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 101 |
Clinical Appeals Supervisor (Hybrid)
Resp & Qualifications PURPOSE: The Clinical Appeals Supervisor directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on behalf of members for Commercial and Government Progra...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Digital Products Manager (Hybrid)
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...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Software Engineer - Night Shift Support (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 |
Vice President, Government Affairs - Maryland (Hybrid)
Resp & Qualifications PURPOSE: Responsible for the strategic development and implementation of Government Affairs activities to support, promote and protect business objectives and policies of the company. Coordinates, communicates and impl...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
Vice President, Clinical Operations (Hybrid)
Resp & Qualifications NOTE: We are looking for an experienced 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 from home and ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Vice President, Chief Medical Officer (Hybrid)
Resp & Qualifications Note: 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 from ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Scrum Master - API Development & Integration (Hybrid)
Resp & Qualifications PURPOSE: Join our team and be at the forefront of creating the next-generation API Development & Integration Platform thats driving CareFirst's cloud-native engineering, seamlessly integrating the agility of API-first ...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21117 |
Senior Data Scientist (Hybrid) - Epidemiologist
Resp & Qualifications PURPOSE The Sr. Data Scientist is responsible for managing health equity data governance and advancing data initiatives across the enterprise. This role plays a critical part in supporting and advancing health equity a...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| 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 |
Principal Business Architect - Health Plan Operations (Hybrid)
Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translate...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Provider Contracting Specialist (REMOTE)
Resp & Qualifications ***Must Reside in the CareFirst Service area (MD-DC-VA)*** PURPOSE: This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contract...
Remote CareFirst BlueCross BlueShield
| Category | Human Resources |
| Job Type | Full Time |
| Zip Code | 21224 |
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...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21117 |
Director, Government Affairs - Maryland (Hybrid)
Resp & Qualifications PURPOSE: The Government Affairs Director will be responsible for helping develop Maryland Government Affairs strategy, communications and advocacy to support, promote and protect business objectives and policies of the...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Database Administrator (Remote)
Resp & Qualifications PURPOSE: Designs, implements, and maintains databases with respect to access methods, access time, batch processes, device allocation, validation checks, organization, protection and security, documentation, and statis...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
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 |
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 |
Principal Data Engineer- Ab Initio Administrator (Remote)
Resp & Qualifications PURPOSE: Applies data extraction, transformation and loading techniques in order to connect large data sets from a variety of sources. Creates data collection frameworks for structured and unstructured data. Develops a...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Marketing & Communications Intern - Strategy & Growth Division - MD, DC, VA (Summer 2025 Recruitment) - (Hybrid)
Resp & Qualifications CareFirsts Strategy & Growth division is accepting internship applications for our Summer 2025 program, spanning the companys venture capital, management consulting, marketing and communications, and strategic marketin...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Admin - Clerical |
| Job Type | Part Time |
| Zip Code | 21224 |
Senior Venture Capital Associate (Hybrid)
Resp & Qualifications PURPOSE: The Senior Venture Capital Associate sources and evaluates new investment opportunities, supports the execution of investment theses, and lends assistance to our portfolio companies. ESSENTIAL FUNCTIONS: Pipel...
Washington, DC CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 20002 |
Actuarial Associate - ASA (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 makin...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21117 |
Program Manager - Clinical Support Services (Hybrid)
Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decisions, communicates and coord...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Navigator (Hybrid)
Resp & Qualifications The candidate may also be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. Bilingual - fluent in Spanish a big plus! PURPOSE: The Clinical Nav...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Nurse |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Navigator (Hybrid)
Resp & Qualifications PURPOSE: The On-Site 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 manageme...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Nurse |
| Job Type | Full Time |
| Zip Code | 21224 |
Care Manager (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 |
Vice President of Commercial Accounts - Public and Labor (Hybrid)
Resp & Qualifications PURPOSE: The VP of Public and Labor Sales and Service is responsible for the overall management for the company's business retention and development based on company goals that will promote sales growth and client sati...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Management
Accounting |
| Job Type | Full Time |
| Zip Code | 21224 |