CareFirst BlueCross BlueShield Company Profile
| Profile: |
CareFirst. It’s not just our name. It’s our promise. Over 3.5 million people trust us with their healthcare needs, and we take this responsibility seriously. Our vision for healthcare is clear. Quality care should be easy to afford, easy to use and available to everyone. And what we’re building for you is exactly what we expect for ourselves and those we love. Every day, we make a meaningful difference in the communities where we live and work. We solve real problems for the people we serve with equal parts empathy and urgency—simplifying the complex, delivering tailored solutions and stepping forward with new ideas. |
Search CareFirst BlueCross BlueShield Jobs
| Jobs: 1 - 25 of 37 |
Domain Architecture - Integration & Interoperability Strategy Manager (Hybrid)
Resp & Qualifications PURPOSE: Join our team to lead the design and execution of CareFirsts next-generation Integration Platform, driving an enterprise integration and interoperability strategy that combines API-first design principles with...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21117 |
Project Coordinator Medicaid Communications (Hybrid)
Resp & Qualifications PURPOSE: Coordinates well-defined projects and/or supports the work of a team of project/program management professionals. Tracks progress and assists with documentation to support project needs. Assists with end-to-en...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Software Engineer (Remote)
Resp & Qualifications PURPOSE: Performs in a ServiceNow Senior developer position playing a key role in maturing Customer Service Products built on the ServiceNow platform. Performs complex analysis, design, development, testing, and debugg...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Product Owner- Pre Adjudication (Remote)
Resp & Qualifications PURPOSE: Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team, and defines business purpose and value for them. Defin...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
Product Owner-Salesforce (Remote)
Resp & Qualifications PURPOSE: Drives value to the business by building, managing, and maintaining a Product Backlog in collaboration with IT teams. Represents the business to the team, and defines business purpose and value for them. Defin...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
Real Estate Consultant (Hybrid)
Resp & Qualifications PURPOSE: The Real Estate Consultant is a key member of the CareFirst Workplace Team, responsible for supporting real estate lease transactions and Workplace vendor contracting activities. The incumbent will play a lead...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Real Estate |
| Job Type | Full Time |
| Zip Code | 21224 |
Project Manager (Hybrid)
Resp & Qualifications PURPOSE: Plans, organizes, and manages small to mid-scale projects for successful delivery of objectives, on time and within budget. Initiates, engages, and motivates cross-functional teams to deliver results. Identifi...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Actuarial Associate - ASA (Remote)
Resp & Qualifications PURPOSE: This position oversees and directs the work of analysts in a supervisory capacity. This position is responsible for implementing departmental strategy and policies in order to meet team goals, as well as makin...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21117 |
Customer Service Advocate I, West Baltimore (In-Office) EG
Resp & Qualifications *Candidates must live in the 21215, 21216, 21217 West Baltimore area. This position will be reporting in-person daily at our new location within The Village at Mondawmin * PURPOSE: Responsible for answering member, pro...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Customer Service |
| Job Type | Full Time |
| Zip Code | 21224 |
Learning & Dev Assoc Specialist (Hybrid)
Resp & Qualifications PURPOSE: Facilitates training programs to ensure that employees are equipped with the right skills, knowledge/abilities to perform their assigned tasks, strengthen current skills, and acquire new skills to meet current...
Remote CareFirst BlueCross BlueShield
| Category | Human Resources |
| Job Type | Full Time |
| Zip Code | 21224 |
Principal Product Manager - Payer Data (Remote)
Resp & Qualifications PURPOSE: Your role involves managing the entire lifecycle of enterprise data products and services to align with company goals. You will lead the strategic direction of data products and coordinate teams of business le...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Data Platform Engineering Manager (Remote)
Resp & Qualifications PURPOSE: At CareFirst BlueCross BlueShield, we are building the future of healthcare as the largest not-for-profit health plan in the Mid-Atlantic region. Maryland, Washington, D.C., and Northern Virginia residents and...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Data Engineering Manager (Remote)
Resp & Qualifications PURPOSE: Sets organizational goals and fosters a culture of innovation within a team of engineers and data scientists. Bridges the gap between strategic management and technical staff. Collaborates with senior manageme...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Corporate Communications Consultant (Remote)
Resp & Qualifications PURPOSE: The Senior Corporate Communications Consultant executes and develops corporate communications strategies that keep the target audience engaged and informed. They execute tactics using a strategic mix of commun...
Remote CareFirst BlueCross BlueShield
| Category | Telecommunications |
| Job Type | Full Time |
| Zip Code | 20191 |
Clinical Pharmacist - Specialty Business (Hybrid)
Resp & Qualifications This position is listed as HYBRID; therefore, we prefer to have candidates that live in the MD, DC, VA, PA, DE, etc. locations in order to travel into the offices a several times/month or more often as needed. PURPOSE:...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Software EDI EDIFECS Engineer (Remote)
Resp & 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 selectio...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Appeals Manager (Hybrid)
Resp & Qualifications PURPOSE: This role manages the appeal process for members and providers who appeal on behalf of members for government programs lines of business. Ensures quality management of the clinical appeal process to reduce the...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
PBM Technical Operations Director (REMOTE)
Resp & Qualifications PURPOSE: The Director, PBM Technical Operations provides leadership, oversight, and guidance to technical and operational support functions while analyzing their performance and makes recommendations for improvements. ...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Data Analyst (Hybrid)
Resp & Qualifications PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business deci...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Lead Data Scientist (Remote)
Resp & Qualifications PURPOSE: Leads proliferation of machine learning and artificial intelligence throughout the enterprise. Identifies and solves business problems by using various numerical techniques, algorithms, and models in statistic...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Technical Analyst - EDI (Remote)
Resp & Qualifications PURPOSE: Delivers complex system and data analysis and implements tools and technology for an organization. Maintains various management systems. Build, manage, and sustain systems, data analysis techniques, methods, t...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Care Management Supervisor - (Hybrid)
Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Inpatient Management Clinical Navigator RNs. Utilizes Milliman Care Guidelines (MCG) to act as a resource to conduct concurr...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Pharmacy Product Owner (Remote)
Resp & Qualifications PURPOSE: Serves as an authority over Pharmacy Product Owners and product teams to ensure clarity in strategic direction. Brings an expertise to lead and manage product/project requirements and introduces new, beneficia...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Pharmacy Solutions Manager (Remote)
Resp & Qualifications PURPOSE: Manages and oversees the teams responsible for design and development of Pharmacy solutions, and their operations and maintenance. Directs the work of engineers to ensure the best practices around software dev...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Provider Contracting Specialist (Remote)
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-performan...
Remote CareFirst BlueCross BlueShield
| Category | Human Resources |
| Job Type | Full Time |
| Zip Code | 21224 |