Jobs with CareFirst BlueCross BlueShield
(Found 110 Jobs)
Functional Credentialing Analyst I (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Provides analysis and reporting for practitioners credentialing and institutional credentialing and ancillary providers by obtaining provider related data; analyzi...
Nov 15, 2024
Baltimore, MD
Quality Review Nurse (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical Appeals & Grievance Department Government Programs...
Nov 14, 2024
Baltimore, MD
Sourcing Associate - Procurement (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: This position leads and conducts proposal preparation, contract drafting and negotiation for goods and services to ensure stakeholder requirements are satisfied.&n...
Nov 14, 2024
Baltimore, MD
Clinical Appeals Supervisor - RN (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: The Clinical Appeals Supervisor (RN) directs and coordinates the accurate implementation of the clinical appeal process for members and providers who appeal on beh...
Nov 9, 2024
Baltimore, MD
Account Consultant IV - Labor Union Market (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: This position is responsible for renewing/growing a Taft Hartley book business which includes the most complex and jumbo accounts with indemnity, self-funded, shar...
Nov 9, 2024
Baltimore, MD