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Test Environment Management Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: PURPOSE: The Test Environment Management Manager will be responsible for overseeing the creation, maintenance, and decommissioning of testing environments in software development while ensuring that all testi...19 hours ago on Professional Diversity NetworkTools -
Customer Service Advocate II (Remote Baltimore Metro/DMV only)
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...19 hours ago on Professional Diversity NetworkTools -
Utilization Management Coordinator I (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. We ar...19 hours ago on Professional Diversity NetworkTools -
Product Manager (Remote)
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...19 hours ago on Professional Diversity NetworkTools -
Office of the CEO Operations Intern -Fall Recruitment (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Support the Office of the CEO in development of social determinants of health platform, including research, data analysis, document creation and project management. PRINCIPAL ACCOUNTABILITIES: Under the gene...1 day ago on Professional Diversity NetworkTools -
Enterprise Principal Architect (Hybrid)
Architect/Design · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Leads the organization in the planning, development, and application of enterprise architecture to achieve business strategies and transformations. Possesses a broad understanding of the enterprise, the business,...19 hours ago on Professional Diversity NetworkTools -
Quality Assurance Specialist III (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural audits. This role conducts regular reviews and audits of internal controls within each function...19 hours ago on Professional Diversity NetworkTools -
Behavioral Health Services Director (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Expert clinical practitioner responsible for providing direct management and oversight of all behavioral health services to include all functions of behavioral health care management and the programs and services...19 hours ago on Professional Diversity NetworkTools -
Senior Project Manager (Hybrid)
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 for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within Ca...1 day ago on Professional Diversity NetworkTools -
Senior Business Consultant - Cost of Care Team (Remote)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry. ESSENTIAL FUNC...1 day ago on Professional Diversity NetworkTools -
Senior Clinical Medical Review Nurse (Remote)
Healthcare · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The Sr Clinical Medical Review Nurse handles day to day review of complex professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits ...1 day ago on Professional Diversity NetworkTools -
Community Health Navigator (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING COUNTIES: Talbot, Caroline, Dorchester, or Wicomico PURPOSE: This position will support the Maryland government programs division, working as a bridge between the member, c...1 day ago on Professional Diversity NetworkTools -
Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications We are looking for an experienced professional to live and work remotely from within the greater Baltimore area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or ot...1 day ago on Professional Diversity NetworkTools -
Account Manager II - Third Party Administrator (TPA) (remote)
Sales & Biz Dev · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This position is a critical resource within the Account Management Team providing consultative expertise on benefits, products, and capabilities. Responsible for promoting new and existing products or services th...2 days ago on Professional Diversity NetworkTools -
Senior Financial Analyst - Fixed Assets and Strategic Investments (Remote)
Accounting/Finance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Purpose : Oversees various financial functions such as budgeting, auditing, forecasting and analysis. Provides financial support to the business, including but not limited to cost accounting, revenue recognition, subcontr...2 days ago on Professional Diversity NetworkTools