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Senior Risk Management Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Senior Risk Management Analyst is responsible for supporting, facilitating, and training associates on operational risk programs designed to ensure the identification and mitigation of risks; management of co...17 hours ago on Professional Diversity NetworkTools -
Lead Quality Assurance Engineer - End to End Testing (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Lead Quality Assurance (QA) Engineer, End-to-End Testing (E2E) role focuses on Quality Assurance end-to-end testing within the IT Division in alignment to four distinct Value Streams. The Lead QA E2E individu...17 hours ago on Professional Diversity NetworkTools -
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 ·1 day ago on TopUSAJobsTools -
Cybersecurity Incident Response Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Leads CareFirst Cybersecurity Incident Response, a diverse team of subject matter experts who are activated to respond in the event of a cybersecurity investigation or incident. Leads continuous improvement thro...1 day 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...1 day ago on Professional Diversity NetworkTools -
Senior Business Analyst, (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted ...1 day ago on Professional Diversity NetworkTools -
Accountant II - MD Medicare/Medicaid (Remote)
Accounting/Finance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Purpose : Under general direction of senior-level accounting personnel, perform intermediate-level professional accounting responsibilities, including, but not limited to, preparing basic financial statements, journal ent...1 day ago on Professional Diversity NetworkTools -
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...1 day ago on Professional Diversity NetworkTools -
Clinical Appeals Nurse (Remote)
Healthcare · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills...5 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 ...6 days 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...1 week ago on Professional Diversity NetworkTools -
Cybersecurity Engineering Manager (Remote)
Engineering · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: You will be responsible for managing CareFirsts Cybersecurity engineering team, with a strong emphasis on cloud, identity, and infrastructure security. You will execute and implement the CareFirst Cybersecurity ...1 week 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 ...2 weeks 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...2 weeks 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...2 weeks ago on Professional Diversity NetworkTools