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Jobs at Carefirst Bluecross Blueshield in 21208
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Provider Credentialing Specialist I - Dental (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Although this position is REMOTE, candidates must live in the MD, DC, VA, PA, DE, DMV areas to travel into the offices. PURPOSE: This role will credential dental practitioners for network participation with CareFirst B...2 days ago on Professional Diversity NetworkTools- XTools
- Provider Credentialing...
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Clinical Pharmacist - Specialty Drug Utilization Management (Hybrid)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications This position is HYBRID with the expectation of traveling into the offices on occasion to the Baltimore, MD office. PURPOSE: The Clinical Pharmacist will perform comprehensive clinical services with a focus on utilizat...2 days ago on Professional Diversity NetworkTools- XTools
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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...4 days ago on Professional Diversity NetworkTools- XTools
- Program Manager - Publ...
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Training Coordinator (Hybrid)
Training · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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...1 week ago on Professional Diversity NetworkTools- XTools
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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...1 week ago on Professional Diversity NetworkTools- XTools
- Senior Risk Management...
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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 week ago on Professional Diversity NetworkTools- XTools
- VP, Chief Ethics & Com...
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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 ...2 weeks ago on Professional Diversity NetworkTools- XTools
- Pediatric Medical Dire...
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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 ...2 weeks ago on Professional Diversity NetworkTools- XTools
- Cybersecurity Engineer...
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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 ...3 weeks ago on Professional Diversity NetworkTools- XTools
- Senior Data Market-Fac...
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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...4 weeks ago on Professional Diversity NetworkTools- XTools
- Commercial Markets Acc...
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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...4 weeks ago on Professional Diversity NetworkTools- XTools
- Medical Review & Appea...
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HR M&A Senior Project Manager (Remote)
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. Initiates, engages, and motivates cross-functional teams to deliver results. Identif...Over 4 weeks ago on Professional Diversity NetworkTools- XTools
- HR M&A Senior Project ...
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SIU Coordinator (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & 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, ...Over 4 weeks ago on Professional Diversity NetworkTools- XTools
- SIU Coordinator (Hybrid)
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Document Automation Center Solution Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a Solution Manager for Document Automation in our Card to Care Value Stream. These systems deliver bulk document generation, omnichannel transmission, archiving, and desktop audits across CareF...Over 4 weeks ago on Professional Diversity NetworkTools- XTools
- Document Automation Ce...
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Senior Underwriter - Pharmacy (Remote)
Insurance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Responsible for evaluating applicant situation and circumstances; studying rate tables, codes, computer records and references, and other resources; calculating premium rates; negotiating reinsurance terms; descr...Over 4 weeks ago on Professional Diversity NetworkTools- XTools
- Senior Underwriter - P...
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