Jobs with CareFirst BlueCross BlueShield
(Found 101 Jobs)
Account Consultant IV - Labor Union Market (Hybrid)
CareFirst BlueCross BlueShield
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, shar...
Nov 9, 2024
Baltimore, MD
Clinical Appeals Nurse (Remote)
CareFirst BlueCross BlueShield
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...
Nov 9, 2024
Baltimore, MD
Clinical Appeals Manager - RN (Hybrid)
CareFirst BlueCross BlueShield
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...
Nov 9, 2024
Baltimore, MD
Lead ERP Business Analyst (Hybrid)
CareFirst BlueCross BlueShield
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 b...
Nov 8, 2024
Owings Mills, MD
Senior Technical Analyst (Remote)
CareFirst BlueCross BlueShield
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...
Nov 8, 2024
Baltimore, MD