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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/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for mee...3 days ago on Professional Diversity NetworkTools -
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...3 days ago on Professional Diversity NetworkTools -
Client Success Director - Labor Markets (Hybrid MD/DC/VA)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Client Success Director is a consultative leader within sales team who establishes and drives mutually beneficial relationships with key clients, national consulting houses, large brokerage firms, Third Party...3 days ago on Professional Diversity NetworkTools -
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...3 days ago on Professional Diversity NetworkTools -
Dental Customer Service Advocate I (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...3 days 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, ...3 days 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 days 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 days ago on Professional Diversity NetworkTools -
Associate Financial Analyst (Hybrid)
Accounting/Finance · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Responsible for collecting, analyzing, and interpreting financial data as well as preparing reports, models, presentations and recommendations for leaders of a business or clients. Interfaces regularly with proje...4 days ago on Professional Diversity NetworkTools -
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 days 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 days ago on Professional Diversity NetworkTools -
Risk Adjustment Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment strategy. The role serves as a dedicated resource within the organization for Medicare Advantage...5 days ago on Professional Diversity NetworkTools -
Senior IT Project Manager (Remote)
IT · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications As a Project Manager on the Mandates Implementation team within the ePMO, you will be responsible for managing the implementation of local, state, and federal legislation, as well as Blue Cross and Blue Shield Association (...5 days ago on Professional Diversity NetworkTools -
Senior Stars & Risk Adjustments Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Supports Risk Adjustment & Stars organization to optimize Risk Adjustment revenue and coding accuracy through data-driven approach to closing gaps and risks in coding and care delivery across Medicare & Medicaid ...5 days 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 ...1 week ago on Professional Diversity NetworkTools