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: 51 - 75 of 101 |
AWS Cloud Platform Engineer Principle (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...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
Lead Software 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 | 20191 |
Quality Specialist (Hybrid)
Resp & Qualifications PURPOSE: Utilizing the population health frameworks provided by NCQA Accreditation, HEDIS and CMS, this position is responsible for delivering culturally appropriate health promotion information to members that helps i...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Investigator (Hybrid)
Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of all levels (low...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Cybersecurity Architecture Manager (Remote)
Resp & Qualifications PURPOSE: You will be responsible for managing CareFirsts Cybersecurity Architecture team, with a strong emphasis on cloud, identity, and infrastructure security. Working with Cybersecurity Strategy, you will develop th...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Lead Software 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 | 21117 |
Data Analytics Manager (Hybrid)
Resp & Qualifications PURPOSE: Purpose of the Data Analytics Manager is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
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 |
Account Consultant IV - Labor Union Market (Hybrid)
Resp & Qualifications PURPOSE: This position is responsible for renewing/growing a Taft Hartley book business which includes the most complex and jumbo accounts with indemnity, self-funded, shared administration, and managed care medical pr...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Management
Accounting |
| Job Type | Full Time |
| Zip Code | 21224 |
Sourcing Associate - Procurement (Remote)
Resp & Qualifications PURPOSE: This position leads and conducts proposal preparation, contract drafting and negotiation for goods and services to ensure stakeholder requirements are satisfied. ESSENTIAL FUNCTIONS: This position leads the en...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Quality Review Nurse (Remote)
Resp & Qualifications PURPOSE: The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs (Maryland Medicare and Medicaid). This includes a...
Remote CareFirst BlueCross BlueShield
| Category | Nurse |
| Job Type | Full Time |
| Zip Code | 21224 |
Sales & Commercial Markets 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 |
Functional Credentialing Analyst I (Hybrid)
Resp & Qualifications PURPOSE: Provides analysis and reporting for practitioners credentialing and institutional credentialing and ancillary providers by obtaining provider related data; analyzing gaps in provider records; designing solutio...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Risk Management Analyst (Hybrid)
Resp & Qualifications PURPOSE: The Risk Analyst is responsible for supporting and facilitating operational risk programs designed to ensure the identification and mitigation of risks; the management of controls and safeguards to minimize th...
Reston, VA CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 20191 |
Nurse Informatics Analyst (Hybrid)
Resp & Qualifications PURPOSE: The incumbent will serve as the primary interface between the clinical and information systems teams, applying knowledge of nursing and informatics science to ensure the design, development, implementation and...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Strategy Associate (Hybrid)
Resp & Qualifications PURPOSE: The Senior Strategy Associate primarily supports Business Consulting Group consultants in the conduct of strategy-phase projects aligned to CareFirst's corporate goals. Position will interact frequently with a...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 21224 |
Government Programs 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 |
Strategy & Planning 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 |
Healthworx 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 |
Strategic Enablement, Communications and Operations (SECO) 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 |
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 |
Director, ACA Individual (Hybrid)
Resp & Qualifications PURPOSE: The Director, ACA Individual provides leadership for the operation of the ACA Individual programs across multiple jurisdictions, including strategic direction for the development and expansion the business, en...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Management
Accounting |
| Job Type | Full Time |
| Zip Code | 21224 |
Digital Products Manager (Remote)
Resp & Qualifications PURPOSE: Leads the strategic direction of the Batch Data Exchange digital product portfolio and guides the strategy and roadmap for all products in the portfolio. Leads a team of Product Owners and Business/Data Analys...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
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 |
Utilization Management Specialist (Remote)
Resp & Qualifications PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |