Jobs

Other Jobs at Carefirst Bluecross Blueshield in Smyrna, Delaware

(1 - 6 of 6)
  1. Resp & 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 ...
    1 week ago on Professional Diversity Network
  2. Resp & 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, ...
    2 weeks ago on Professional Diversity Network
  3. Resp & 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 ...
    3 weeks ago on Professional Diversity Network
  4. Resp & 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 Network
  5. Resp & Qualifications PURPOSE: The Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both case management and utilization management includi...
    Over 4 weeks ago on Professional Diversity Network
  6. Resp & Qualifications PURPOSE: The Senior Risk Analyst is responsible for supporting the Operational Resilience team in developing and implementing all key program components of a business continuity/ operational resilience framework for CareF...
    Over 4 weeks ago on Professional Diversity Network

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