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Clinical Navigator - Post Acute (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...7 hours ago on Professional Diversity NetworkTools -
Social Worker - LCSW (Remote)
Social Services · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Social Worker (SW) may support the Care Managers, Supervisors, Manager, and Director of Care Management for the FEP Population. They are to ensure available resources are being used in a timely and cost-effec...7 hours ago on Professional Diversity NetworkTools -
Business Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Columbia, MDResp & Qualifications PURPOSE: The Business Analyst will have the responsibility to ensure that the Payment Integrity Claims Editing team need for changes to processes, policies and/or information systems are identified, understood, defined, d...7 hours ago on Professional Diversity NetworkTools -
Senior Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodica...7 hours ago on Professional Diversity NetworkTools -
Senior Data Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decision...1 day ago on Professional Diversity NetworkTools -
Commercial Markets Account Consultant III - 300-999 markets (Remote MD/DC/VA)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This position is responsible for renewing/growing a commercial markets (fully insured & self insured) books of business which includes more complex accounts with indemnity and managed care medical products, ancil...1 day ago on Professional Diversity NetworkTools -
Principal Cloud Architect (Remote)
Architect/Design · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates b...1 day 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...2 days 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...2 days ago on Professional Diversity NetworkTools -
Risk Management Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: Responsible for development and execution of effective risk management and insurance programs; serves as a dedicated resource to several business units of the Company. Coordinates and leads risk assessment and dr...2 days ago on Professional Diversity NetworkTools -
Risk Management Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Responsible for development and execution of effective risk management and insurance programs; serves as a dedicated resource to several business units of the Company. Coordinates and leads risk assessment and dr...2 days ago on Professional Diversity NetworkTools -
Axway API Gateway Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Columbia, MDResp & Qualifications PURPOSE: This position is responsible for configuring and maintaining the Axway API Gateway environments with responsibility for the installation, system administration, tuning, disaster recovery, monitoring, audit, prob...2 days ago on Professional Diversity NetworkTools -
Lead Systems Engineer (Remote)
IT · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Defines, designs and develops Storage system requirements. Performs trade-off analysis of Storage performance, life-cycle cost, risk, producibility, and other Storage system or program requirements. Assesses Stor...3 days ago on Professional Diversity NetworkTools -
Product Lifecycle Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages product lifecycle for products in a product family. Assess product performance, forecast sales in line with sales objectives. Lead product pricing, packaging, positioning and P&L. Conduct market assessmen...3 days ago on Professional Diversity NetworkTools -
Sr. Venture Capital Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The Senior Venture Capital Analyst sources and evaluates new investment opportunities, executing on investment theses, and supporting our portfolio companies. Additionally, the Senior Venture Capital Analyst und...3 days ago on Professional Diversity NetworkTools