Job search for veterans in Microsoft

Population Health Strategy Lead Consultant (Hybrid)

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: The Population Health Strategy Lead Consultant serves as the primary liaison between CareFirst and several key health care delivery partners, assigned several health systems with single...

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Venture Capital Manager (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

28 days

Resp & Qualifications PURPOSE: The Venture Capital Manager will play a key role in sourcing and evaluating new investment opportunities, executing on investment theses, and supporting our portfolio companies. ESSENT...

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Risk Management Analyst (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

24 days

Resp & Qualifications PURPOSE: The Risk Analyst is responsible for supporting and facilitating operational risk programs designed to ensure the identification and mitigation of risks; the management of controls and.....

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Digital Products Manager (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

19 days

Resp & Qualifications PURPOSE: Leads and manages the digital product team acting as the day-to-day manager; first point of escalation and day to day approval for implementing strategies designed to......

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Provider Contracting Specialist (REMOTE)

CareFirst BlueCross BlueShield

Baltimore, Maryland

9 days

Resp & Qualifications Candidate must reside in the CareFirst service area (MD, DC & VA)PURPOSE: This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor...

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Head of Commercial Markets - Large Group P & L (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: The Director, Commercial Markets provides leadership for the operation of the Commercial Markets Individual programs across multiple jurisdictions, including strategic direction for the...

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Pharmacy Business Systems Supervisor (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: Responsible for all key aspects of Medicare Pharmacy operations including formulary and benefits administration and testing, CMS reporting and compliance, Pharmacy Benefits Management o...

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Dental Director (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

5 days

Resp & Qualifications PURPOSE: Responsible for clinical and provider network management for dental organization. Directs daily departmental activities that generally include care management, interpreting dental/medic...

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Functional Analyst I (Hybrid) - SIU

CareFirst BlueCross BlueShield

Baltimore, Maryland

7 days

Resp & Qualifications PURPOSE: Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to...

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Vice President, Clinical Operations (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

26 days

Resp & Qualifications NOTE: We are looking for an experienced leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent......

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Senior Contract Specialist (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

26 days

Resp & Qualifications PURPOSE: Senior Contract Specialist works closely with Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing ...

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Utilization Management Director (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

23 days

Resp & Qualifications PURPOSE: We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The......

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Data Analytics Manager (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

21 days

Resp & Qualifications PURPOSE: Purpose of the Data Analytics Manager is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the......

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Senior Venture Capital Associate (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

11 days

Resp & Qualifications PURPOSE: The Senior Venture Capital Associate sources and evaluates new investment opportunities, supports the execution of investment theses, and lends assistance to our portfolio companies.ESS...

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Principal Business Architect - Health Plan Operations (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

14 days

Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance doma...

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Nurse Informatics Analyst (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

12 days

Resp & Qualifications PURPOSE: The incumbent will serve as the primary interface between the clinical and information systems teams, applying knowledge of nursing and informatics science to ensure the design,......

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Clinical Appeals Manager - RN (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

4 days

Resp & Qualifications PURPOSE: This role manages the appeal process for members and providers who appeal on behalf of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP, MAPD). Ensures......

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Systems Principal Engineer - Networking (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

2 days

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 archi...

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Provider Contracting Specialist (REMOTE)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications ***Must Reside in the CareFirst Service area (MD-DC-VA)***PURPOSE: This role is responsible for the building, management, oversight and negotiation of Institutional, Ancillary, Vendor, Dental an...

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Senior Investigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation,......

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Vice President, Government Affairs - Maryland (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

28 days

Resp & Qualifications PURPOSE: Responsible for the strategic development and implementation of Government Affairs activities to support, promote and protect business objectives and policies of the company. Coordinate...

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Senior Sponsorship Strategist (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

28 days

Resp & Qualifications PURPOSE:Supports sponsorships and key transformation initiatives. Works cross-functionally with divisions internally and external partners to plan and execute each event and sponsorship successf...

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Senior Risk Adjustment Analyst (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

28 days

Resp & Qualifications PURPOSE: The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk adjustment performance metrics through coordination of analytical pr...

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Clinical Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: The On-Site Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in......

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Account Consultant IV - Labor Union Market (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: This position is responsible for renewing/growing a Taft Hartley book business which includes the most complex and jumbo accounts with indemnity, self-funded, shared administration, and...

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Functional Credentialing Analyst I (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

16 days

Resp & Qualifications PURPOSE: Provides analysis and reporting for practitioners credentialing and institutional credentialing and ancillary providers by obtaining provider related data; analyzing gaps in provider re...

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Senior Corporate Strategy Consultant (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

17 days

Resp & Qualifications PURPOSE: Provide opinion-driven, analytical research for senior corporate decision-makers on emerging and future-focused healthcare sector trends. Facilitate dialogue with executive leadership t...

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West Baltimore Community Health Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

22 days

Resp & Qualifications PURPOSE: Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through outreach,...

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Care Manager (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

11 days

Resp & Qualifications MD/DC/Northern VAPURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works c...

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Customer Service Advocate I, West Baltimore (In-Office) EG

CareFirst BlueCross BlueShield

Baltimore, Maryland

11 days

Resp & Qualifications *Candidates must live in the 21215, 21216, 21217 West Baltimore area. This position will be reporting in-person daily at our new location within The Village at Mondawmin*......

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Quality Analyst - Medicaid (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: The Quality Analyst is responsible for defining, measuring, analyzing, and evaluating population health, while prioritizing, developing, and operationalizing innovative initiatives to i...

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Head of Commercial Markets - ASO P & L (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: The Director, Commercial Markets provides leadership for the operation of the Commercial Markets Individual programs across multiple jurisdictions, including strategic direction for the...

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Strategy & Planning Intern - Strategy & Growth Division - MD, DC, VA (Summer 2025 Recruitment - Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

5 days

Resp & Qualifications CareFirsts Strategy & Growth division is accepting internship applications for our Summer 2025 program, spanning the companys venture capital, management consulting, marketing and communicat...

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Clinical Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

10 days

Resp & Qualifications The candidate may also be required to come to the CareFirst office location periodically for meetings, training, or other business-related activities. Bilingual - fluent in Spanish a......

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Litigation Counsel (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

3 days

Resp & Qualifications PURPOSE: The Litigation General Counsel is responsible for (1) evaluating and analyzing litigation brought by and against CareFirst, Inc., its subsidiaries, and affiliates (the Company); (2) eff...

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Lead Cyber Security Analyst (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

1 day

Resp & Qualifications PURPOSE: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...

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Senior IT Project Manager (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

1 day

Resp & Qualifications PURPOSE: Senior IT Project Manager, leads, plans, executes, monitors, controls and closes projects for the Enterprise Project Management Office (EPMO). This role oversees and directs complex $5...

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Pharmacy Medicaid Manager (Hybrid)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

3 days

Resp & Qualifications PURPOSE: This role is responsible for managing day-to-day pharmacy operations for the Maryland Medicaid plan, providing guidance to and oversight of pharmacy staff, and directing the contracted...

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Utilization Management Specialist (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

2 days

Resp & Qualifications PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness o...

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Senior Database Administrator (Remote)

CareFirst BlueCross BlueShield

Washington, District of Columbia

2 days

Resp & Qualifications PURPOSE: Designs, implements, and maintains databases with respect to access methods, access time, batch processes, device allocation, validation checks, organization, protection and security, d...

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Bilingual Care Management Coordinator I (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

2 days

Resp & Qualifications PURPOSE: Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. This candidate must be...

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Sourcing Associate - Procurement (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: This position leads and conducts proposal preparation, contract drafting and negotiation for goods and services to ensure stakeholder requirements are satisfied. ESSENTIAL FUNCTIONS:Th...

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Quality Review Nurse (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs (Maryland Medicare......

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Quality Assurance Specialist I (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: The Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. Fairly and consistentl...

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Software Engineering Manager (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 day

Resp & Qualifications PURPOSE: This role will serve as the Solution Manager for Broker Experience within the Prospect to Card Value Stream. Manages and oversees the teams responsible for design......

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Lead Software Engineer (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

1 month

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 sof...

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Service Navigator - West Baltimore (On-Site)

CareFirst BlueCross BlueShield

Baltimore, Maryland

21 days

Resp & Qualifications PURPOSE:The Service Navigator at the CareFirst Community Engagement Center in West Baltimore is responsible for resolving all customer inquiries via phone, walk-ins, email, and in the greater......

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Digital Products Manager (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

19 days

Resp & Qualifications PURPOSE: Leads and manages the digital product team acting as the day-to-day manager; first point of escalation and day to day approval for implementing strategies designed to......

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Senior Strategy Associate (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

17 days

Resp & Qualifications PURPOSE: The Senior Strategy Associate primarily supports Business Consulting Group consultants in the conduct of strategy-phase projects aligned to CareFirst's corporate goals. Position will in...

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Oracle ERP Financials Principal (Remote)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

18 days

Resp & Qualifications PURPOSE: Implements the engineering best practices required to produce and deploy high quality products. Ensures engineering alignment with functional and technical requirements. Handles the de...

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Lead Software Engineer,(Hybrid)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

25 days

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 sof...

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Product Manager - (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

10 days

Resp & Qualifications PURPOSE:CareFirst is undertaking a digital transformation which requires enterprise agility paired with the retooling of our technology stack to speed delivery and expand our reach. To drive......

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Senior Quality Engineer (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

10 days

Resp & Qualifications PURPOSE: Delivers Quality support and serves as a subject matter expert on control processes within the IT division. Provides complex control process development, process optimization and suppor...

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AWS Cloud Platform Engineer Principle (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

9 days

Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance doma...

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Lead Software Engineer (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

9 days

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 sof...

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Director, Specialty Business Development - Captive Management (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: CareFirst is looking for a strong and innovative leader to oversee an insurance captive. This role is responsible for leading and overseeing the operations, strategy, and......

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Senior Software Engineer (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

11 days

Resp & Qualifications PURPOSE: Performs complex analysis, design, development, testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of co...

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Senior Sourcing Associate (Remote)

CareFirst BlueCross BlueShield

Washington, District of Columbia

2 days

Resp & Qualifications PURPOSE: Executes medium to complex sourcing projects, from start to finish. This role will rationalize the supply base through strategic sourcing, lead cross-functional team to achieve optimal....

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Proposal Development Specialist II (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

2 days

Resp & Qualifications PURPOSE: The role of the Proposal Development Specialist II is to develop and deliver on-time, high-quality proposal responses to sales bids. As part of the Proposal Development......

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Senior Project Manager (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

3 days

Resp & Qualifications PURPOSE: Plans, organizes, and manages large scale or complex projects for successful delivery of objectives, on time and within budget. Initiates, engages, and motivates cross-functional teams...

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Senior Technical Analyst (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: Delivers complex system and data analysis and implements tools and technology for an organization. Maintains various management systems. Build, manage, and sustain systems, data analysi...

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Clinical Appeals Nurse (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The Clinical Appeals Nurs...

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Strategic Enablement, Communications and Operations (SECO) Intern - Strategy & Growth Division - MD, DC, VA (Summer 2025 Recruitment - Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 day

Resp & Qualifications CareFirsts Strategy & Growth division is accepting internship applications for our Summer 2025 program, spanning the companys venture capital, management consulting, marketing and communicat...

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Senior Quality Analyst (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 day

Resp & Qualifications PURPOSE: The Senior Quality Analyst is responsible for the most complex work of the team in defining, measuring, analyzing, and evaluating population health, while prioritizing, developing, and....

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Senior Data Scientist (Hybrid) - Epidemiologist

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 day

Resp & Qualifications PURPOSEThe Sr. Data Scientist is responsible for managing health equity data governance and advancing data initiatives across the enterprise. This role plays a critical part in supporting......

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Cyber Security Strategy Director (Remote)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

1 day

Resp & Qualifications PURPOSE:The Directory, Cybersecurity Strategy is responsible for partnering with the Chief Information Security Officer (CISO) in maintaining a corporate-wide cybersecurity program and organizat...

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Senior Public Policy Analyst - Medicare Advantage (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

28 days

Resp & Qualifications PURPOSE: The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding federal and state public policy issues in support of the comp...

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AWS Container Platform Engineer (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

28 days

Resp & Qualifications PURPOSE: Seeking experienced and dynamic Container Platform Engineer lead to provide hands-on technical experience to engineer, manage, and codify our AWS containers footprint, including establi...

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Senior Embedded Compliance Analyst (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: This role will support the division and corporate compliance in the delivery and performance of a compliance program to help ensure compliance and alignment with Federal,......

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West Baltimore Community Health Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

22 days

Resp & Qualifications PURPOSE: Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through outreach,...

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Community Health Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

22 days

Resp & Qualifications PURPOSE: Working as a bridge between the member, clinical and administrative staff, the Navigator helps members, families, and caregivers access the health care delivery system through outreach,...

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Clinical Appeals Supervisor (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

19 days

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 of members for......

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Risk Management Analyst (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

15 days

Resp & Qualifications PURPOSE: The Risk Management Analyst is responsible for supporting and facilitating operational risk programs designed to ensure the identification and mitigation of risks; the management of con...

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Bilingual Care Management Coordinator I (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

9 days

Resp & Qualifications PURPOSE: Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. We are looking for an....

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Senior Venture Capital Associate (Hybrid)

CareFirst BlueCross BlueShield

Washington, District of Columbia

11 days

Resp & Qualifications PURPOSE: The Senior Venture Capital Associate sources and evaluates new investment opportunities, supports the execution of investment theses, and lends assistance to our portfolio companies.ESS...

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Director, Government Affairs - Maryland (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

17 days

Resp & Qualifications PURPOSE: The Government Affairs Director will be responsible for helping develop Maryland Government Affairs strategy, communications and advocacy to support, promote and protect business object...

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Head of Commercial Markets - Small Group P & L (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: The Director, Commercial Markets provides leadership for the operation of the Commercial Markets Individual programs across multiple jurisdictions, including strategic direction for the...

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Provider Relations Representative I (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

5 days

Resp & Qualifications PURPOSE: 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/d...

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Senior Systems Engineer (AIX/Linux) - (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

5 days

Resp & Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organization information systems that support organizational functions. This is achieved by monitoring, supporting and op...

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West Baltimore Community Health Navigator (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 day

Resp & Qualifications APPLICANT MUST RESIDE IN ONE OF THE FOLLOWING ZIP CODES: 21215, 21216, 21217PURPOSE: This position will support the Maryland government programs division, working as a bridge between......

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Actuarial Analyst II - Medicaid (Remote)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

1 day

Resp & Qualifications PURPOSE: The Actuarial Analyst II will perform individual project tasks as requested, execute calculations of moderate complexity, and understand concepts of actuarial analysis that are of varyi...

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Actuarial Associate - ASA (Remote)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

2 days

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......

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Senior Cyber Security Engineer (Remote)

CareFirst BlueCross BlueShield

Reston, Virginia

today

Resp & Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems by architecting and engineering/developing trusted systems into secure systems. Assists in the devel...

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Utilization Management Specialist (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

today

Resp & Qualifications PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness o...

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Cybersecurity Architecture Manager (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE:You will be responsible for managing CareFirsts Cybersecurity Architecture team, with a strong emphasis on cloud, identity, and infrastructure security. Working with Cybersecurity Strate...

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Lead Software Engineer (Remote)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

1 month

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 sof...

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AWS Cloud Platform Automation Engineer (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

28 days

Resp & Qualifications PURPOSE:Seeking experienced and dynamic AWS Cloud Platform Automation Engineer to provide hands-on technical experience to codify our AWS footprint, including Security and Guardrails. As an AWS ...

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Scrum Master - API Development & Integration (Hybrid)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

28 days

Resp & Qualifications PURPOSE:Join our team and be at the forefront of creating the next-generation API Development & Integration Platform thats driving CareFirst's cloud-native engineering, seamlessly integratin...

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Lead Software Engineer (REMOTE)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

1 month

Resp & Qualifications PURPOSE: This role will act as the systems architect for one of the Prospect to Card Agile Release Trains. This role performs complex analysis, design, development, automated......

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Clinical Appeals Supervisor - RN (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on behalf of members......

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Clinical Navigator, (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

1 month

Resp & Qualifications PURPOSE: The On-Site Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in......

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Senior Investigator (Hybrid)

CareFirst BlueCross BlueShield

Columbia, Maryland

1 month

Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation,......

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Investment Analyst (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

8 days

Resp & Qualifications PURPOSE: The investment analyst is responsible for analytical support on a variety of investment strategies and products for the reserve and pension portfolios for the company and......

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Vice President, Chief Medical Officer (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

23 days

Resp & Qualifications Note: We are looking for an experienced clinical leader in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The......

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Senior Sponsorship Strategist (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

25 days

Resp & Qualifications PURPOSE:Supports sponsorships and key transformation initiatives. Works cross-functionally with divisions internally and external partners to plan and execute each event and sponsorship successf...

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Director, ACA Individual (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

23 days

Resp & Qualifications PURPOSE: The Director, ACA Individual provides leadership for the operation of the ACA Individual programs across multiple jurisdictions, including strategic direction for the development and ex...

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Program Manager - Clinical Support Services (Hybrid)

CareFirst BlueCross BlueShield

Baltimore, Maryland

23 days

Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over time. Guides stakeholders through key decision...

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Lead ERP Business Analyst (Hybrid)

CareFirst BlueCross BlueShield

Owings Mills, Maryland

25 days

Resp & Qualifications PURPOSE: The Lead ERP Business Analyst is a hands-on role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business......

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Lead AWS Cloud Platform Engineer (Hybrid)

CareFirst BlueCross BlueShield

Reston, Virginia

5 days

Resp & Qualifications PURPOSE: Defines, designs and develops system requirements. Performs trade-off analysis of performance, life-cycle cost, risk, producibility, and other system or program requirements. Assesses...

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Lead Quality Governance Engineer (Remote)

CareFirst BlueCross BlueShield

Baltimore, Maryland

4 days

Resp & Qualifications PURPOSE: The Lead Quality Governance Engineer role focuses on improving the current state of Quality within the IT Division in alignment to Value Streams. This individual will......

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