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Senior Quality Engineer (REMOTE)
Quality Assurance · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Delivers Quality support and serves as a subject matter expert on control processes within the IT division. Provides complex control process development, process optimization and support for scaling up initiative...1 hour 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 ...1 hour ago on Professional Diversity NetworkTools -
Quality Assurance Specialist II (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with regulations, and company guidelines. Fairly and consistently reviews team interactions with bo...1 hour 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...3 days ago on Professional Diversity NetworkTools -
Senior Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDSalary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors su...3 days ago on Professional Diversity NetworkTools -
Business Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Columbia, MDResp & Qualifications PURPOSE: The Business Analyst will have the responsibility to ensure that the Payment Integrity Claims Editing team need for changes to processes, policies and/or information systems are identified, understood, defined, d...3 days ago on Professional Diversity NetworkTools -
Clinical Navigator - Post Acute (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...3 days ago on Professional Diversity NetworkTools -
Principal Cloud Architect (Remote)
Architect/Design · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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 days ago on Professional Diversity NetworkTools -
Senior Data Analyst (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The purpose of a Sr. Data Analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decision...3 days 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...3 days ago on Professional Diversity NetworkTools -
External Affairs Manager - (Hyrbid)
Management & Exec · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective jurisdiction(s); anticipating needs and resolving emergent issues in an effecti...5 days 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...5 days ago on Professional Diversity NetworkTools -
Axway API Gateway Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Columbia, MDResp & Qualifications PURPOSE: This position is responsible for configuring and maintaining the Axway API Gateway environments with responsibility for the installation, system administration, tuning, disaster recovery, monitoring, audit, prob...5 days ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Responsible for planning, supervising, assigning, leading, and monitoring work of the department responsible for the planning and engineering of the organization's infrastructure. Ensures that hardware and/or sof...5 days ago on Professional Diversity NetworkTools -
Lead Systems Engineer (Remote)
IT · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Defines, designs and develops Storage system requirements. Performs trade-off analysis of Storage performance, life-cycle cost, risk, producibility, and other Storage system or program requirements. Assesses Stor...6 days ago on Professional Diversity NetworkTools