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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 -
Customer Service Advocate I- MD Aug (Hybrid)
Customer Service · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Care Manager (MD-DC-Northern VA) (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Clinical Navigator (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Program Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools -
Community Health Navigator (Hybrid) Must Reside in Baltimore Zip Codes: 21215
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 weeks ago on Professional Diversity NetworkTools -
Senior Quality Analyst (Hybrid)
Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MDSalary 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...2 weeks ago on Professional Diversity NetworkTools -
Virtual Family Physician - CloseKnit (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 weeks ago on Professional Diversity NetworkTools -
Virtual Nurse Practitioner - CloseKnit (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 weeks ago on Professional Diversity NetworkTools -
Senior Embedded Compliance Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 weeks ago on Professional Diversity NetworkTools -
Sales Enablement Data Analytics Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...3 weeks ago on Professional Diversity NetworkTools -
Vendor Relations Specialist (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Vendor Relations Specialist is responsible for corporate vendor management assigned to the IT department and focuses on developing and managing business partnerships. This role provides support for business o...3 weeks ago on Professional Diversity NetworkTools -
Care Management Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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 ...3 weeks ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: This role is responsible for helping lead and develop the Technology Operations Center (Command Center) capability team and processes in support of our "First-to-Know" initiative. Core services include real-time ...3 weeks ago on Professional Diversity NetworkTools -
Senior Systems Engineer (Remote)
IT · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: This role supports the First-to-Know capability of the Technical Operations Center (TOC) and serves as the centralized focal point for observability and event management at CareFirst. Event Monitoring Engineers m...3 weeks ago on Professional Diversity NetworkTools