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 94 |
Senior Business Readiness Consultant (Remote)
Resp & Qualifications PURPOSE: The Senior Business Consultant (Business Readiness) provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare...
Remote CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Risk Management Analyst - Enterprise Risk Management (Hybrid)
Resp & Qualifications PURPOSE: The Lead Risk Management Analyst provides leadership and subject matter expertise for risk management lifecycle and key risk treatment strategies critical to the management of risk exposure of the overall orga...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Actuarial Associate (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 maki...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21117 |
Clinical Data Coordinator (Hybrid)
Resp & Qualifications PURPOSE: We are looking for an experienced professional in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Venture Capital Analyst (Hybrid)
Resp & Qualifications PURPOSE: The Venture Capital Analyst sources and evaluates new investment opportunities, executing on investment theses, and supporting our portfolio companies. Additionally, the Venture Capital Analyst understands how...
Washington, DC CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 20002 |
Field Community Health & Social Impact Specialist - Eastern Shore (Remote)
Resp & Qualifications PURPOSE: This role will serve as the face of our CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Eastern Maryland. As a Community Health and Social Impact Specialist, you will be a...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Director, Cost of Care (Remote)
Resp & Qualifications Join us at CareFirst where we make a difference in our member's lives by fulfilling our mission to: - Provide affordable and accessible health insurance to the plans insured and those persons insured or issued health b...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
CloseKnit Artificial Intelligence Intern - Summer Recruitment (Remote MD/DC/VA only)
Resp & Qualifications About Us: In September 2021, we introduced CloseKnit: CareFirsts new Primary Care Practice. CloseKnit takes quality care personally. Were a new kind of patient-centric, virtual-first primary care practice. Open 24/7/36...
Remote CareFirst BlueCross BlueShield
| Category | Admin - Clerical |
| Job Type | Part Time |
| Zip Code | 21224 |
Customer Service Advocate II (Hybrid)
Resp & 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 provide...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Customer Service |
| Job Type | Full Time |
| Zip Code | 21117 |
Senior 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 |
Care Manager (MD/DC/Northern VA) (Remote)
Resp & Qualifications 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 the interdiscipli...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Director, Pharmacy Government Programs (Hybrid)
Resp & Qualifications PURPOSE: Director, Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid). This role has oversight of pharmacy...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| 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 | 20002 |
Product Lifecycle Manager (Hybrid MD/DC/VA)
Resp & Qualifications PURPOSE: Manages product lifecycle for products in a product family. Assess product performance, forecast sales in line with sales objectives. Lead product pricing, packaging, positioning and P&L. Conduct market assess...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Behavioral Health Care Management Manager (Hybrid)
Resp & Qualifications PURPOSE: The Manager supports the Director of Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficien...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)
Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Custom Provider Networks Program Manager (Hybrid)
Resp & Qualifications PURPOSE: Manages end-to-end oversight of custom (ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Risk Adjustment Manager (Hybrid)
Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers facto...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Stars & Risk Adjustments Analyst (Remote)
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 & Medica...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Project Coordinator (Remote)
Resp & Qualifications PURPOSE: CareFirst is undertaking a digital transformation which requires enterprise agility paired with the retooling of our technology stack to speed delivery and expand our reach. The IT Core Technology Services org...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior IT Project Manager (Remote)
Resp & Qualifications As a Project Manager on the Mandates Implementation team within the ePMO, you will be responsible for managing the implementation of local, state, and federal legislation, as well as Blue Cross and Blue Shield Associat...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Payment Transformation Manager (Hybrid)
Resp & Qualifications PURPOSE: Manages a team of senior-level expert contributors who study, develop, execute and monitor and continuously improve new models to finance health care for CareFirst Members. The team drives CareFirst's effort t...
Columbia, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21046 |
Business Change Management Manager (Remote)
Resp & Qualifications PURPOSE: The Manager provides change management leadership for internal customers programs and projects. Incumbent is responsible for developing and delivering strategies, tactics, frameworks, methods and tools to achi...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 20002 |
Senior Medical Policy Analyst - RN (Remote)
Resp & Qualifications PURPOSE: In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical policies and operating procedures to support the corporate philosophy...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
Medical Policy Analyst - RN (Remote)
Resp & Qualifications PURPOSE: In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and operating procedures to support the corporate philosophy, provider and m...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |