Company · 65 open roles
Careers at CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield has 65 active roles on ResuMinder right now, with 46% remote-friendly. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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65 positions at CareFirst BlueCross BlueShield
Broker Support Representative II (Remote)
CareFirst BlueCross BlueShield·Baltimore or Maryland or District of Columbia or Virginia
Broker Support Representative II (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore or Maryland or District of Columbia or Virginia. Role: supporting brokers, resolving issues, mentoring staff Requirements: High school diploma/GED, 3 years customer service experience…
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Medical Review Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: reviewing claims, pricing procedures, attending meetings Requirements: Active RN licensure (MD/VA/DC or compact), 3 years acute clinical experience, case …
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Medical Review Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: reviewing claims, analyzing records, attending meetings Requirements: Active RN licensure (state or compact), 3+ years acute clinical experience, experien…
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Medical Review Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: reviewing claims, analyzing records, communicating findings Requirements: Active state RN licensure (MD/DC/VA compact accepted), 3+ years acute clinical e…
Senior Data Analyst - ACA Risk Adjustment (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Senior Data Analyst - ACA Risk Adjustment (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: analyzing data, validating submissions, designing reports Requirements: 5+ years analytical experience; Bachelor's in related field or equival…
Senior Quality Analyst (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Senior Quality Analyst (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: defining measures, analyzing data, operationalizing initiatives Requirements: 5+ years professional experience; Bachelor's in population health/public health/hea…
Clinical Support Supervisor (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Support Supervisor (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: supervising team, coaching staff, analyzing data Requirements: Bachelor's degree or equivalent experience, 3+ years related professional experience with lea…
Clinical Appeals Nurse (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Appeals Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: investigating appeals, organizing cases, preparing responses Requirements: Active RN state or compact license required, 3+ years clinically related experience in…
Clinical Pharmacist (Remote)
CareFirst BlueCross BlueShield·Baltimore or Washington
Clinical Pharmacist (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore or Washington. Role: conducting outreach, performing reviews, providing guidance Requirements: Doctor of Pharmacy and active pharmacist license in MD and/or DC, 5+ years clinical pharmacy experien…
Systems Engineer Intern - Fall Recruitment MD/DC/VA (Remote)
CareFirst BlueCross BlueShield·Columbia or Maryland or Virginia or District of Columbia
Systems Engineer Intern - Fall Recruitment MD/DC/VA (Remote) at CareFirst BlueCross BlueShield. Location: Columbia or Maryland or Virginia or District of Columbia. Role: developing applications, testing applications, analyzing requirements Requirements: Currently enrolled junior/…
Clinical Appeals Nurse (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Appeals Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: investigating appeals, organizing cases, communicating decisions Requirements: Active RN licensure, 3+ years clinical experience in medical review/utilization ma…
Procurement Sourcing Manager (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Procurement Sourcing Manager (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: leading sourcing, negotiating contracts, managing team Requirements: Manage sourcing team, lead end-to-end sourcing and stakeholder engagement, negotiate c…
Business Analyst (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Business Analyst (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: analyzing requirements, conducting testing, documenting systems Requirements: Bachelor's in Business/IT/CS or equivalent experience, 3 years of functional/operational/…
Business Analyst (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Business Analyst (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: documenting requirements, conducting testing, coordinating projects Requirements: Bachelor's in Business/IT/CS or equivalent experience, 3 years of functional/operatio…
Senior Systems Engineer - Executive Support (On-Site)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Senior Systems Engineer - Executive Support (On-Site) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: providing support, maintaining systems, automating installation Requirements: Bachelor's in IT/CS (or 4 additional years experience), 5+ ye…
Claims Recovery Specialist II (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Claims Recovery Specialist II (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: reviewing claims, recovering payments, reconciling accounts Requirements: High school diploma/GED, 5 years claims processing experience, adjustment proces…
Payment and Medical Policy Coordinator (Remote)
CareFirst BlueCross BlueShield·Baltimore or Washington
Payment and Medical Policy Coordinator (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore or Washington. Role: coordinating implementation, supporting readiness, coordinating testing Requirements: Coordinate end-to-end implementation of medical and payment policies, …
Financial Reporting Accountant (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Financial Reporting Accountant (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: preparing statements, preparing adjustments, analyzing investments Requirements: Bachelor's in accounting/finance or equivalent experience; 3+ years publ…
Lead Accountant - MD Medicaid (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Lead Accountant - MD Medicaid (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: overseeing operations, reviewing reconciliations, preparing statements Requirements: Bachelor's in accounting/finance (or additional experience), 8+ years…
Senior Financial Analyst - FEP Accounting (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Senior Financial Analyst - FEP Accounting (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: producing reports, analyzing trends, managing forecasts Requirements: 5+ years finance/accounting experience; Bachelor's in Accounting/Finance…
Vice President, SBP Platform Engineering (Hybrid)
CareFirst BlueCross BlueShield·Reston, Virginia, United States
Vice President, SBP Platform Engineering (Hybrid) at CareFirst BlueCross BlueShield. Location: Reston, Virginia, United States. Role: building platforms, ensuring reliability, leading teams Requirements: Bachelor's in Information Systems (or related), 10+ years platform engineeri…
Reimbursement Analyst (Remote)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Reimbursement Analyst (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: constructing databases, performing analyses, compiling reports Requirements: Prepare reimbursement analyses, financial models, and competitive benchmarks; use Mic…
Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: advising clients, analyzing utilization, developing recommendations Requirements: PharmD required, active registered phar…
Provider Relations Representative I (Hybrid)
CareFirst BlueCross BlueShield·Baltimore, Maryland, United States
Provider Relations Representative I (Hybrid) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: managing relationships, resolving issues, training providers Requirements: Associate's degree (or additional 2 years relevant experience), 2 years e…