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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...4 weeks ago on Professional Diversity NetworkTools -
Nurse Practitioner - CloseKnit (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are currently hiring a Nurse Practitioner to join our CloseKnit team to deliver virtual care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovati...4 weeks ago on Professional Diversity NetworkTools -
Oncology Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Oncology Commercial Care Manager researches and analyzes an Oncology member's medical and behavioral health needs and healthcare cost drivers. The Oncology Care Manager works closel...4 weeks ago on Professional Diversity NetworkTools -
Pediatric Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Pediatric Commercial Care Manager researches and analyzes a Pediatric member's medical and behavioral health needs and healthcare cost drivers. The Pediatric Care Manager works clos...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...4 weeks ago on Professional Diversity NetworkTools -
Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of ...4 weeks ago on Professional Diversity NetworkTools -
Behavioral Health Care Management Manager (Hybrid)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Manager supports the Director of Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficient w...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 -
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 -
Systems Engineering Supervisor (In Office)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Audio-Visual Support Supervisor to work in multiple CareFirst office locations and outside event space. The Supervisor will develop, implement, and promote standards, systems, and resources for supporting CareFir...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing input to company, divisiona...Over 4 weeks ago on Professional Diversity NetworkTools -
Contract Specialist (Hybrid)
Admin/Clerical · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports Benefit Contract Management (BCM) by assisting or performing accountabilities/tasks that include but are not limited to: revising/updating contract forms and templates; reviewing contract forms, template...Over 4 weeks ago on Professional Diversity NetworkTools -
Senior Provider Contracting Specialist (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance ...Over 4 weeks ago on Professional Diversity NetworkTools -
Vice President, Product Lifecycle, Development & Performance (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Vice President of Product Lifecycle, Development & Performance is responsible for a full spectrum of product disciplines. This role will lead and drive the management, development and evaluation of the compre...Over 4 weeks ago on Professional Diversity NetworkTools -
Systems Engineering Supervisor (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Responsible for planning, supervising, assigning, leading, and monitoring work of the department. Supervises a team of data engineers and analysts that manages operations of the department responsible for the des...Over 4 weeks ago on Professional Diversity NetworkTools