CareFirst Jobs

Resp & Qualifications** **PURPOSE:** This position drafts, reviews, and negotiates commercial contracts across all lines of business to ensure...

Resp & Qualifications** **PURPOSE:** Understands data needs and advise company on technological resources. Aggregate and analyze various...

Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and...

Resp & Qualifications** **PURPOSE:** Manages the utilization of referral services. Enhances quality of care by assuring compliance with policies...

Resp & Qualifications** **PURPOSE:** At CareFirst BlueCross BlueShield, we are building the future of healthcare as the largest not-for-profit...

Resp & Qualifications** **PURPOSE:** The position supports the Government Programs - Medicaid line of business and enrollees. Provides management...

Resp & Qualifications** **PURPOSE:** The Federal Government Affairs Director will be responsible for helping develop and implement federal...

Resp & Qualifications** **PURPOSE:** Manages and oversees the teams responsible for design and development of Pharmacy solutions, and their...

Resp & Qualifications** **PURPOSE:** The Care Management Supervisor supervises, directs and coordinates the activities of Inpatient Management...

Resp & Qualifications** **PURPOSE:** This position is responsible for renewing/growing a book business which includes more complex accounts...

Resp & Qualifications** **PURPOSE:** Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain...

Resp & Qualifications** **PURPOSE:** Leads proliferation of machine learning and artificial intelligence throughout the enterprise. Identifies...

Resp & Qualifications** **PURPOSE:** Performs complex analysis, design, development, automated unit and integration testing, and debugging...

Resp & Qualifications** **PURPOSE:** The Director, Risk Adjustment oversees the outcomes and operations of risk adjustment across the organization...