Jan 19, 2026
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Configures, tests and documents configuration solutions for provider reimbursement configuration set-up and maintenance, benefit package configuration setup and maintenance, membership configuration set-up and maintenance, setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business requirements and objectives towards determining the optimal configuration of the requirements. Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit business needs. Performs complex data modeling and database design with minimal oversight. Ability to multitask while prioritizing projects. ESSENTIAL FUNCTIONS: Independently performs hands-on configurations, workflow and process mapping in Guiding Care for core care management and...
Professional Diversity Network
Baltimore, MD, USA
Full-Time
