Carefirst Jobs

Resp Qualifications PURPOSE: Responsible for evaluating applicant situation and circumstances; studying rate tables, codes, computer records and references, and other... Read More

Resp Qualifications PURPOSE: Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the... Read More

Resp Qualifications PURPOSE: Provides Machine Learning service to BCBS plans to improve claim processing, provider prediction, and automation that reducing human... Read More

Resp Qualifications PURPOSE: You will be responsible for managing CareFirsts Cybersecurity engineering team, with a strong emphasis on cloud, identity, and infrastructure... Read More

Resp Qualifications PURPOSE: Under minimal supervision, the Oncology Commercial Care Manager researches and analyzes an Oncology member's medical and behavioral health... Read More

Resp Qualifications This position is remote but candidate must live in the DC/VA/MD region to attend local events. (Primarily in DC and VA) PURPOSE: Develops relationships... Read More

Resp Qualifications PURPOSE: Triage and develops case leads for the department, using various data sources and employing statistical analysis and reporting skills.... Read More

Resp Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective... Read More

Resp Qualifications PURPOSE: Executes medium to complex sourcing projects, from start to finish. This role will rationalize the supply base through strategic sourcing,... Read More

Resp Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management... Read More

Resp Qualifications PURPOSE: Facilitates training to clients to enhance product, program or corporate initiative proficiency and increase organizational performance. Leads... Read More

Resp Qualifications Candidates MUST live in the MD, DC, VA area in order to travel into the offices and for client meetings. PURPOSE: The Broker Relations Advisor's... Read More

Resp Qualifications Although this position is REMOTE, candidates MUST live in the MD, DC, VA , PA, DE and surrounding areas in order to travel to offices and client... Read More

Resp Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget. Initiates,... Read More

Resp Qualifications PURPOSE: We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The... Read More

Resp Qualifications PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost... Read More

Resp Qualifications PURPOSE: The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of... Read More

Resp Qualifications PURPOSE: The Sr. Data Analyst will be responsible for driving strategy and delivery of two key analytic tools that will be built using provider and... Read More

Resp Qualifications PURPOSE: The Social Worker (SW) may support the Care Managers, Supervisors, Manager, and Director of Care Management for the FEP Population. They are... Read More