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: 76 - 100 of 101 |
Senior Embedded Compliance Analyst (Hybrid)
Resp & Qualifications PURPOSE: This role will support the division and corporate compliance in the delivery and performance of a compliance program to help ensure compliance and alignment with Federal, State, and related regulatory statutes...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
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 |
Lead ERP Business Analyst (Hybrid)
Resp & Qualifications PURPOSE: The Lead ERP Business Analyst is a hands-on role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business stakeholders and technical teams. This...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| 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...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Technical Analyst (Remote)
Resp & Qualifications PURPOSE: Delivers complex system and data analysis and implements tools and technology for an organization. Maintains various management systems. Build, manage, and sustain systems, data analysis techniques, methods, t...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Appeals Manager - RN (Hybrid)
Resp & Qualifications PURPOSE: This role manages the appeal process for members and providers who appeal on behalf of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the clinical ...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Appeals Nurse (Remote)
Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurse utilizes clinical skil...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Clinical Appeals Supervisor - RN (Hybrid)
Resp & Qualifications PURPOSE: The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on behalf of members for Government Programs lines o...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
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 |
Population Health Strategy Lead Consultant (Hybrid)
Resp & Qualifications PURPOSE: The Population Health Strategy Lead Consultant serves as the primary liaison between CareFirst and several key health care delivery partners, assigned several health systems with single hospitals, generally co...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Systems Principal Engineer - Networking (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 |
Senior Cyber Security Engineer (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 | 20191 |
Senior Contract Specialist (Hybrid)
Resp & Qualifications PURPOSE: Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing input to company, divisi...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Legal |
| 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...
Columbia, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21046 |
Service Navigator - West Baltimore (On-Site)
Resp & Qualifications PURPOSE: The Service Navigator at the CareFirst Community Engagement Center in West Baltimore is responsible for resolving all customer inquiries via phone, walk-ins, email, and in the greater community. These inquirie...
Baltimore, MD CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior Regulatory Compliance Analyst (Remote) - Privacy
Resp & Qualifications PURPOSE: The Senior Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries and provide interpretation of regulatory rules and guidelines to demonstrate complian...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21224 |
Senior IT Project Manager (Remote)
Resp & Qualifications PURPOSE: Senior 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 corpor...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
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 |
Payment Integrity Analyst (Remote)
Resp & Qualifications PURPOSE: The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider manuals, medical policies, and other sources as needed to identify new overpayment...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| 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 |
Supplier Diversity Program Manager (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 |
Oracle ERP Financials Principal (Remote)
Resp & Qualifications PURPOSE: Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the design, implementation, tes...
Remote CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 21117 |
Senior Sourcing Associate (Remote)
Resp & Qualifications PURPOSE: Executes medium to complex sourcing projects, from start to finish. This role will rationalize the supply base through strategic sourcing, lead cross-functional team to achieve optimal total cost of ownership,...
Remote CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 20002 |
Senior Public Policy Analyst - Medicare Advantage (Hybrid)
Resp & Qualifications PURPOSE: The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in support of the company's business objective...
Washington, DC CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 20002 |