Jobs

Jobs at Carefirst Bluecross Blueshield in 20012

(1 - 15 of 68)
  1. Resp & Qualifications PURPOSE: Manages the coordination and administrative support of the Learning and Development Team's daily operations including, maintaining records, data reporting, providing administrative and technical assistance, and e...
    17 hours ago on Professional Diversity Network
  2. Resp & 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...
    17 hours ago on Professional Diversity Network
  3. Resp & 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...
    2 days ago on Professional Diversity Network
  4. Resp & 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 days ago on Professional Diversity Network
  5. Resp & 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 ...
    3 days ago on Professional Diversity Network
  6. Resp & 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...
    3 days ago on Professional Diversity Network
  7. Resp & 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 Network
  8. Resp & 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 Network
  9. Resp & 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 Network
  10. Resp & 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...
    3 weeks ago on Professional Diversity Network
  11. Resp & 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...
    3 weeks ago on Professional Diversity Network
  12. Resp & 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...
    3 weeks ago on Professional Diversity Network
  13. Resp & 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 Network
  14. Resp & 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...
    4 weeks ago on Professional Diversity Network
  15. Resp & Qualifications PURPOSE: Triage and develops case leads for the department, using various data sources and employing statistical analysis and reporting skills. ESSENTIAL FUNCTIONS: Reactively perform triage on calls, tips, alerts, ...
    4 weeks ago on Professional Diversity Network
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