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: 26 - 50 of 65 |
Senior Underwriter (Remote)
Resp & Qualifications PURPOSE: Responsible for evaluating applicant situation and circumstances; studying rate tables, codes, computer records and references, and other resources; calculating premium rates; negotiating reinsurance terms; de...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Portfolio Analyst (Remote)
Resp & Qualifications PURPOSE: The Sr. Project Management Office Portfolio Analyst position performs a series of activities in direct support of the Project Portfolio Management function. Primary activities include process management, portf...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Risk Adjustment Coding Specialist (Hybrid)
Resp & Qualifications PURPOSE: The Risk Adjustment Coding Specialist supports prospective risk adjustment via concurrent review and supplemental data CMS filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding fu...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Risk Adjustment Coding Specialist (Hybrid)
Resp & Qualifications PURPOSE: The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing modera...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior IT Project Manager (Remote)
Resp & Qualifications PURPOSE: Sr. 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 corporate...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Risk Adjustment Analyst (Hybrid)
Resp & Qualifications PURPOSE: The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical processes, investigation an...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Accounting Supervisor (Hybrid)
Resp & Qualifications PURPOSE: The Accounting Supervisor is responsible for determining priorities, developing controls and procedures for staff to follow. Responsibilities include organizing, structuring and maintaining a controlled enviro...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21224 |
Actuary Consultant - ASA (Remote)
Resp & Qualifications PURPOSE: The Actuarial Consultant will be primarily responsible for serving as the technical expert and SME for medium to complex projects. Working collaboratively with Actuarial leadership, assists with the developmen...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21117 |
Lead Financial Analyst (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, subcon...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 20024 |
Senior Systems Engineer - Clarity Admin (Remote)
Resp & Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organization information systems that support organizational functions. This is achieved by monitoring, supporting and optimizing all networked s...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
AP Clerk - Treasury (Hybrid)
Resp & Qualifications PURPOSE: Timely identification and posting of daily cash receipts; work with billing areas to ensure premium payments are posted accurately and timely; running and emailing cash receipt reports daily to users; research...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Support Supervisor - HEDIS (Hybrid)
Resp & Qualifications PURPOSE: In this role, the focus will be supporting the annual Hybrid HEDIS Project, Audits, year around Quality Improvements and Initiatives. Supervises and provides daily direction to multifunctional team members reg...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Utilization Management Director (Hybrid)
Resp & Qualifications PURPOSE: We are looking for an experienced clinical leader 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 fr...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Medical Assistant - CloseKnit (Remote)
Resp & Qualifications Please note that the hours for this role are Monday to Friday - 11:00 am - 8:00 pm EST PURPOSE: Provide safe patient care & clinical support. The Medical Assistant maintains efficient patient flow, supports an environm...
Remote CareFirst BlueCross BlueShield
| Category | Admin - Clerical |
| Job Type | Full Time |
| Zip Code | 21224 |
Medical Coding Specialist - SIU (Hybrid)
Resp & Qualifications PURPOSE: Acts as an internal expert to ensure that reimbursement and medical policy guidelines are adhered to. Provides expert knowledge to support effective guidance on the appropriate quality measure capture and prop...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Director, Pharmacy Government Programs (Remote)
Resp & Qualifications Position changed from Hybrid to Remote due to hard-to-fill role. PURPOSE: Director, Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan for government prog...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Litigation Counsel (Hybrid)
Resp & Qualifications PURPOSE: The Litigation General Counsel is responsible for (1) evaluating and analyzing litigation brought by and against CareFirst, Inc., its subsidiaries, and affiliates (the Company); (2) effectively resolving dispu...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 20002 |
Obstetric Care Manager (Remote)
Resp & Qualifications PURPOSE: Under minimal supervision, the Obstetric Nurse Care Manager researches and analyzes an Obstetric member's medical and behavioral health needs and healthcare cost drivers. The Obstetric Nurse Care Manager works...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| 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 all lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State a...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
VP, Chief Ethics & Compliance Officer (Hybrid)
Resp & Qualifications PURPOSE: The VP, Ethics & Compliance oversees and manages the Company's Corporate Ethics & Compliance Program, serving as an independent and objective individual that reviews and evaluates compliance issues and concern...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
AWS Cloud Platform Engineering Manager (Hybrid)
Resp & Qualifications PURPOSE: Seeking an experienced technical and dynamic AWS Cloud Engineering Manager to lead our cloud platform engineering team. The manager will be responsible for designing, implementing, and managing our cloud platf...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
AWS Cloud Platform Automation Engineer (Hybrid)
Resp & Qualifications PURPOSE: Seeking experienced and dynamic AWS Cloud Platform Automation Engineer to provide hands-on technical experience to codify our AWS footprint, including Security and Guardrails. As an AWS Cloud Platform Automati...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
AWS Container Platform Engineer (Hybrid)
Resp & Qualifications PURPOSE: Seeking experienced and dynamic Container Platform Engineer lead to provide hands-on technical experience to engineer, manage, and codify our AWS containers footprint, including establishing Security controls ...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Long Term Investment Officer (Hybrid) - Grants Officer
Resp & Qualifications PURPOSE: Facilitates CareFirst's long-term community investments to advance the company's mission to pursue health equity by addressing social determinants of health. Strategically leverages CareFirst's assets, authent...
Washington, DC CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 20002 |
Senior Cybersecurity Engineer - CTI (Remote)
Resp & Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems by architecting and engineering/developing trusted systems into secure systems. Assists in the development of implementation ...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |