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Enrollment Technician I (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Technician, Enrollment I is responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner, and according to the account contract or service agreemen...2 days ago on Professional Diversity NetworkTools -
Workforce Management Analyst I (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Monitor and analyze call volume, call patterns, and traffic flow for the Customer Service center to ensure service level objectives are met. Work closely with supervisors and managers to analyze daily traffic and...2 days ago on Professional Diversity NetworkTools -
Customer Service Advocate I (Hybrid)
Customer Service · Carefirst Bluecross Blueshield · Owings Mills, 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...2 days ago on Professional Diversity NetworkTools -
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 -
Claims Adjuster II (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewin...2 days ago on Professional Diversity NetworkTools -
Claims Adjuster II REMOTE (MD, DC, VA)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. Verifies insurance claims by reviewin...2 days ago on Professional Diversity NetworkTools -
Vendor Relations Specialist (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Vendor Relations Specialist is responsible for corporate vendor management assigned to the IT department and focuses on developing and managing business partnerships. This role provides support for business o...3 days ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: This role is responsible for helping lead and develop the Technology Operations Center (Command Center) capability team and processes in support of our "First-to-Know" initiative. Core services include real-time ...3 days ago on Professional Diversity NetworkTools -
Senior Systems Engineer (Remote)
IT · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: This role supports the First-to-Know capability of the Technical Operations Center (TOC) and serves as the centralized focal point for observability and event management at CareFirst. Event Monitoring Engineers m...3 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 -
Senior Systems Engineer - Major Incident Manger (Remote)
IT · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Major Incident Manager serves as a member of the Major Incident Management team and is responsible for the end-to-end management of assigned IT major incidents. The major incident manager (MIM) is responsible...3 days ago on Professional Diversity NetworkTools -
Senior Cybersecurity Engineer - CTI (Remote)
Engineering · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems by architecting and engineering/developing trusted systems into secure systems. Assists in the development of implementation and...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 -
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...4 days ago on Professional Diversity NetworkTools