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Quality Assurance Specialist III (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural audits. This role conducts regular reviews and audits of internal controls within each function...2 days ago on Professional Diversity NetworkTools -
Behavioral Health Services Director (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Expert clinical practitioner responsible for providing direct management and oversight of all behavioral health services to include all functions of behavioral health care management and the programs and services...2 days ago on Professional Diversity NetworkTools -
Senior Business Consultant - Cost of Care Team (Remote)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry. ESSENTIAL FUNC...3 days ago on Professional Diversity NetworkTools -
Senior Project Manager (Hybrid)
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 for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within Ca...3 days ago on Professional Diversity NetworkTools -
Senior Clinical Medical Review Nurse (Remote)
Healthcare · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The Sr Clinical Medical Review Nurse handles day to day review of complex professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits ...3 days ago on Professional Diversity NetworkTools -
Office of the CEO Operations Intern -Fall Recruitment (Hybrid) MD/DC/VA only
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Support the Office of the CEO in development of social determinants of health platform, including research, data analysis, document creation and project management. PRINCIPAL ACCOUNTABILITIES: Under the gene...3 days ago on Professional Diversity NetworkTools -
Community Health Navigator (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING COUNTIES: Talbot, Caroline, Dorchester, or Wicomico PURPOSE: This position will support the Maryland government programs division, working as a bridge between the member, c...3 days ago on Professional Diversity NetworkTools -
Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications We are looking for an experienced professional to live and work remotely from within the greater Baltimore area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or ot...3 days ago on Professional Diversity NetworkTools -
Senior Financial Analyst - Fixed Assets and Strategic Investments (Remote)
Accounting/Finance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Purpose : Oversees various financial functions such as budgeting, auditing, forecasting and analysis. Provides financial support to the business, including but not limited to cost accounting, revenue recognition, subcontr...4 days ago on Professional Diversity NetworkTools -
Proposal Development Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications This position is HYBRID in Maryland and requires frequent travel into the officed of 2-3 days a week. PURPOSE: The Manager, Proposal Development manages a team of proposal development consultants to create consistent, h...4 days ago on Professional Diversity NetworkTools -
Customer Service Advocate II (Hybrid)
Customer Service · Carefirst Bluecross Blueshield · Baltimore, 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...4 days ago on Professional Diversity NetworkTools -
Venture Capital Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: The Venture Capital Manager will play a key role in sourcing and evaluating new investment opportunities, executing on investment theses, and supporting our portfolio companies. ESSENTIAL FUNCTIONS: Seek ou...4 days ago on Professional Diversity NetworkTools -
Senior Corporate Strategy Consultant (Hybrid)
Consulting · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: Provide opinion-driven, analytical research for senior corporate decision-makers on emerging and future-focused healthcare sector trends. Facilitate dialogue with executive leadership to inform and shape CareFir...4 days ago on Professional Diversity NetworkTools -
Division Advisor (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: On behalf of Executive Leadership, coordinates all division-wide activities related to strategic planning, budget, corporate reporting and compliance. Assists senior management in the development of divisional go...1 week ago on Professional Diversity NetworkTools -
Commercial Accounts Director (Mid-Market) Remote
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings. PURPOSE: The Director, Commercial Accounts (middle-markets) provides strategic direction to the ...1 week ago on Professional Diversity NetworkTools