Jobs with CareFirst BlueCross BlueShield
(Found 101 Jobs)
Provider Contracting Specialist (REMOTE)
CareFirst BlueCross BlueShield
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, Ancill...
Nov 16, 2024
Baltimore, MD
Functional Credentialing Analyst I (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Provides analysis and reporting for practitioners credentialing and institutional credentialing and ancillary providers by obtaining provider related data; analyzi...
Nov 15, 2024
Baltimore, MD
Quality Review Nurse (Remote)
CareFirst BlueCross BlueShield
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...
Nov 14, 2024
Baltimore, MD
Sourcing Associate - Procurement (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: This position leads and conducts proposal preparation, contract drafting and negotiation for goods and services to ensure stakeholder requirements are satisfied.&n...
Nov 14, 2024
Baltimore, MD
Clinical Appeals Supervisor - RN (Hybrid)
CareFirst BlueCross BlueShield
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 beh...
Nov 9, 2024
Baltimore, MD