Resp & Qualifications. PURPOSE. Designs, develops/codes, tests, and documents application programs for computer systems. Works with appropriate stakeholders to define system scope and objectives. Performs complex analysis, design, development, testing, and debugging of computer software ranging from operating system, architecture integration, and software design to selection of computer systems, language, and/or equipment. Performs in accordance ...
Resp & Qualifications. PURPOSE. . The Vice President, State Government Affairs is responsible for the development and implementation of a multi-state strategy to advance, support, promote and protect CareFirst's political, policy and business objectives. As head of the State Government Affairs team within CareFirst's Public Policy and Government Affairs Division, the VP will oversee legislative and regulatory affairs in Maryland, Virginia, the Di...
Resp & Qualifications. PURPOSE. . As a member of the Enterprise Strategy Division, you will play a critical role in driving customer-centric strategies using data-driven insights to improve experiences for key business segments. The segments include brokers, customers, providers (doctors), and members. Your goal will be to deliver extensive consultation and guidance to ensure critical experience strategies are in place for all core audiences. At...
Resp & Qualifications. PURPOSE. This position is accountable for increasing enrollment, converting to, and retaining Medicare business. Responsible for managing strategies that support all distribution channels to build market share in the CareFirst operating area for Over 65 Individual Medicare products including Medicare Supplemental plans and Medicare Advantage plans. The incumbent serves as a subject matter expert between CareFirst and princi...
Resp & Qualifications. Candidates must live in the MD / DC / VA area in order to travel frequently to client meetings and in person meetings. PURPOSE. This position is responsible for renewing/growing a. pharmacy book of business. which includes complex accounts on both a fully insured and self-insured basis. This position drives revenue and manages current and prospective relationships to ensure success with pharmacy products. Leads pharmacy sal...
Resp & Qualifications. PURPOSE. Responsible for systematic investigations of a specific area of operations (i.e., claims, customer service, enrollment) within the organization. Incumbent conducts a variety of audit activities which may include, but not be limited to, process audits where there is a technology component, operational audits involving internal and/or external process and procedures, and audits of vendors/partner contracted services....
Resp & Qualifications. PURPOSE. Delivers process support and serves as a technical resource in complex process development, troubleshooting, process optimization, and scaling up initiatives responsible to manage and maintain the ITAM technology tools focused on Opentext Universal Discovery (UD) process and Configuration management System (CMS (formerly Universal Configuration Management Database (uCMDB)). This includes system documentation and tr...
Resp & Qualifications. PURPOSE. Facilitates training to clients to enhance product, program or corporate initiative proficiency and increase organizational performance. Leads the development of product and corporate knowledge expertise to deliver informative, effective, and engaging training both in-person and in a virtual setting. Partners with various divisions and departments to assess training needs, support interdepartmental learning, and en...
Resp & Qualifications. PURPOSE. Performs complex analysis, design, development, testing, and debugging of computer software ranging from operating system architecture integration and software design to selection of computer systems, language, and/or equipment. Designs, develops/codes, tests, and documents critical and complex application programs for computer systems. Works with appropriate stakeholders to define system scope and objectives and...
Resp & Qualifications. PURPOSE. The Senior Data Engineer is responsible for orchestrating, deploying, maintaining and scaling cloud OR on-premise infrastructure targeting big data and platform data management (Relational and NoSQL, distributed and converged) with emphasis on reliability, automation and performance. This role will focus on developing solutions and helping transform the company's platforms deliver data-driven, meaningful insights a...
Resp & Qualifications. CareFirst, Inc., and its affiliated companies, referred to as CareFirst BlueCross BlueShield (CareFirst), is the Mid-Atlantic regions largest private sector health insurer, serving the healthcare needs of 3.6 million members in Maryland, the District of Columbia, and portions of northern Virginia. The Company offers a comprehensive portfolio of products and services to individuals and groups, as well as state and federal go...
Resp & Qualifications. PURPOSE. . The VP, Care Delivery and Clinical Operations is responsible for the oversight, development and execution of CareFirst's primary care delivery model and ensuring effective and efficient operations of multi-site and virtual primary care delivery. ESSENTIAL FUNCTIONS. Sets and executes on the overall Care Delivery strategy for primary care. Facilitates the integration of CareFirst's Virtual Primary Care model, Clo...
