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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

Product Lifecycle Manager (Hybrid MD/DC/VA)

CareFirst BlueCross BlueShield
Baltimore, MD
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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:
Baltimore, MD
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

Network Security Engineer

CareFirst BlueCross BlueShield
Owings Mills, MD
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About the gig CareFirst BlueCross BlueShield, is seeking a Network Security ...
Details
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

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 ...
Details
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

Systems Engineering Manager (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Manager of Platform Engineering is ...
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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

Lead ERP Business Analyst (Hybrid)

CareFirst BlueCross BlueShield
Owings Mills, MD
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Resp & Qualifications PURPOSE: The Lead ERP Business Analyst is a hands-on ...
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Summary
About the job:
role plays a pivotal role in our organization's Oracle Financials environment, serving as the primary liaison between business stakeholders and technical teams. This individual will lead requirements gathering, analysis, and solution design efforts, ensuring alignment between business needs and technical implementations. Moreover, they will spearhead the transition efforts to cloud-based ERP and EPM solutions, driving the organization towards future-state cloud applications. ESSENTIAL FUNCTIONS: Oracle Financials...
Location:
Owings Mills, MD
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Enterprise Project Management
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Disaster Recovery Engineering Manager (Remote)

CareFirst BlueCross BlueShield
Columbia, MD
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Resp & Qualifications PURPOSE: CareFirst is undertaking an IT Systems ...
Details
Summary
About the job:
Modernization Program that involves a migration to cloud, upgrades to modern infrastructure and consolidation of applications. To support these programs, there is additional focus on IT Process Maturing, Systems Resiliency and Disaster Recovery. The Disaster Recovery Program requires a similar journey of modernization and requires a leader who can lead CareFirst to this destination. The IT Disaster Recovery (DR) Manager role bridges the IT department with the Business Continuity Management function in Enterprise Risk...
Location:
Columbia, MD
Job Type:
Full-Time
Permanent
Occupation:
Network and Computer Systems Administrators
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Information Systems Security Professional
Certified Information Systems Auditor
Certified Business Continuity Professional
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Senior Business Analyst (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Senior Business Analyst will have the ...
Details
Summary
About the job:
responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity for eligibility EDI software, systems, processes and/or services and translates them into specifications ensuring the business...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems 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

Product Manager - Digital Product Strategy and Transformation - (Remote)

CareFirst BlueCross BlueShield
Owings Mills, MD
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Resp & Qualifications PURPOSE: CareFirst is undertaking a digital ...
Details
Summary
About the job:
transformation which requires enterprise agility paired with the retooling of our technology stack to speed delivery and expand our reach. The Digital Product Management team is leading this charge by advancing our Value Stream ways of working within Digital Factory and Strategy. To drive this transformation, the Product Manager is a leadership role within the Lean Agile Center of Expertise (LACE) team that will help drive the maturity of our Value Stream Operating Model through the CareFirst Transformation Roadmap. ESSENTIAL...
Location:
Owings Mills, MD
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Safe Program Consultant Certification
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information

Office of the CEO Operations Intern -Summer Recruitment (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Support the Office of the CEO in development ...
Details
Summary
About the job:
of social determinants of health platform, including research, data analysis, document creation and project management. PRINCIPAL ACCOUNTABILITIES: Under the general supervision of a Strategic Operations Manager the incumbents accountabilities may include, but are not limited to, the following: Monitor industry trends and articulate themes of social determinants of health research. Collaborate with CareFirst departments to compile competitive intelligence, health data, and other research and articulate findings for...
Location:
Maryland
Job Type:
Part-Time
Internship
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
6
Workplace Documents
7
apply
Detailed Job Information
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