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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. 


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Jobs: 1 - 25 of 89

Business Analyst (Remote)

Resp & Qualifications PURPOSE: The Business Analyst for Government Programs will have the responsibility to ensure that Utilization Management and Care Management business needs for changes to processes, policies and/or information systems ...

Remote CareFirst BlueCross BlueShield

Category Other
Job Type Full Time
Zip Code 21224

Pharmacy STARS and HEDIS Data Analyst (Remote) Non-Technical

Resp & Qualifications Although this position is remote, candidates are preferred to live in the MD, DC, VA area in order to travel into the local offices. PURPOSE: Interprets Stars rating data; analyzes HEDIS, CAHPS and Stars results using ...

Remote CareFirst BlueCross BlueShield

Category Management
Health Care
Job Type Full Time
Zip Code 21224

Claims Operations Director (Remote)

Resp & Qualifications We are seeking an experienced and dynamic Claims Operations Director to join our team and oversee our claims management organization. This position offers an exceptional opportunity to contribute to one of the largest ...

Remote CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224

Account Manager II - National Accounts (Health & Life License Required) (Remote)

Resp & Qualifications PURPOSE: We are seeking a dynamic and experienced Account Manager to join our Account Management Team that is supporting CareFirsts National Accounts. This critical role involves providing consultative expertise on ben...

Remote CareFirst BlueCross BlueShield

Category Accounting
Management
Job Type Full Time
Zip Code 21224

Account Manager II - National Accounts (Health & Life License Required) (Remote)

Resp & Qualifications PURPOSE: We are seeking a dynamic and experienced Account Manager to join our Account Management Team that is supporting CareFirsts National Accounts. This critical role involves providing consultative expertise on ben...

Remote CareFirst BlueCross BlueShield

Category Accounting
Management
Job Type Full Time
Zip Code 22031

Account Manager II - National Accounts (Health & Life License Required) (Remote)

Resp & Qualifications PURPOSE: We are seeking a dynamic and experienced Account Manager to join our Account Management Team that is supporting CareFirsts National Accounts. This critical role involves providing consultative expertise on ben...

Remote CareFirst BlueCross BlueShield

Category Accounting
Management
Job Type Full Time
Zip Code 20002

Service Catalog Lead (Remote)

Resp & Qualifications PURPOSE: Ensures that all IT services are accurately documented, accessible, and aligned with the organization's business objectives. The Service Catalog Lead works closely with various IT and business stakeholders to ...

Remote CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 21117

Program Manager (Remote) - Value Based Contracting

Resp & Qualifications (Must be in MD/DC/VA) PURPOSE: The Payment Transformation team designs Value-Based Programs (VBPs) for health systems, primary care providers, and specialists to incentivize the value of care provided to members over t...

Remote CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224

Account Consultant II (Hybrid)

Resp & Qualifications CANDIDATES MUST LIVE IN THE MD, DC, VA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGS. PURPOSE: This position is responsible for renewing/growing a book business which includes comp...

Baltimore, MD CareFirst BlueCross BlueShield

Category Accounting
Management
Job Type Full Time
Zip Code 21224

Business Consultant - Project Management (Remote) - Cost of Care

Resp & Qualifications PURPOSE: The business consultant role will support the Cost of Care (CoC) team and the matrixed operational departments in providing end-to-end project management support in terms of reporting, project deliverable trac...

Remote CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 21224

Director, Corporate Development (Hybrid)

Resp & Qualifications PURPOSE: As a member of the Strategy and Growth division, the Director of Corporate Development leads a team to develop and execute on the inorganic strategy in support of the CareFirst mission and vision. Leveraging p...

Baltimore, MD CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 21224

Director, Corporate Development (Hybrid)

Resp & Qualifications PURPOSE: As a member of the Strategy and Growth division, the Director of Corporate Development leads a team to develop and execute on the inorganic strategy in support of the CareFirst mission and vision. Leveraging p...

Columbia, MD CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 21044

Director, Corporate Development (Hybrid)

Resp & Qualifications PURPOSE: As a member of the Strategy and Growth division, the Director of Corporate Development leads a team to develop and execute on the inorganic strategy in support of the CareFirst mission and vision. Leveraging p...

Washington, DC CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 20002

Senior Sourcing Associate (Remote)

Resp & Qualifications PURPOSE: Executes medium to complex sourcing projects, from start to finish. This role will rationalize the supply base through strategic sourcing, lead cross-functional team to achieve optimal total cost of ownership,...

Remote CareFirst BlueCross BlueShield

Category Legal
Job Type Full Time
Zip Code 21224

Lead Software Engineer, Microservices / API (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

Lead Software Engineer - Informatica ETL (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

Product Owner (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 21224

Lead Software EDI 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

Senior EDI 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 21224

Technical AV Analyst (On-Site)

Resp & Qualifications PURPOSE: Supports and maintains audio-visual technology across the enterprise. Designs and delivers management systems for AV technology. Builds, manages, and sustains critical AV systems, business, and data analysis t...

Baltimore, MD CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 21224

Lead Product Owner (Remote)

Resp & Qualifications PURPOSE: Serves as an authority over Product Owners and product teams to ensure clarity in strategic direction. Brings an expertise to lead and manage project requirements and introduces new, beneficial tools and pract...

Remote CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 21224

Mainframe Database Administrator Lead (Hybrid)

Resp & Qualifications PURPOSE: Assists, defines, and/or oversees database organization, standards, controls, procedures, and documentation. Provides recommendations in the definition, design, and creation of a database environment. Develops...

Reston, VA CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 20191

Clinical Compliance Program Manager (Hybrid)

Resp & Qualifications PURPOSE: Manages end-to-end oversight of clinical business initiatives and clinical compliance efforts for Health Services. Drives teams and internal projects to maintain and enhance program performance over time. Guid...

Baltimore, MD CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224

Provider Relations Representative III (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 Human Resources
Job Type Full Time
Zip Code 21224

Project/Program Management Technical Manager (Hybrid)

Resp & Qualifications PURPOSE: This position will report through Health Services Business unit. Manages one or more small to medium-sized programs/task orders for successful performance consistent with agreements. Manages/develops the progr...

Baltimore, MD CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224
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