Carefirst Jobs

Resp Qualifications PURPOSE: This position is responsible for renewing/growing a commercial markets (fully insured self insured) books of business which includes more... Read More

Resp Qualifications PURPOSE: Manages end-to-end oversight of business initiatives. Drives teams and internal projects to maintain and enhance program performance over... Read More

Resp Qualifications PURPOSE: Responsible for evaluating applicant situation and circumstances; studying rate tables, codes, computer records and references, and other... Read More

Resp Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth... Read More

Resp Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse... Read More

Resp Qualifications PURPOSE: Leads a cross functional team, guiding them on how to use Agile, Scrum and Lean values/practices through servant leadership. Creates and... Read More

Resp Qualifications This position is remote but candidate must live in the DC/VA/MD region to attend local events. (Primarily in DC and VA) PURPOSE: Develops relationships... Read More

Resp Qualifications PURPOSE: Triage and develops case leads for the department, using various data sources and employing statistical analysis and reporting skills.... Read More

Resp Qualifications PURPOSE: The External Affairs Manager is responsible for developing and enhancing relationships with government officials in their respective... Read More

Resp Qualifications PURPOSE: The Care Management Supervisor supervises, directs and coordinates the activities of Care Managers. Develops and reviews Care Management... Read More

Resp Qualifications PURPOSE: Supports Risk Adjustment Stars organization to optimize Risk Adjustment revenue and coding accuracy through data-driven approach to closing... Read More

Resp Qualifications PURPOSE: Oversees various financial functions such as budgeting, auditing, forecasting and analysis. Provides financial support to the business,... Read More

Resp Qualifications PURPOSE: Facilitates CareFirst's long-term community investments to advance the company's mission to pursue health equity by addressing social... Read More

CareFirst Lead Business Analyst (Remote) Reston , Virginia Apply Now The Lead Business Analyst will have the responsibility to ensure that the business's need for changes... Read More

Resp Qualifications PURPOSE: The Specialist, Quality Assurance I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations... Read More

Resp Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies and/or... Read More

Resp Qualifications PURPOSE: Leads a cross functional team, guiding them on how to use Agile, Scrum and Lean values/practices through servant leadership. Creates and... Read More

Resp Qualifications PURPOSE: The Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and... Read More

Resp Qualifications PURPOSE: Ensures the stability, integrity and efficient operation of the organization information systems that support organizational functions. This... Read More