• Senior Investigator (Hybrid)

    CareFirst (Baltimore, MD)
    …financial business records, provider and subscriber medical data, claims, systems reports, medical records, analysis of contract documents, provider/subscriber ... when appropriate. Researching provider/subscriber claims activity, operations manuals, data systems , medical policies, job duties and group benefit contracts to… more
    CareFirst (07/12/25)
    - Related Jobs
  • Product Manager (Remote)

    CareFirst (Baltimore, MD)
    …RESPONSIBILITY:** Leads a team utilizing a matrix management system . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree, Business, Marketing, Engineering, ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (08/16/25)
    - Related Jobs
  • Org Development Specialist/Trainer

    Calvert Memorial Hospital (Prince Frederick, MD)
    …in Business or Psychology is preferred + Registration/Certification/Licensure: + DISC , Emotional Intelligence (EI), and StrengthsFinder certifications are preferred. ... is not limited to, Microsoft Office products, databases, and Learning Management System applications. + Effective data organization skills and ability to analyze… more
    Calvert Memorial Hospital (08/08/25)
    - Related Jobs
  • Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …with providers who provide services to patients and pursues a responsive system for authorization of services and approved claims. + Prepares retrospective reviews, ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (07/12/25)
    - Related Jobs
  • Care Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (eg ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (07/12/25)
    - Related Jobs
  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (eg ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (07/09/25)
    - Related Jobs
  • Director, Risk Adjustment (Hybrid)

    CareFirst (Baltimore, MD)
    …CareFirst teams and processes to impact business outcomes. Collaborate across the eco- system such as CMS, State & BCBSA to drive necessary regulatory improvements. ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (06/19/25)
    - Related Jobs
  • Senior Software Senior Engineer (Remote)

    CareFirst (Baltimore, MD)
    …to design and operate cloud-native platforms and to integrate complex/existing systems . + Strong working knowledge of SDLC, test-first practices (TDD/BDD), and ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (08/22/25)
    - Related Jobs
  • MSP COB Representative I, Large Group Coordination…

    CareFirst (Cumberland, MD)
    …Insurance Commission guidelines and contract limitations. Review and update automated systems with accurate other insurance coverage information in a timely manner ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (08/20/25)
    - Related Jobs
  • Software Engineering Manager - INS (Remote)

    CareFirst (Baltimore, MD)
    …design, development, test, deployment, and support of all related software application systems . Empowers a team of software engineers, product owners, and scrum ... To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc /Physical Demand** Note: The incumbent is required to immediately disclose any… more
    CareFirst (08/13/25)
    - Related Jobs