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Behavioral Health Care Management Manager (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Manager supports the Director of ...
Details
Summary
About the job:
Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficient workforce to support all aspects of the Behavioral Health Services department across the continuum of care settings and clinical programs and services for members. This includes the planning, implementation, and refinement of care coordination programs and initiatives for behavioral health services that support departmental and divisional goals. Note: We...
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:
Licensed Clinical Social Worker
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Custom Provider Networks Program Manager (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Manages end-to-end oversight of custom ...
Details
Summary
About the job:
(ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through network implementation with a focus on client satisfaction. The Program Manager will be on the Value and Sales Enablement team in Health Services Division and work directly with the Account Executives and Consultants in the Sales Division and may be account-facing when needed to address all domestic network set up, maintenance, and enhancement requests. The...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Project Management Institute
Certified Project Manager
Chartered Financial Analyst
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Risk Adjustment Manager (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Salary Range Disclaimer The disclosed range estimate has not been adjusted ...
Details
Summary
About the job:
for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not...
Location:
Maryland
Job Type:
Full-Time
Permanent
Occupation:
Financial Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior Stars & Risk Adjustments Analyst (Remote)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: Supports Risk Adjustment & Stars organization ...
Details
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

Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)

CareFirst BlueCross BlueShield
Maryland
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Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, ...
Details
Summary
About the job:
directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of care, manage health care costs. Note: We are looking for an experienced people leader in the Baltimore/Washington DC metropolitan areas who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work...
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
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Care Management Supervisor (MD/ DC/ Northern VA) (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Resp & Qualifications PURPOSE: The Care Management Supervisor supervises, ...
Details
Summary
About the job:
directs and coordinates the activities of Care Managers. Develops and reviews Care Management standards, program criteria, policies, and procedures to ensure quality of care, manage health care costs. Note: We are looking for an experienced people leader in the Baltimore/Washington DC metropolitan areas who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work...
Location:
Baltimore, MD
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
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Behavioral Health Care Management Manager (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
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Resp & Qualifications PURPOSE: The Manager supports the Director of ...
Details
Summary
About the job:
Behavioral Health Services and the CareFirst Mission of providing affordable health insurance and accessible health care to all. The incumbent builds an effective, efficient workforce to support all aspects of the Behavioral Health Services department across the continuum of care settings and clinical programs and services for members. This includes the planning, implementation, and refinement of care coordination programs and initiatives for behavioral health services that support departmental and divisional goals. Note: We...
Location:
Baltimore, MD
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:
Licensed Clinical Social Worker
National Committee for Quality Assurance
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Custom Provider Networks Program Manager (Hybrid)

CareFirst BlueCross BlueShield
Baltimore, MD
Actions
Apply
Save to My Profile
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Report this job
Resp & Qualifications PURPOSE: Manages end-to-end oversight of custom ...
Details
Summary
About the job:
(ie.Domestic) network development in support of national account sales. The Program Manager will work across two high profile divisions driving membership growth through network implementation with a focus on client satisfaction. The Program Manager will be on the Value and Sales Enablement team in Health Services Division and work directly with the Account Executives and Consultants in the Sales Division and may be account-facing when needed to address all domestic network set up, maintenance, and enhancement requests. The...
Location:
Baltimore, MD
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Project Management Institute
Certified Project Manager
Chartered Financial Analyst
Project Management Professional
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
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 ...
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:
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

Sourcing Associate

CareFirst BlueCross BlueShield
Owings Mills, MD
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About the gig CareFirst BlueCross BlueShield, is seeking a Sourcing ...
Details
Summary
About the job:
Associate 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:
Purchasing Agents, Except Wholesale, Retail, and Farm Products
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
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