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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 69

Senior Software Engineer - Test Automation (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 20002

Quality Assurance Specialist I (Remote)

Resp & Qualifications PURPOSE: The Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. Fairly and consistently reviews team interacti...

Remote CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224

Clinical Navigator (Remote)

Resp & Qualifications PURPOSE: The 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 utilization management inclu...

Remote CareFirst BlueCross BlueShield

Category Nurse
Job Type Full Time
Zip Code 21224

Lead Quality Assurance Engineer - End to End Testing (Remote)

Resp & Qualifications PURPOSE: The Lead Quality Assurance (QA) Engineer, End-to-End Testing (E2E) role focuses on Quality Assurance end-to-end testing within the IT Division in alignment to four distinct Value Streams. The Lead QA E2E indiv...

Remote CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 21117

Board Management 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

Division Advisor (Remote)

Resp & Qualifications PURPOSE: On behalf of Executive Leadership, coordinates all division-wide activities related to strategic planning, budget, corporate reporting and compliance. Assists senior management in the development of divisional...

Remote CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 20002

Lead Regulatory Compliance Analyst (Remote)

Resp & Qualifications PURPOSE: The Lead Regulatory Compliance Analyst will conduct independent analysis for the most complicated, high level regulatory inquiries and provide interpretation of regulatory rules and guidelines to demonstrate c...

Remote CareFirst BlueCross BlueShield

Category Legal
Job Type Full Time
Zip Code 21224

Commercial Accounts Director (Mid-Market) Remote

Resp & Qualifications PURPOSE: The Director, Commercial Accounts (middle-markets) provides strategic direction to the Large Commercial Account Consultants to ensure maximum customer medical retention and ancillary growth is achieved for an ...

Remote CareFirst BlueCross BlueShield

Category Management
Accounting
Job Type Full Time
Zip Code 21224

Account Manager II - Third Party Administrator (TPA) (remote)

Resp & Qualifications PURPOSE: This position is a critical resource within the Account Management Team providing consultative expertise on benefits, products, and capabilities. Responsible for promoting new and existing products or services...

Remote CareFirst BlueCross BlueShield

Category Management
Accounting
Job Type Full Time
Zip Code 21224

Account Manager II - Third Party Administrator (TPA) (remote)

Resp & Qualifications This position is primarily REMOTE but candidates must live in the MD, DC, VA area in order to travel into the offices and to client meetings. PURPOSE: This position is a critical resource within the Account Management ...

Remote CareFirst BlueCross BlueShield

Category Accounting
Management
Job Type Full Time
Zip Code 21224

Senior Corporate Strategy Consultant (Hybrid)

Resp & Qualifications PURPOSE: Provide opinion-driven, analytical research for senior corporate decision-makers on emerging and future-focused healthcare sector trends. Facilitate dialogue with executive leadership to inform and shape CareF...

Washington, DC CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 20002

Senior Financial Analyst - Fixed Assets and Strategic Investments (Remote)

Resp & Qualifications Purpose : Oversees various financial functions such as budgeting, auditing, forecasting and analysis. Provides financial support to the business, including but not limited to cost accounting, revenue recognition, subco...

Remote CareFirst BlueCross BlueShield

Category Finance
Job Type Full Time
Zip Code 21224

Proposal Development Manager (Hybrid)

Resp & Qualifications This position is HYBRID in Maryland and requires frequent travel into the officed of 2-3 days a week. PURPOSE: The Manager, Proposal Development manages a team of proposal development consultants to create consistent, ...

Owings Mills, MD CareFirst BlueCross BlueShield

Category Telecommunications
Job Type Full Time
Zip Code 21117

Venture Capital Manager (Hybrid)

Resp & Qualifications PURPOSE: The Venture Capital Manager will play a key role in sourcing and evaluating new investment opportunities, executing on investment theses, and supporting our portfolio companies. ESSENTIAL FUNCTIONS: Seek out n...

Washington, DC CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 20002

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...

Baltimore, MD CareFirst BlueCross BlueShield

Category Customer Service
Job Type Full Time
Zip Code 21224

Senior Project Manager (Hybrid)

Resp & Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget for Retrospective Risk Adjustment Activities for Chart Retrieval and Coding within...

Baltimore, MD CareFirst BlueCross BlueShield

Category Management
Job Type Full Time
Zip Code 21224

Office of the CEO Operations Intern -Fall Recruitment (Hybrid)

Resp & Qualifications PURPOSE: Support the Office of the CEO in development of social determinants of health platform, including research, data analysis, document creation and project management. PRINCIPAL ACCOUNTABILITIES: Under the genera...

Baltimore, MD CareFirst BlueCross BlueShield

Category Admin - Clerical
Job Type Part Time
Zip Code 21224

Clinical Navigator (Remote)

Resp & Qualifications PURPOSE: The 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 case management and utilization management inclu...

Remote CareFirst BlueCross BlueShield

Category Nurse
Job Type Full Time
Zip Code 21224

Senior Clinical Medical Review Nurse (Remote)

Resp & Qualifications PURPOSE: The Sr Clinical Medical Review Nurse handles day to day review of complex professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefi...

Remote CareFirst BlueCross BlueShield

Category Nurse
Job Type Full Time
Zip Code 20002

Community Health Navigator (Remote)

Resp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING COUNTIES: Talbot, Caroline, Dorchester, or Wicomico PURPOSE: This position will support the Maryland government programs division, working as a bridge between the member, c...

Remote CareFirst BlueCross BlueShield

Category Health Care
Management
Job Type Full Time
Zip Code 21224

Care Manager (Remote)

Resp & Qualifications We are looking for an experienced professional to live and work remotely from within the greater Baltimore area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/...

Remote CareFirst BlueCross BlueShield

Category Health Care
Management
Job Type Full Time
Zip Code 21224

Senior Business Consultant - Cost of Care Team (Remote)

Resp & Qualifications PURPOSE: The Sr. 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. ESSENTIAL FUN...

Remote CareFirst BlueCross BlueShield

Category Strategy - Planning
Job Type Full Time
Zip Code 21224

Creative Director (Hybrid)

Resp & Qualifications PURPOSE: Serves as the creative lead for the enterprise, bringing creative concepts to life through the design, development and publishing of public-facing websites, email, social media, online ads, other digital conte...

Baltimore, MD CareFirst BlueCross BlueShield

Category Telecommunications
Job Type Full Time
Zip Code 21224

Lead Software Engineer (Remote)

Resp & 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...

Remote CareFirst BlueCross BlueShield

Category Information Technology
Job Type Full Time
Zip Code 21117

Spec, Provider Credentialing I (Remote)

Resp & Qualifications PURPOSE: This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organizati...

Remote CareFirst BlueCross BlueShield

Category Human Resources
Job Type Full Time
Zip Code 21224
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