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Senior Software Engineer - Test Automation (Remote)

CareFirst BlueCross BlueShield
Located in Ohio
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Resp & Qualifications PURPOSE: Performs complex analysis, design, ...
Details
Summary
About the job:
development, testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, develops/codes, tests, and documents critical and complex application programs for computer systems. Works with appropriate stakeholders to define system scope and objectives and establish baselines. Establishes project standards and processes. Breaks down software requirements and creates highly complex systems. ESSENTIAL...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
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

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 ...
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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

Provider Credentialing Specialist I (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: This role will credential practitioners for ...
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Summary
About the job:
network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards. Note: 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, training and/or...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
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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

Director, Cost of Care (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications Join us at CareFirst where we make a difference in our ...
Details
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:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
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

Medical Policy Analyst - RN (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: In collaboration with the Medical Director, ...
Details
Summary
About the job:
the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and operating procedures to support the corporate philosophy, provider and member contracts, and accepted standard of medical practice. 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, training and/or other business-related activities. ESSENTIAL FUNCTIONS: - Performs...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Associate's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Certified Registered Nurse
ICD-10 / ICD-9
American Health Information Management Association
Certified Professional Coder
Certified Coding Specialist
Workkeys
Applied Math
5
Graphic Literacy
4
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

Director, Pharmacy Government Programs (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Director, Pharmacy Government Programs is ...
Details
Summary
About the job:
responsible for implementing the organization's pharmacy vision and strategic plan for government programs (Medicare and Medicaid). This role has oversight of pharmacy staff and develops and maintains collaborative relationships with clinical, administrative, and other key stakeholders including external vendors to ensure effective operations and value realization of government pharmacy programs. This role serves as a key point of contact within the organization providing clinical expertise relative to pharmacy benefit...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
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
5
apply
Detailed Job Information
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