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Behavioral Health Care Management Manager (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Manager supports the Director of ...
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Summary
About the job:
Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficient workforce to support all aspects of the Behavioral Health Services department across the continuum of care settings and clinical programs and services for members. This includes the planning, implementation, and refinement of care coordination programs and initiatives for behavioral health services that support departmental and divisional goals. Note: We...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Licensed Clinical Social Worker
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Risk Adjustment Manager (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Salary Range Disclaimer The disclosed range estimate has not been adjusted ...
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Summary
About the job:
for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Financial Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior Stars & Risk Adjustments Analyst (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Supports Risk Adjustment & Stars organization ...
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Summary
About the job:
to optimize Risk Adjustment revenue and coding accuracy through data-driven approach to closing gaps and risks in coding and care delivery across Medicare & Medicaid populations. Responsible for developing performance monitoring reports and analytics related to Risk Adjustment & Stars programs and processes. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings,...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, ...
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Summary
About the job:
directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of care, manage health care costs. Note: We are looking for an experienced people leader in the Baltimore/Washington DC metropolitan areas 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 a CareFirst location based on business needs and work...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Network Security Engineer

CareFirst BlueCross BlueShield
Owings Mills, MD
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About the gig CareFirst BlueCross BlueShield, is seeking a Network Security ...
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Summary
About the job:
Engineer for a Contract position in Owings Mills, MD Gig type Contract Shift Unknown Years of experience 1-2 years Duration 13 weeks Posted on Saturday, April 20, 2024 Expires on Monday, May 20, 2024 Work authorization Not disclosed Workplace policy Not disclosed No of Open Positions 1 Gig expires in 28 Days 16 Hours 58 Mins Skill Density Place a bid
Location:
Owings Mills, MD
Job Type:
Full-Time
Contract
Occupation:
Information Security Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
6
Workplace Documents
6
apply
Detailed Job Information

Field Community Health & Social Impact Specialist - Eastern Shore (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: This role will serve as the face of our ...
Details
Summary
About the job:
CareFirst BlueCross BlueShield government programs including Medicaid and Medicare in Eastern Maryland. As a Community Health and Social Impact Specialist, you will be a part of a rapidly growing team, passionate about serving the members in the community. Leveraging existing and new community relationships (e.g community-based organizations, faith-based, Federally Qualified Health Centers, etc), this role will be expected to identify, develop, and build partnerships with the objective of elevating awareness and education...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Social and Community Service Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Product Lifecycle Manager (Hybrid MD/DC/VA)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Manages product lifecycle for products in a ...
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Summary
About the job:
product family. Assess product performance, forecast sales in line with sales objectives. Lead product pricing, packaging, positioning and P&L. Conduct market assessment and leverage insights to enhance products. Serve as expert in product family. ESSENTIAL FUNCTIONS: Manages market segment business and action plans in line with company direction. Provide direct support to the organization in all designated market segments, by serving as the subject matter expert; assisting in strategic planning; operations process...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Accredited Management Accountant
Professional Certified Marketer
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Lead Data Engineer- Ab Initio Administrator (Remote)

CareFirst BlueCross BlueShield
Reston, VA
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Resp & Qualifications PURPOSE: This is an Ab Initio Administration Lead ...
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Summary
About the job:
position and not a developer position. The Lead Ab Initio ETL Administrator is responsible for leading all the tasks involved in administration of ETL tool (Ab-Initio) as well as migrating Ab Initio infrastructure to the Cloud. Candidate will support the implementation of a Data Integration/Data Warehouse for the Data products on-prem and in AWS. Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. ESSENTIAL FUNCTIONS:...
Location:
Reston, VA
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Systems Engineering Manager (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Manager of Platform Engineering is ...
Details
Summary
About the job:
responsible for the operational responsibilities including design, availability, performance, security, capacity planning, troubleshooting and license management of the CareFirst On-Prem Server Virtualization and Storage Infrastructure and the Azure/AWS Cloud Operations. Candidate is also responsible to maintain DNS which are critical tools for all CareFirst infrastructure and applications. Position requires the necessary experience and technical skills to oversee project management, installation, configuration and 24x7...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Information Technology Project Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Care Manager (MD/DC/Northern VA) (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Under minimal supervision, the Care Manager ...
Details
Summary
About the job:
researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. This position is considered "remote" meaning that the incumbents generally works outside of a CareFirst location at their Primary Residence within the greater Baltimore Metropolitan, Washington DC or...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Personal Care Aides
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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