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Senior Systems Engineer - Clarity Admin (Remote)
IT · Carefirst Bluecross Blueshield · Reston, VAResp & QualificationsPURPOSE:Ensures the stability, integrity and efficient operation of the organization information systems that supportorganizational functions. This is achieved by monitoring, supporting and optimizing all networked software an...TopUSAJobs.com ·3 hours ago on TopUSAJobsTools -
Clinical Appeals Manager (Hybrid)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: This role manages the appeal process for members and providers who appeal on behalf of members for all lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and ...1 week ago on Professional Diversity NetworkTools -
Care Manager - OB RN (Remote)
Healthcare · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, tra...1 week ago on Professional Diversity NetworkTools -
Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical andbehavioralhealth needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary ...1 week ago on Professional Diversity NetworkTools -
Senior Business Consultant (Remote)
Consulting · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: TheSr.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. This position will...1 week ago on Professional Diversity NetworkTools -
Clinical Navigator (Remote)
Everything Else · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Inpatient Management 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 care management and utilizatio...1 week ago on Professional Diversity NetworkTools -
Obstetric Care Manager (Remote)
Management & Exec · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Under minimal supervision, the Obstetric Nurse Care Manager researches and analyzes an Obstetric member's medical and behavioral health needs and healthcare cost drivers. The Obstetric Nurse Care Manager works c...1 week ago on Professional Diversity NetworkTools -
Manager, Business Consultants - Cost of Care Team (Remote)
Consulting · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications Come join our team! We're looking for a Manager, Business Consultants to lead a team of individuals focused on improving our Cost of Care governance and strategy. Candidates in this role will provide leadership and hands-...2 weeks ago on Professional Diversity NetworkTools -
AWS Container Platform Engineer (Hybrid)
Engineering · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Seeking experienced and dynamic Container Platform Engineer lead to provide hands-on technical experience to engineer, manage, and codify our AWS containers footprint, including establishing Security controls and...2 weeks ago on Professional Diversity NetworkTools -
Training Coordinator (Hybrid)
Training · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: Manages the coordination and administrative support of the Learning and Development Team's daily operations including, maintaining records, data reporting, providing administrative and technical assistance, and e...2 weeks ago on Professional Diversity NetworkTools -
AWS Cloud Platform Engineering Manager (Hybrid)
Engineering · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE : Seeking an experienced technical and dynamic AWS Cloud Engineering Manager to lead our cloud platform engineering team. The manager will be responsible for designing, implementing, and managing our cloud platfor...2 weeks ago on Professional Diversity NetworkTools -
Senior Domain Architect (Remote)
Architect/Design · Carefirst Bluecross Blueshield · Reston, VAResp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates b...3 weeks ago on Professional Diversity NetworkTools -
Vice President & Deputy General Counsel (Hybrid)
Legal · Carefirst Bluecross Blueshield · Baltimore, MDResp & Qualifications PURPOSE: The Deputy General Counsel leads CareFirsts Office of Corporate Counsel (OCC), with approximately 70 indirect reports, and is responsible for providing excellent, consistent, and comprehensive legal services to ...3 weeks 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 weeks ago on Professional Diversity NetworkTools -
Lead Software Engineer (Remote)
Computer/Software · Carefirst Bluecross Blueshield · Owings Mills, MDResp & Qualifications PURPOSE: This role will act as the systems architect for one of the Prospect to Card Agile Release Trains. This role performs complex analysis, design, development, automated unit and integration testing, and debugging of...3 weeks ago on Professional Diversity NetworkTools