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Program Manager - Government Programs P&L (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives focused on activities and initiative that drive financial sustainability for a portfolio of Medicare products. Drives teams and internal projects to maintain...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
VP, Chief Ethics & Compliance Officer (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...2 days ago on Professional Diversity NetworkTools -
Director, Financial Planning & Analysis - CloseKnit (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Company Overview: CloseKnit is a leading national digital health organization dedicated to providing innovative and high-quality healthcare solutions. As CareFirsts virtual forward Primary, Behavioral, and Urgent care he...2 days ago on Professional Diversity NetworkTools -
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 ...1 week 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...3 weeks ago on Professional Diversity NetworkTools -
External Affairs Manager - (Hyrbid)
Management & Exec · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective jurisdiction(s); anticipating needs and resolving emergent issues in an effecti...3 weeks ago on Professional Diversity NetworkTools -
Venture Capital Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: As the corporate venture, development, and commercialization arm of CareFirst BlueCross BlueShield, Healthworx is building a portfolio of investments and strategic partnerships with forward-thinking organization...3 weeks ago on Professional Diversity NetworkTools -
HR M&A Senior Project Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget. Initiates, engages, and motivates cross-functional teams to deliver results. Identif...3 weeks ago on Professional Diversity NetworkTools -
Document Automation Center Solution Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a Solution Manager for Document Automation in our Card to Care Value Stream. These systems deliver bulk document generation, omnichannel transmission, archiving, and desktop audits across CareF...3 weeks ago on Professional Diversity NetworkTools -
Oncology Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Oncology Commercial Care Manager researches and analyzes an Oncology member's medical and behavioral health needs and healthcare cost drivers. The Oncology Care Manager works closel...4 weeks ago on Professional Diversity NetworkTools -
Pediatric Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Pediatric Commercial Care Manager researches and analyzes a Pediatric member's medical and behavioral health needs and healthcare cost drivers. The Pediatric Care Manager works clos...4 weeks ago on Professional Diversity NetworkTools -
Custom Provider Networks Program Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages end-to-end oversight of custom (ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through net...4 weeks ago on Professional Diversity NetworkTools -
Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of ...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 -
Care Manager - Bilingual (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a bilingual care manager (fluent in English and Spanish) to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a ...Over 4 weeks ago on Professional Diversity NetworkTools