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Results based on filters ( 26 jobs found )

Data Scientist - ID/STRAT and Program Evaluation (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications We're hiring for a Data Scientist- ...
Details
Summary
About the job:
ID/STRAT and Program Evaluation on the Health Economics and Reporting team at CareFirst! PURPOSE: Identifies and solves business problems by using various numerical techniques, algorithms, and models in statistical modeling, machine learning, operations research, and data mining. Uses advanced analytical capabilities to support data science initiatives. Communicates across product teams and with customers and educates on artificial intelligence, machine learning, and statistical models. Acting as a liaison and interface...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Data Scientists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Data Analytics Manager - Value-Based Care Reporting (Remote)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: We're hiring for a Manager, ...
Details
Summary
About the job:
Data Analytics - Value-Based Care Reporting on the Health Economics and Reporting team at CareFirst! Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
Certified Analytics Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Customer Service Advocate III (Remote)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: Responsible for answering ...
Details
Summary
About the job:
member, provider & 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. Maintains a more advanced knowledge of company products and services. Mentor and lead lower...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Regulatory Policy Consultant (Remote)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: Provides strategic and ...
Details
Summary
About the job:
tactical planning, as well as, knowledge services relating to the implementation of key mandate initiatives, covering a broad range of legislative and regulatory matters including: Federal, BCBSA, Government Programs, State. Provides internal and external liaison functions, workflow, customer service, communications, training, strategic delivery, efficiency, cost reduction and skill development initiatives. We are looking for an experienced professional to work remotely. The incumbent will be expected to come into a...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Data Scientist - Cost of Care Reporting (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: Identifies and solves ...
Details
Summary
About the job:
business problems by using various numerical techniques, algorithms, and models in statistical modeling, machine learning, operations research, and data mining. Uses advanced analytical capabilities to support data science initiatives. Communicates across product teams and with customers and educates on artificial intelligence, machine learning, and statistical models. Acting as a liaison and interface between analytics, business units and other departments. We are not looking for generalists who may have an IT background...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Data Engineer (Hybrid)

CareFirst BlueCross BlueShield
Reston, VA
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Job Description Resp & Qualifications PURPOSE: The Lead Data Engineer is ...
Details
Summary
About the job:
responsible for orchestrating, deploying, maintaining and scaling cloud OR on-premise infrastructure targeting big data and platform data management (Relational and NoSQL, distributed and converged) with emphasis on reliability, automation and performance. This role will focus on leading the development of solutions and helping transform the company's platforms deliver data-driven, meaningful insights and value to company. ESSENTIAL FUNCTIONS: - Lead the team to design, configure, implement, monitor, and manage all...
Location:
Reston, VA
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Data Scientist- Value-Based Care Reporting (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: Identifies and solves ...
Details
Summary
About the job:
business problems by using various numerical techniques, algorithms, and models in statistical modeling, machine learning, operations research, and data mining. Uses advanced analytical capabilities to support data science initiatives. Communicates across product teams and with customers and educates on artificial intelligence, machine learning, and statistical models. Acting as a liaison and interface between analytics, business units and other departments. We are not looking for generalists who may have an IT background...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Software Engineer (remote)

CareFirst BlueCross BlueShield
Reston, VA
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Job Description Resp & Qualifications PURPOSE: Performs complex analysis, ...
Details
Summary
About the job:
design, 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....
Location:
Reston, VA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Onsite Clinical Navigator (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Job Description Resp & Qualifications PURPOSE: The Onsite Clinical Navigator ...
Details
Summary
About the job:
(RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience and skills in both care management and utilization management, the Onsite Clinical Navigator will leverage proficiency in established MCG, in addition to administrative/regulatory considerations, to determine medical necessity, appropriate level(s) of care and case management to engage members/enrollees,...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
TalentAlly
Certifications / Licenses:
Certified in Long Term Care
Certified Registered Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Enrollment Technician II (Remote)

CareFirst BlueCross BlueShield
Washington, DC
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Job Description Resp & Qualifications PURPOSE: The Technician, Enrollment II ...
Details
Summary
About the job:
is responsible for ensuring that members are accurately enrolled into CareFirst member enrollment systems in a timely manner, and according to the account contract or service agreement for complex accounts. To accomplish this, the associate in this role may interact and coordinate activity with key client account contacts, subscribers, CareFirst Sales, Underwriting, Finance, and Information Technology associates, as well as associates aligned to the Account Installation Division of other BlueCross BlueShield Plans....
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
TalentAlly
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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