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Pediatric Medical Director (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed treatments and approve care management plans - specifically with ...Over 4 weeks ago on Professional Diversity NetworkTools -
Manager, Specialty Pharmacy Financial Value & Solutions (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications Although this position is REMOTE, candidates MUST live in the MD, DC, VA , PA, DE and surrounding areas in order to travel to offices and client meetings. PURPOSE: The Manager, Specialty Pharmacy Financial Value & Sol...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Data Market-Facing Analytics Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Sr. Data Analyst will be responsible for driving strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ...Over 4 weeks ago on Professional Diversity NetworkTools -
Medical Review & Appeals Director (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Ensures alignment with the overall Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Car...Over 4 weeks ago on Professional Diversity NetworkTools -
Director, Pharmacy Government Programs (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications This position is HYBRID and requires frequent travel into the Maryland office; therefore, candidates must live within driving distance. PURPOSE: Director, Pharmacy Government Programs is responsible for implementing th...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Software Engineer, (Remote)
Computer/Software · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection ...Over 4 weeks ago on Professional Diversity NetworkTools -
Oracle ERP Financials Principal (Remote)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the design, implementation, testin...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing input to company, divisiona...Over 4 weeks ago on Professional Diversity NetworkTools -
Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports Benefit Contract Management (BCM) by assisting or performing accountabilities/tasks that include but are not limited to: revising/updating contract forms and templates; reviewing contract forms, template...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead ERP Business Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Lead ERP Business Analyst is a hands-on role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business stakeholders and technical teams. This in...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Provider Contracting Specialist (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance ...Over 4 weeks ago on Professional Diversity NetworkTools -
Vice President, Product Lifecycle, Development & Performance (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Vice President of Product Lifecycle, Development & Performance is responsible for a full spectrum of product disciplines. This role will lead and drive the management, development and evaluation of the compre...Over 4 weeks ago on Professional Diversity NetworkTools -
Director, Platform Solutions (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are seeking an experienced, high energy, driven, servant leader to lead our Platform Solutions organization. The Director, Platform Solutions will focus on cloud & infrastructure engineering, site reliability ...Over 4 weeks ago on Professional Diversity NetworkTools -
Manager, Product Lifecycle - Medicare & Medicaid (Non-Technical) (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages product lifecycle (strategy, design, execution, and optimization) for products and plans in the Medicare, Medicaid, and Federal Employee Health Benefits categories. Leads the team in assessing product per...Over 4 weeks ago on Professional Diversity NetworkTools -
Product Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Develops and Implements strategy for the company's product line and is responsible for the product planning and execution throughout the Product Lifecycle, including gathering and prioritizing product and custome...Over 4 weeks ago on Professional Diversity NetworkTools