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Sales Enablement Data Analytics Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The purpose of the Sales Enablement Manager and Network Data Analytics is to execute on business objectives with data and to ensure alignment with the vision of the Network Innovation and Strategy team (the busin...2 days ago on Professional Diversity NetworkTools -
Care Management Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Reporting directly to the Director of Care Management/Inpatient Management, provides management and oversight, of Inpatient Clinical Navigators. Provide support to confirm adherence to policies, and procedures to...3 days ago on Professional Diversity NetworkTools -
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...4 days 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...4 days 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...4 days 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...5 days ago on Professional Diversity NetworkTools -
Office of the CEO Operations Intern -Fall Recruitment (Hybrid) MD/DC/VA only
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...5 days 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...5 days ago on Professional Diversity NetworkTools -
Commercial Accounts Director (Mid-Market) Remote
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings. PURPOSE: The Director, Commercial Accounts (middle-markets) provides strategic direction to the ...1 week ago on Professional Diversity NetworkTools -
Board Management Project Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Plans, organizes, and manages small to mid-scale projects for successful delivery of objectives, on time and within budget. Initiates, engages, and motivates cross-functional teams to deliver results. Identifies ...1 week ago on Professional Diversity NetworkTools -
Program Manager - Public Health (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives for the Office of CEO. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, com...2 weeks 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...3 weeks 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 ...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 -
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...Over 4 weeks ago on Professional Diversity NetworkTools