Carefirst Jobs

Resp Qualifications PURPOSE: In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, evaluate, and revise medical policies and... Read More

Resp Qualifications PURPOSE: Leads multiple cross functional teams, or Agile Release train (ART) guiding them on how to use Agile, Scaled Agile Framework (SAFe), Scrum and... Read More

Resp Qualifications PURPOSE: This is a Big Data/Cloudera Administrator Lead position and not a developer position and need CDP7 experience. The Lead Data Engineer is... Read More

Resp Qualifications PURPOSE: This is an Ab Initio Administration Lead position and not a developer position. The Lead Ab Initio ETL Administrator is responsible for... Read More

Resp Qualifications PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost... Read More

Resp Qualifications PURPOSE: Performs complex analysis, design, development, automated unit and integration testing, and debugging of computer software ranging from... Read More

Resp Qualifications PURPOSE: Manages a team of technical engineers that manages daily operations of the department responsible for the design and engineering of the... Read More

Resp Qualifications PURPOSE: In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop medical... Read More

Resp Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical... Read More

Resp Qualifications PURPOSE: Director, Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan for government... Read More

Resp Qualifications NOTE: This is NOT an IT position. This position is under our Core Development Division. Candidates must live in the MD, DC, VA area to travel into the... Read More

Resp Qualifications PURPOSE: CareFirst is undertaking a digital transformation which requires enterprise agility paired with the retooling of our technology stack to speed... Read More

Resp Qualifications PURPOSE: Understands data needs and advise company on technological resources. Aggregate and analyze various data sets to provide actionable insight.... Read More

Resp Qualifications PURPOSE: Responsible for performing analysis of historical business data, including past call and transaction volume, projected business trends and... 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 Join Our Team of Difference Makers At CareFirst, were building the healthcare experience we want for our families, and for our future. Every day, we... Read More

Resp Qualifications PURPOSE: Develops and implements security solutions. Administers security technology systems by architecting and engineering/developing trusted systems... Read More

Resp Qualifications PURPOSE: The Member Service I Representative is proficient in routine benefits, claims, and general inquiries. They have a general knowledge of the... Read More

Resp Qualifications PURPOSE: As a Cybersecurity Analyst Intern, your primary responsibility will be to support the various functions and tasks performed by the... Read More