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: 101 - 125 of 151 |
Director, Enterprise Architecture Technology (Hybrid)
Resp & Qualifications PURPOSE: Provides the vision and strategy to lead the enterprise through the development of the enterprise architecture strategy and target state, the technology strategy and rationalized domain architecture road maps ...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Planning & Governance Consultant (Hybrid)
Resp & Qualifications PURPOSE: Provide planning and governance oversight for the enterprise in partnership with senior decision-makers. Facilitate dialogue with divisional leaders and goal owners to inform and shape CareFirst's strategy dev...
Washington, DC CareFirst BlueCross BlueShield
| Category | Strategy - Planning |
| Job Type | Full Time |
| Zip Code | 20002 |
Care Manager (Remote)
Resp & Qualifications PURPOSE: Under minimal supervision, the FEP 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 interdisc...
Remote CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 20002 |
Architect, Solutions Pn (Hybrid)
Resp & Qualifications PURPOSE: Responsible for establishing strategic technology direction and creating solution architecture for large complex initiatives/projects. Responsible for the strategic design of technical solutions for complex bu...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20024 |
Medical Director, Behavioral Health (Hybrid)
Resp & Qualifications PURPOSE: The Behavioral Health Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness related to behavioral health and substance use. The crit...
Washington, DC CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 20002 |
Procurement Analyst (Hybrid)
Resp & Qualifications PURPOSE: Oversees various procurement functions by coordinating with various teams and ensuring on time completion of procurement process. Provides financial support to the business, including but not limited to cost a...
Washington, DC CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 20024 |
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 |
Manager, Strategy & Data Analytics (Hybrid)
Resp & Qualifications PURPOSE: Purpose of the Manager, Strategy and Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. This role will sit within the Strategy division, and the Man...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20002 |
Principal Systems Engineer (Hybrid)
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...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20024 |
Nurse Practitioner - CloseKnit (Hybrid)
Resp & Qualifications PURPOSE: We are currently hiring a Nurse Practitioner to join our CloseKnit team. CloseKnit is a virtual first advanced primary care practice that will be opening the first in person site in Baltimore /Canton, Maryland...
Remote CareFirst BlueCross BlueShield
| Category | Nurse |
| Job Type | Full Time |
| Zip Code | 21224 |
Contracts Attorney (Hybrid)
Resp & Qualifications PURPOSE: This position reviews Strategic Sourcing and Procurement contracts to ensure legal, compliance, risk management, and overall contract quality assurance. This position is also directly responsible for drafting ...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category | Legal |
| Job Type | Full Time |
| Zip Code | 21117 |
Senior Project Manager IT (Hybrid)
Department Department: GQV1Y (eService/iService) Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified ...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Project Manager IT (Hybrid)
Department Department: SBPOP (SBP Operations Center) Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualif...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20024 |
Project Manager IT Sr (Hybrid)
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...
Washington, DC CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20024 |
Medical Director (Hybrid)
Resp & Qualifications PURPOSE: The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed treatments and approve care management plans. The critical res...
Washington, DC CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 20002 |
Director, Market Intelligence and Analytics (Hybrid)
Resp & Qualifications PURPOSE: As a member of the Enterprise Strategy Division, the Director of Market Intelligence and Analytics leads a team of professionals focused on the collection and synthesis of information that provides insights an...
Washington, DC CareFirst BlueCross BlueShield
| Category | Marketing |
| Job Type | Full Time |
| Zip Code | 20002 |
Lead Product Owner (HYBRID)
Resp & Qualifications PURPOSE: Leads the planning, development, and application of enterprise architecture to achieve business strategies and transformations. Possesses a strong understanding of multiple business areas in the enterprise. Su...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Senior Product Owner (HYBRID)
Resp & Qualifications PURPOSE: Drives value to the business by building, managing, and maintaining Product Backlog(s) in collaboration with IT teams, based on magnitude, scope and complexity. Represents the business to the team and defines ...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Director, Solutions Architecture (Hybrid)
Resp & Qualifications PURPOSE: Partners with business, technical, and product leaders to review current and future technical capabilities and develop plans to address critical capability gaps. Responsible for aligning with corporate vision ...
Reston, VA CareFirst BlueCross BlueShield
| Category | Information Technology |
| Job Type | Full Time |
| Zip Code | 20191 |
Spec, Utilization Management
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...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
Specialist, Utilization Management (Hybrid)
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...
Baltimore, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21224 |
1Medicare Secondary Payer COB Representative I (Remote)
Resp & Qualifications PURPOSE: The Representative, MSP COB I focus on Medicare Secondary Payer (MSP) claims, Coordination of Benefits (COB) Claims or both. Investigates Medicare Secondary Payer and/or COB cases to resolve quickly. Investiga...
Remote CareFirst BlueCross BlueShield
| Category | Customer Service |
| Job Type | Full Time |
| Zip Code | 21502 |
Wellbeing Consultant (Hybrid)
Resp & Qualifications PURPOSE: As a Wellness and Health Education Coordinator, you will develop worksite wellness programs on behalf of CareFirst for the City of Baltimore (COB). You will develop, implement, coordinate and facilitate activi...
Owings Mills, MD CareFirst BlueCross BlueShield
| Category |
Health Care
Management |
| Job Type | Full Time |
| Zip Code | 21117 |
Software QA/Test Analyst (Hybrid)
Resp & Qualifications PURPOSE: Responsible for developing, modifing, and executing software test plans, test scenarios, defines and solves for test data needs, automated scripts, and programs for testing in order to ensure the outgoing soft...
Reston, VA CareFirst BlueCross BlueShield
| Category | Other |
| Job Type | Full Time |
| Zip Code | 20191 |
Project/Program Management Manager (Hybrid)
Resp & Qualifications PURPOSE: Manages one or more small to medium-sized programs/task orders for successful performance consistent with agreements. Manages/develops the program budget, schedule and operating procedures, and manages program...
Reston, VA CareFirst BlueCross BlueShield
| Category | Management |
| Job Type | Full Time |
| Zip Code | 20191 |