CareFirst BlueCross BlueShield Jobs in United States

CareFirst BlueCross BlueShield is a leading health insurance provider committed to delivering innovative and comprehensive healthcare solutions to its members. · The ServiceNow Architect and Lead Developer will play a pivotal role in shaping and advancing CareFirst's customer ser ...

Manages one or more small to medium-sized programs/task orders for successful performance consistent with agreements. · ...

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 changing healthcare environment. · ESSENTIAL FUNCTIONS: · Provide subject matter ex ...

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. · ...

+Job summary · We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model.+ · Bachelor's Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in ...

This role is responsible for building and managing open negotiation notices (ONNs) received from non-participating providers as part of the No Surprises Act (NSA) Independent Dispute Resolution process. Identifies non-participating providers that may be receptive to participating ...

Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies.Translates business needs for the domain into architectural solutions that meet p ...

This position is responsible for promoting new and existing products or services through the development and delivery of tactical marketing and communication initiatives. · The Account Manager III provides consultative expertise on benefits, products, and capabilities, · This rol ...

The incumbent is required to support the prevention, reduction of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims. · We are seeking a Senior Nurse Investigator who will provide clinical knowledge to the SI team to support both ...

Senior IT project manager leads plans executes monitors controls and closes projects for the enterprise project management office overseeing and directing complex $5M+ corporate initiatives involving stakeholder groups across several organizational work streams utilizing agile me ...

A leading health insurance provider is seeking a Pharmacy Supply Chain Director to oversee financial and analytic functions within its Pharmacy Management department. This role involves leading rebate reconciliations, ensuring compliance, and building analytics capabilities. The ...

This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and across the company.Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network providers inc ...

Overview · Serves as a senior authority over Product Owners and product teams, ensuring strategic alignment and clarity. Leverages extensive expertise to lead and manage complex project requirements, introducing innovative tools and best practices. Oversee the development of prod ...

Defines system requirements and designs and develops system specifications. Coordinates design of subsystems and integration of total system. · ...

Job Description: · The Lead Reporting Analyst provides advanced expertise in developing and maintaining reports, dashboards, and data repositories to meet business intelligence requirements. · Fulfill complex regulatory reporting requirements. · Develop client/customer presentati ...

Manage the Sales Compensation and Broker Administration teams responsible for processing internal sales incentives, administering broker contracts and compensation programs. · Supervise and develop the Sales Compensation and Broker Administration teams. · ...

The Senior Assistant General Counsel provides highly specialized legal services in support of the General Counsel and executive management. · Provides written and oral advice directly to executive management in complex areas of the law. · ...

Resp & Qualifications · We are looking for an experienced professional in the greater Baltimore/Washington 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 week at ...

Overview · Resp & Qualifications The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare industry. · Responsibilities · Provide subject matter experti ...

PURPOSE: · Supports the analysis and evaluation of business problems and the development of solutions to address identified problems. Provides a single point of contact for those projects. Takes projects from original concept through final implementation. Assignments typically i ...