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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...Over 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 -
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...Over 4 weeks ago on Professional Diversity NetworkTools -
Principal Cloud Architect (Hybrid)
Architect/Design · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Drives enterprise digital transformation, Cloud adoption, optimization, and automation by applying broad technical skills, with deep industry knowledge and business acumen. Introduces capabilities (inclusive of ...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Cloud Architect (Hybrid)
Architect/Design · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Drives enterprise digital transformation, Cloud adoption, optimization, and automation by applying broad technical skills, with deep industry knowledge and business acumen. Introduces capabilities (inclusive of ...Over 4 weeks ago on Professional Diversity NetworkTools -
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 -
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 -
Director, Pharmacy Government Programs (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications This position is HYBRID and requires frequent travel into the Maryland office; therefore, candidates must live within driving distance. PURPOSE: Director, Pharmacy Government Programs is responsible for implementing th...Over 4 weeks ago on Professional Diversity NetworkTools -
Spec, Provider Credentialing I (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization ...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Software Engineer, (Remote)
Computer/Software · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from operating system architecture integration and software design to selection ...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Data Engineer-Cloudera Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: This is a Big Data/Cloudera Administrator Lead position and not a developer position and need CDP7 experience. The Lead Data Engineer is responsible for orchestrating, deploying, maintaining and scaling cloud...Over 4 weeks ago on Professional Diversity NetworkTools -
Lead Data Engineer- Ab Initio Administrator (Remote)
Admin/Clerical · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: This is an Ab Initio Administration Lead position and not a developer position. The Lead Ab Initio ETL Administrator is responsible for leading all the tasks involved in administration of ETL tool (Ab-Initio) ...Over 4 weeks ago on Professional Diversity NetworkTools -
Systems Engineering Manager- Storage (Remote)
Engineering · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the organization's infrastructure. Manages the administration of environments in...Over 4 weeks ago on Professional Diversity NetworkTools -
Care Manager - Bilingual (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for a bilingual care manager (fluent in English and Spanish) to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a ...Over 4 weeks ago on Professional Diversity NetworkTools -
Oracle ERP Financials Principal (Remote)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the design, implementation, testin...Over 4 weeks ago on Professional Diversity NetworkTools