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Care Manager - Bilingual (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: We are looking for a bilingual care manager ...
Details
Summary
About the job:
(fluent in English and Spanish) to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. Under minimal supervision, the Care Manager 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...
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
Board Certified
Accredited Case Manager
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
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

HR Benefits Intern - Summer Recruitment (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Human Resources Benefits Analyst Intern ...
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Summary
About the job:
will sit within our HR Total Rewards Division. You will have the unique opportunity to work alongside Senior level Benefits Analyst staff that support the entire organization. This area is responsible for support and assisting associates and vendors with Benefit Administration related questions and enrollment. CareFirst runs a year-round internship program. The ideal candidate is someone who can work throughout the year 15-20 hours in the Spring/Fall and up to 35-40 hours in the summer. This student will be required to...
Location:
Maryland
Job Type:
Part-Time
Internship
Occupation:
Human Resources Specialists
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

CloseKnit Medical Scribe Intern (In-Office)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications In September 2021, we introduced CloseKnit: CareFirsts ...
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Summary
About the job:
new Primary Care Practice. CloseKnit takes quality care personally. Were a new kind of patient-centric, virtual-first primary care practice. Open 24/7/365 through our convenient app. Our providers deliver care thats continuous, connected, and uncomplicated. Not something youve heard people say when describing a healthcare experience? We know. Thats exactly why we show up every day at CloseKnit. To change the narrative and truly make quality care simple. To calm nerves, to solve pains, to soothe fears and to champion...
Location:
Maryland
Job Type:
Part-Time
Internship
Occupation:
Medical Assistants
Career Level / Education:
High school diploma or equivalent
Salary:
Entry Level Jobs (less than $30K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Director, Cost of Care (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications Join us at CareFirst where we make a difference in our ...
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Summary
About the job:
member's lives by fulfilling our mission to: - Provide affordable and accessible health insurance to the plans insured and those persons insured or issued health benefit plans by affiliates or subsidiaries of the plan. - Assist and support public and private health care initiatives for individuals without health insurance. - Promote the integration of a health care system that meets the health care needs of all the residents of the jurisdictions in which the nonprofit health system service plan operates. We are...
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:
Enterprise Project Management
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Senior Medical Policy Analyst (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: In collaboration with the Medical Director, ...
Details
Summary
About the job:
the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical policies and operating procedures to support the corporate philosophy, provider and member contracts, and an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure medical policy and operating procedures are accurately operationalized for optimal claims adjudication and utilization management. We are looking for an experienced professional to work...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
ICD-10 / ICD-9
Certified Coding Specialist
Certified Registered Nurse
Certified Professional Coder
American Health Information Management Association
National Committee for Quality Assurance
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Nurse Practitioner - CloseKnit (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: We are currently hiring a Nurse Practitioner ...
Details
Summary
About the job:
to join our CloseKnit team to delivery hybrid in-person and virtual care. CloseKnit is a virtual first advanced primary care practice looking for an experience person interested in innovating in the practice of primary care to deliver on the quadruple aim in a value-based arrangement for adult and pediatric patients. While providing both in person and virtual primary care services, the nurse practitioner will be working with the CloseKnit team to optimize the care delivery strategy and best practices in delivering a...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Nurse Practitioners
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Registered Nurse
American Nurses Credentialing Center
American Academy of Nurse Practitioners
Occupational Safety & Health Administration Certification
Workkeys
Applied Math
6
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Talent Acquisition Operations Intern (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: This is a summer internship program. The ...
Details
Summary
About the job:
ideal candidate is someone who can commit to work full-time 40 hours per week. This position can be located in Owings Mills or Washington, DC offices. Reporting to the Recruiting Operations Manager, this position will assist with the day-to-day Talent Acquisition operations, including compliance tracking, filing support, data entry, accurate processing of vendor invoices, weekly/monthly/quarterly reporting, and special projects. In addition, this position is also responsible for the following: Posting job openings...
Location:
Maryland
Job Type:
Part-Time
Full-Time
Internship
Occupation:
Human Resources Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Clinical Navigator (Onsite/Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Clinical Navigator (RN) manages the ...
Details
Summary
About the job:
timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both case management and utilization management including proficiency in established guidelines to determine medical necessity, appropriate level of care, and case management to engage members/enrollees, their families and other support systems in discharge planning. The role will function as a liaison (onsite at a health system in Baltimore and occasional weekend work may be required) with the hospital care...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified in Long Term Care
Certified Registered Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Community Health & Social Impact Specialist (Hybrid)

CareFirst BlueCross BlueShield
Located in Ohio
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Resp & Qualifications PURPOSE: Serves as the administrative "front line" for ...
Details
Summary
About the job:
CareFirst's short- and long-term community investments to advance the company's mission to pursue health equity by addressing social determinants of health. Engages employees and other internal stakeholders in giving and volunteer activities to optimize community impact. 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...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Public Relations Specialists
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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