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CareFirst

CareFirst in United States

26 jobs at CareFirst in United States

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  • CareFirst

    Networking/Hiring Event

    2 weeks ago

    CareFirst Baltimore, United States

    Resp & Qualifications · Join Our Team of Difference Makers · At CareFirst, were building the healthcare experience we want for our families, and for our future. Every day, we make a meaningful difference in the communities where we live and work. · Our Health Services and Fin ...

  • CareFirst

    Hiring Event

    2 weeks ago

    CareFirst Baltimore, United States

    Resp & Qualifications · Join Our Team of Difference Makers · At CareFirst, were building the healthcare experience we want for our families, and for our future. Every day, we make a meaningful difference in the communities where we live and work. · Our and Finance team is an ...

  • CareFirst

    Venture Capital Analyst

    1 week ago

    CareFirst Washington DC, United States

    **Resp & Qualifications** · **PURPOSE:** · The Venture Capital Analyst sources and evaluates new investment opportunities, executing on investment theses, and supporting our portfolio companies. Additionally, the Venture Capital Analyst understands how innovative technologies and ...

  • CareFirst

    Dental Customer Service Advocate I

    1 week ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **PURPOSE:** · Responsible for answering member, provider & broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education ...

  • CareFirst

    Senior Provider Contracting Specialist

    6 days ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **PURPOSE:** · This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental and Professional contracts as well as the contracting of more complex high-performance provider networks. Perfor ...

  • CareFirst

    manager, product lifecycle

    1 week ago

    CareFirst Baltimore, MD, United States

    **Resp & Qualifications** · **PURPOSE:** · Manages product lifecycle (strategy, design, execution, and optimization) for products and plans in the Medicare, Medicaid, and Federal Employee Health Benefits categories. Leads the team in assessing product performance, forecast sales ...

  • CareFirst

    Director of Medical Staff Office

    2 weeks ago

    CareFirst Seattle, WA, United States

    Director, Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid). This role has oversight of pharmacy staff and develops and maintains collaborative relationships with clin ...

  • CareFirst

    Director, Solutions Architecture

    2 weeks ago

    CareFirst Reston, United States

    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 and strategy and setting direction ...

  • CareFirst

    Networking/Hiring Event

    1 week ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **Join Our Team of Difference Makers** · At CareFirst, were building the healthcare experience we want for our families, and for our future. Every day, we make a meaningful difference in the communities where we live and work. · Our Health Services and ...

  • CareFirst

    nurse practitioner

    3 days ago

    CareFirst Baltimore, MD , USA, United States

    **Resp & Qualifications** · **PURPOSE:** · We are currently hiring a Nurse Practitioner to join our CloseKnit team to delivery hybrid in-person and virtual care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovating ...

  • CareFirst

    pediatric care manager

    1 week ago

    CareFirst Baltimore, MD , USA, United States

    **Resp & Qualifications** · **PURPOSE:** · Under minimal supervision, the Pediatric Commercial Care Manager researches and analyzes a Pediatric member's medical and behavioral health needs and healthcare cost drivers. The Pediatric Care Manager works closely with the Pediatric me ...

  • CareFirst

    clinical navigator

    1 week ago

    CareFirst , MD, United States

    **Resp & Qualifications** · **PURPOSE:** · The 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 care management and utilization management including proficiency in establis ...

  • CareFirst

    oncology care manager

    3 days ago

    CareFirst Baltimore, MD , USA, United States

    **Resp & Qualifications** · **PURPOSE:** · Under minimal supervision, the Oncology Commercial Care Manager researches and analyzes an Oncology member's medical and behavioral health needs and healthcare cost drivers. The Oncology Care Manager works closely with the Oncology membe ...

  • CareFirst

    Clinical Data Coordinator

    1 week ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **PURPOSE:** · We are looking for an experienced professional 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 from home and a portion of their ...

  • CareFirst

    Pediatric Medical Director

    1 week ago

    CareFirst Baltimore, United States

    **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 - specifically with the pediatric members and ...

  • CareFirst

    Director, Cost of Care

    1 week ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **_Join us at CareFirst where we make a difference in our member's lives by fulfilling our mission to:_** · **_-_** Provide affordable and accessible health insurance to the plans insured and those persons insured or issued health benefit plans by affi ...

  • CareFirst

    Senior Cyber Security Analyst

    1 week ago

    CareFirst Washington DC, United States

    To ensure the organization's data remains protected from inappropriate access, disclosure and/or damage. To advocate for and execute the processes and practices of the Cybersecurity team while supporting business and customer needs. · **Suggests improvement initiatives through r ...

  • CareFirst

    Director, Experience

    1 week ago

    CareFirst Washington DC, United States

    **Resp & Qualifications** · **PURPOSE:** · As a member of the Enterprise Strategy Division, you will play a critical role in driving customer-centric strategies using data-driven insights to improve experiences for key business segments. The segments include brokers, customers, p ...

  • CareFirst

    Actuarial Associate

    1 week ago

    CareFirst Owings Mills, United States

    Resp & Qualifications · Purpose : · This position oversees and directs the work of analysts in a supervisory capacity. This position is responsible for implementing departmental strategy and policies in order to meet team goals, as well as making recommendations to Actuarial ma ...

  • CareFirst

    Medical Policy Analyst

    1 week ago

    CareFirst Baltimore, United States

    **Resp & Qualifications** · **PURPOSE:** · In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and operating procedures to support the corporate philosophy, provider and member contracts, and accepte ...