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Member Service Representative I (REMOTE)

CareFirst BlueCross BlueShield
Located in Ohio
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Resp & Qualifications PURPOSE: The Member Service I Representative is ...
Details
Summary
About the job:
proficient in routine benefits, claims, and general inquiries. They have a general knowledge of the following: systems, benefits, contracts/products, functions of other departments in the company, standard operating procedures, claims status, enrollment/billing and follow-up to a customer inquiry. ESSENTIAL FUNCTIONS: - Answers member inquiries by clarifying desired information; researching, locating, and providing information. Resolves member service problems by clarifying issues; researching and exploring answers and...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Care Management Coordinator I (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications We are looking for an experienced professional to live ...
Details
Summary
About the job:
and work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. PURPOSE: Supports Care Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to care coordination and quality of care. ESSENTIAL FUNCTIONS: - Assists with member follow up and coordination of care that does not require intervention from a clinician (post...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical Secretaries and Administrative Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Contract Specialist (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Supports Benefit Contract Management (BCM) by ...
Details
Summary
About the job:
assisting or performing accountabilities/tasks that include but are not limited to: revising/updating contract forms and templates; reviewing contract forms, templates and related marketing materials; preparing electronic filings via SERFF; tracking status of filings; creating sample contracts; creating SBCs; organizing and circulating contract related documents; and contributing to BCM strategies and process improvements. ESSENTIAL FUNCTIONS: - Reviews, clarifies and/or interprets customized/nonstandard benefit...
Location:
Maryland
Job Type:
Full-Time
Contract
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Operations Director - Quality Assurance (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Leads, manage and empowers operations teams ...
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Summary
About the job:
to meet and exceed business delivery. Serves as a strategic leader of multifunctional teams and support roles. Oversees activities of an internal function that provides operational/business process support to internal and external customers with various carrier products. Ensures quality service and operational performance within the parameters of program and delivery standards are achieved. Analyzes operational processes, establishes escalation procedures and oversees training needs assessments to identify...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Long Term Investment Officer (Hybrid)

CareFirst BlueCross BlueShield
Located in Ohio
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Resp & Qualifications PURPOSE: Facilitates CareFirst's long-term community ...
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Summary
About the job:
investments to advance the company's mission to pursue health equity by addressing social determinants of health. Strategically leverages CareFirst's assets, authentically engaging communities, and a diverse set of stakeholders to measurably improve the health, economic, social and/or environmental quality of life in the Region. ESSENTIAL FUNCTIONS: - Administers philanthropic investments: Facilitates the life cycle of CareFirsts long-term community investments from application to award and beyond by triaging requests,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Financial Managers
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Contract Specialist (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Senior Contract Specialist works closely with ...
Details
Summary
About the job:
Corporate Governance (Legal), Government Affairs, Product, Marketing, Mandates, Health Services, and Strategy and Transformation providing input to company, divisional and departmental goals and initiatives, to ensure contract form compliance, recommend and implement improvements. This position supports Benefit Contract Management (BCM) by performing accountabilities/tasks that include but are not limited to: analyzing proposed changes to contract forms and templates; recommending filing strategies; drafting/revising...
Location:
Maryland
Job Type:
Full-Time
Contract
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Sales Representative, Individual Health Policy (Remote MD/DC/VA)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: This position is accountable for increasing ...
Details
Summary
About the job:
enrollment, converting to, and retaining Medicare business. Responsible for managing strategies that support all distribution channels to build market share in the CareFirst operating area for Over 65 Individual Medicare products including Medicare Supplemental plans and Medicare Advantage plans. The incumbent serves as a subject matter expert between CareFirst and principal contracted brokers and FMOs for marketing, sales, CMS guidance and enrollment related to products targeting the Consumer Government Programs...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Insurance Sales Agents
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
State insurance license
Driver's License
Life Insurance License
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Customer Service Advocate I- MD June (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Responsible for answering member, provider & ...
Details
Summary
About the job:
broker inquiries pertaining to product information, benefits, claims resolution, eligibility and billing questions in a call center environment. Proactively provides information and education to members, providers & brokers, as appropriate, about a variety of health, financial, and self-service programs. Provides basic technical assistance and troubleshooting guidance for digital and electronic applications. ESSENTIAL FUNCTIONS: Provides first- level problem resolution to member, provider & broker inquiries via...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

CareFirst Hiring Event - Healthcare Professionals - Baltimore, May 9, 2024

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications Join Our Team of Difference Makers At CareFirst, were ...
Details
Summary
About the job:
building the healthcare experience we want for our families, and for our future. Every day, we make a meaningful difference in the communities where we live and work. Our Health Services and Finance teams are an integral part of our mission to deliver affordable, accessible care . Become part of an inspired, collaborative team that uses their skills and experiences to ensure the best care for our members and the greatest impact on our communities. If you are a Healthcare Professional with 3 or more years of...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Sales Consultant III - New Business Development (Remote)

CareFirst BlueCross BlueShield
Fairfax, VA
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Resp & Qualifications CANDIDATES MUST LIVE IN THE DC/VA AREA IN ORDER TO ...
Details
Summary
About the job:
TRAVEL FREQUENTLY INTO THE OFFICES AND TO ATTEND CLIENT MEETINGS. PURPOSE: This position is responsible for new business development within the National Accounts and Public Sector space. This role leads sales initiatives and strategies as well as relationship building with both our external partners and prospects as well internal constituents. The sales consultant position requires a deep level of knowledge and understanding of selling to self-insured customers with complex benefit arrangements. In addition, the role...
Location:
Fairfax, VA
Job Type:
Full-Time
Permanent
Occupation:
Sales Representatives of Services, Except Advertising, Insurance, Financial Services, and Travel
Career Level / Education:
High school diploma or equivalent
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
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