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 89 |
Behavioral Health Business Consultant (Hybrid)
Resp & Qualifications PURPOSE: The Business Consultant in Health Services provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare environm...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 21224 |
AWS Container Platform Architect-Principal (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...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
SIU Data Analyst (Hybrid)
Resp & Qualifications PURPOSE: The main purpose of a data analyst is to find meaning in data so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. ESSENTIAL FUN...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Settlements Analyst I (Hybrid)
Resp & Qualifications PURPOSE: The Settlement Analyst is an entry level position responsible for the invoicing and accounts receivable activities for groups with special funding arrangements comprising of administrative services only (ASO) ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21224 |
Project Manager Non-IT (Remote)
Resp & Qualifications This position is NON IT and reports to Operations - Business Integration. The role includes focus on process improvement, analysis and project management. PURPOSE: Plans, organizes, and manages small to mid-scale proje...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Service Optimization Director - Customer Service (Remote)
Resp & Qualifications PURPOSE: The Director, Service Optimization is a key strategic leader responsible for driving service operations and workforce management optimization, enhancing service delivery and modernization, executing mission-cr...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Systems Engineer-IBM B2B Administrator (Remote)
Resp & Qualifications PURPOSE: Defines, designs and develops system requirements. Performs trade-off analysis of performance, life-cycle cost, risk, producibility, and other system or program requirements. Assesses architecture and current ...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Specialty Program Manager - Ancillary General Agency (Remote)
Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives for CareFirst's Ancillary General Agency (Disability, Life & Supplemental Health). Drives teams and internal projects to maintain and enhance program perfor...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Principal Product Manager - Payer Data (Remote)
Resp & Qualifications PURPOSE: Your role involves managing the entire lifecycle of enterprise data products and services to align with company goals. You will lead the strategic direction of data products and coordinate teams of business le...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Claims Operations Manager, Medicare/Medicaid MD,DC,VA (Remote)
Resp & Qualifications PURPOSE: Manages the daily activities of a multi-functional operations area. Functional areas may include but not limited to: installation, implementation, client support, client services, client administration, custom...
Remote CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 22031 |
Systems Engineer Pn-Mainframe (Remote)
Resp & Qualifications PURPOSE: Manages, defines, designs, and develops system requirements. Performs trade-off analyses of performance, life-cycle cost, risk and other system or program requirements. Assesses architecture. sub systems and c...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
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 makin...
Remote CareFirst BlueCross BlueShield
| Category | Finance |
| Job Type | Full Time |
| Zip Code | 21117 |
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...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
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 |
Program Manager - NCQA (Hybrid)
Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives that include oversight of Health Plan and Health Equity accreditation. Enhance program performance in preparation for NCQA submission. Guides stakeholders t...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior ERP Business Analyst (Remote)
Resp & Qualifications PURPOSE: CareFirst is in the process of consolidating its front-end customer facing systems and at the same time it has begun the process of assessing and updating its back-office HR, Finance, Procurement systems. To s...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Care Management Coordinator I (Remote)
Resp & Qualifications PURPOSE: Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. We are looking for an experienced professional...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Care Manager (Hybrid)
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...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Domain Architect, (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...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Business Intelligence Analyst - Remote
Resp & Qualifications PURPOSE: This role will support the business and analytic needs for the Care Management Department to include Commercial Risk, MD Medicaid, DSNP, and Medicare Advantage. Utilizes data analytics and supports a set of bu...
Remote CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 21224 |
Data Platforms and Operations Director (Remote)
Resp & Qualifications PURPOSE: We are seeking a transformative leader to oversee the administration of our data platforms and operations, inclusive of integration & ETL, data warehouse management, and BI tooling administration. This Directo...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Cyber Security Engineer (Remote)
Resp & Qualifications PURPOSE: Develops and implements network load balancing solutions. Administers load balancing technology systems by architecting and engineering/developing trusted systems into secure systems. Assists in the developmen...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Clinical Pharmacist Associate (Hybrid)
Resp & Qualifications PURPOSE: The Clinical Pharmacist Associate will serve as a medication expert supporting a broad range of member facing professional activities and responsibilities. This position is responsible for the comprehensive ma...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Data Analyst (Remote) - Quality, STARS & Risk Adjustment
Resp & Qualifications PURPOSE: The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the Director of Risk Adjustment by monitoring and reportin...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Assistant General Counsel (Hybrid)
Resp & Qualifications PURPOSE: The Assistant General Counsel I provides a range of highly specialized legal services in support of the General Counsel, Deputy General Counsel, managing Assistant General Counsel, and executive management in ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |