Hybrid)
Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Senior Risk Management Analyst (Hybrid) - Third Party Risk Management
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Senior Major Incident, Engineer Systems Manager (Remote)
Engineering · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Major Incident Manager serves as a member of the Major Incident Management team and is responsible for the end-to-end management of assigned IT major incidents. The major incident manager (MIM) is responsibl...1 week ago on Professional Diversity NetworkTools