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Clinical Appeals Nurse (Remote)
Healthcare · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skills...1 day ago on Professional Diversity NetworkTools -
Community Health Navigator (Hybrid - Field Work)
Everything Else · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through external outreach, follow-up, coordi...2 days ago on Professional Diversity NetworkTools -
Community Health Navigator (Hybrid)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING ZIP CODES: 21215, 21216, 21217 PURPOSE: This position will support the Maryland government programs division, working as a bridge between the member, clinical and administ...2 days ago on Professional Diversity NetworkTools -
Healthcare Policy Manager (Hybrid)
Healthcare · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: Ensure that CareFirst is on the cutting edge of medical policy to support and accelerate the emergence of a value-based health care system. Responsible for the thorough research, development, maintenance, and imp...2 days ago on Professional Diversity NetworkTools -
Senior Quality Analyst (Hybrid)
Quality Assurance · Carefirst Bluecross Blueshield · Baltimore, MDSalary Range Disclaimer PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of RAF and Risk Revenue/HCC projections for multiple LOB's. Initiates, engages, and motivates cross-functional teams to deli...2 days ago on Professional Diversity NetworkTools -
Medical Assistant - CloseKnit (Hybrid)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Provide safe patient care & clinical support. The Medical Assistant maintains efficient patient flow, supports an environment of patient safety and satisfaction, supports high-quality care delivery and demonstrat...3 days ago on Professional Diversity NetworkTools -
Virtual Family Physician - CloseKnit (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are currently hiring physicians to join our CloseKnit team to deliver care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovating in the practic...3 days ago on Professional Diversity NetworkTools -
Senior Release Train Engineer (Remote)
Engineering · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Leads multiple cross functional teams, or Agile Release train (ART) guiding them on how to use Agile, Scaled Agile Framework (SAFe), Scrum and Lean (e.g. Kanban) values/practices through servant leadership. Creat...3 days ago on Professional Diversity NetworkTools -
Virtual 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...3 days ago on Professional Diversity NetworkTools -
Lead Software Engineer (Remote)
Computer/Software · Carefirst Bluecross Blueshield · Reston, VAResp & 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 o...5 days ago on Professional Diversity NetworkTools -
Lead Business Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: The Lead Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted up...5 days ago on Professional Diversity NetworkTools -
Senior Software Quality Engineer (Remote)
Quality Assurance · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Performs complex analysis, design, development, testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, a...5 days ago on Professional Diversity NetworkTools -
Senior Embedded Compliance Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role will support the division and corporate compliance in the delivery and performance of a compliance program to help ensure compliance and alignment with Federal, State, and related regulatory statutes, a...5 days ago on Professional Diversity NetworkTools -
Senior Cyber Security Analyst (Remote)
Everything Else · Carefirst Bluecross Blueshield · Washington, DCResp & Qualifications PURPOSE: To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cybersecurity team while supporting business...5 days ago on Professional Diversity NetworkTools -
Senior Systems Engineer (Hybrid)
IT · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organizations information systems that support business functions. This is achieved by monitoring, supporting and optimizing all networked software ...6 days ago on Professional Diversity NetworkTools