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 101 |
Proposal Development Specialist II (Remote)
Resp & Qualifications PURPOSE: The role of the Proposal Development Specialist II is to develop and deliver on-time, high-quality proposal responses to sales bids. As part of the Proposal Development Team, this role works in collaboration w...
Remote CareFirst BlueCross BlueShield
| Category | Telecommunications |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Cyber Security Analyst (Hybrid)
Resp & 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 busin...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
Software Engineering Manager (Remote)
Resp & Qualifications PURPOSE: This role will serve as the Solution Manager for Broker Experience within the Prospect to Card Value Stream. Manages and oversees the teams responsible for design and development of software applications, and ...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Medical Review Nurse (Remote)
Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to s...
Remote CareFirst BlueCross BlueShield
| Category | Nurse |
| Job Type | Full Time |
| Zip Code | 21502 |
Data Scientist - Provider Analytics (Hybrid)
Resp & Qualifications PURPOSE: The Data Scientist (Hybrid) position is on the Provider Analytics team under the Health Services division. It provides data, reports, and analyses in support of initiatives to improve health equity, outcomes, ...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Operations Director (Customer Service) - Remote
Resp & Qualifications PURPOSE: Leads, manage and empowers operations teams to meet and exceed business delivery. Serves as a strategic leader of multifunctional teams and support roles. Oversees activities of an internal function that provi...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Quality Assurance Specialist III, Medicaid and Medicare Member Services (Remote)
Resp & Qualifications PURPOSE: The Quality Assurance Specialist III is an advanced-level auditor position performing in-depth system and procedural audits. This role conducts regular reviews and audits of internal controls within each funct...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior IT Project Manager - (Hybrid)
Resp & Qualifications PURPOSE: Senior IT Project Manager, leads, plans, executes, monitors, controls and closes projects for the Enterprise Project Management Office (EPMO). This role oversees and directs complex $5M+ enterprise-wide corpor...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Lead Software Engineer (Hybrid)
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...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Risk Management Analyst (Remote)
Resp & Qualifications PURPOSE: The Risk Management Analyst is responsible for supporting and facilitating operational risk programs designed to ensure the identification and mitigation of risks; the management of controls and safeguards to ...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 20191 |
Quality Assurance Specialist II, Enrollment (Remote)
Resp & Qualifications PURPOSE: The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with regulations, and company guidelines. Fairly and consistently reviews team interactions with...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Utilization Management Coordinator I (Remote)
Resp & Qualifications PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. Th...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Community Health Navigator (Hybrid)
Resp & 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 administr...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Software Engineer (Remote)
Resp & 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...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Business Analyst (Remote)
Resp & Qualifications PURPOSE: The Senior 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 act...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
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 |
Care Manager (Remote)
Resp & Qualifications MD/DC/Northern VA PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Functional Analyst I (Remote)
Resp & Qualifications PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. ESSENTIAL FU...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 20191 |
Business Process Management Consultant (Remote)
Resp & Qualifications PURPOSE: This position will play a key role in delivering on all aspects of enterprise wide, cross functional process management initiatives including developing process architecture and hierarchy, process transformati...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
Community Health Navigator (Hybrid)
Resp & 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 outreach, follow-up, coordination...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Functional Analyst I (Hybrid) - SIU
Resp & Qualifications PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. ESSENTIAL FU...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
West Baltimore Community Health Navigator (Hybrid)
Resp & 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 outreach, follow-up, coordination...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
West Baltimore Community Health Navigator (Hybrid)
Resp & 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 outreach, follow-up, coordination...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Quality Analyst (Hybrid)
Resp & Qualifications PURPOSE: The Quality Analyst is responsible for defining, measuring, analyzing, and evaluating population health, while prioritizing, developing, and operationalizing innovative initiatives to improve the quality of ca...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Digital Products Manager (Remote)
Resp & Qualifications PURPOSE: Leads and manages the digital product team acting as the day-to-day manager; first point of escalation and day to day approval for implementing strategies designed to improve the digital customer experience an...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |