125 jobs found with CareFirst BlueCross BlueShield a company that value diversity

Sales Consultant II - New Business Development (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications CANDIDATES MUST LIVE IN THE MD, DC, NORTHERN VIRGINIA AREA IN ORDER TO TRAVEL INTO THE OFFICES AND FOR CLIENT MEETINGS AND STAFF MEETINGSPURPOSE:This position is responsible for...

Oct 15, 2025

Baltimore, MD

Project Coordinator - Cost of Care (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: Coordinates well-defined projects and/or supports the work of a team of project/program management professionals. Tracks progress and assist with documentatio...

Oct 14, 2025

Baltimore, MD

Clinical Appeals Supervisor (Hybrid)

CareFirst BlueCross BlueShield

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 o...

Oct 14, 2025

Baltimore, MD

Product Manager - Fusion (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: Develops and Implements strategy for the company's product line and is responsible for the product planning and execution throughout the Product Lifecycle, includi...

Oct 14, 2025

Baltimore, MD

Onsite Care Management Supervisor (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Inpatient Management Onsite Care Management Supervisor will direct and coordinate the activities of Onsite Care Management staff, Onsite Clinical Navigators an...

Oct 14, 2025

Baltimore, MD

Onsite Clinical Navigator (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth tran...

Oct 14, 2025

Baltimore, MD

Vice President, Business Software Development (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: This leader is responsible for developing and delivering system solutions for Claims Processing, Enrollment Operations and Customer and Member Services. Also...

Oct 11, 2025

Washington, DC

Director, Commercial Accounts - Middle Market (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings.PURPOSE:Are you ready to lead a dynamic team and drive...

Oct 11, 2025

Columbia, MD

Director, Commercial Accounts - Middle Market (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications Candidates must live in the MD/DC/VA surrounding areas in order to travel frequently into the offices and client meetings.PURPOSE:Are you ready to lead a dynamic team and drive...

Oct 11, 2025

Baltimore, MD

Care Manager (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: This position will support the Maryland government programs care management team, specifically the Medicare Advantage line of business. The Care Manager help...

Oct 10, 2025

Baltimore, MD

Business Consultant - Clinical Products (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the c...

Oct 10, 2025

Baltimore, MD

Onsite Clinical Navigator (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Inpatient Management Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the t...

Oct 9, 2025

Baltimore, MD

Senior Actuary - Member Analytics/Population Health (Remote)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: Performs advanced actuarial and management skills in the support of departmental and company objectives. Oversees and directs the work of Actuarial staff and repre...

Oct 8, 2025

Baltimore, MD

Regulatory Compliance Analyst (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Regulatory Compliance Analyst will conduct independent analysis and determination regarding the eligibility and legal appropriateness of provider open negotiat...

Sep 30, 2025

Baltimore, MD

Regulatory Compliance Analyst (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications PURPOSE: The Regulatory Compliance Analyst will conduct independent analysis and determination regarding the eligibility and legal appropriateness of provider open negotiat...

Sep 30, 2025

Baltimore, MD

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