10 research resources access coordinator jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Public Health & Community Impact (PHCI) team serves as the enterprise hub for public health strategy, community engagement, and philanthropic investment across Maryland, DC, and Northern Virginia. PHCI works across departments to embed public health principles into programs, policies, and practices while advancing measurable community health impact. This summer internship is designed for a motivated undergraduate or graduate student interested in public health, community engagement, social impact strategy, and data-informed philanthropy. The intern will primarily support the Community Engagement Pod, while also contributing to impact measurement, light data analytics, and philanthropic portfolio reporting. This role offers exposure to executive leadership within the Office of the CEO and hands-on experience at the intersection of public health, corporate engagement, and measurable community...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Strategic Communications Director plays a critical leadership role in advancing CareFirsts mission through clear, effective, and timely communications. This position is responsible for shaping and executing enterprise-wide communications strategies that support organizational priorities, strengthen understanding and engagement, and protect and enhance CareFirsts reputation. Working closely with executive leadership and key stakeholders, the Director provides strategic counsel and hands-on leadershipparticularly in fast-moving or high stakes situationsto ensure messages are well considered, appropriately approved, and delivered with impact. The role oversees a team responsible for the development and management of internal and external communications channels, creative and production efforts, and major events, while ensuring communications programs are measurable, within budget and aligned to the needs...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages telephonically with member, family, and providers to develop a comprehensive plan of care to address the members needs at various stages along the care continuum....

CareFirst BlueCross BlueShield Resp & Qualifications (Maryland-DC-Northern VA) PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington DC metropolitan areas. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the members needs at...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network providers including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. ESSENTIAL FUNCTIONS: RELATIONSHIP MANAGEMENT: Establishes and maintains relationships with providers and key stakeholders, by ensuring regular communications and...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Director of Accounting is considered part of the Finance & Accounting's Leadership Team and an expert in their field. The position will supervise one or more departments in their functional area and is expected to demonstrate all the leadership behaviors set forth by the Company in the manner in which they lead. Incumbent is responsible for maintaining strong financial internal controls and drive decisions that impact the Finance & Accounting organization. Additionally, this position is considered a visible resource across the enterprise, including members of the executive leadership team. ESSENTIAL FUNCTIONS: Direct the management of the monthly closing of the financial systems, recording of accruals and reserves as appropriate, ensuring that all activities are executed in a timely manner and in accordance with associated accounting policies, procedures and guidelines. This function includes...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Senior Business Analyst will have the responsibility to ensure that the Medicare Pharmacy business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for the gathering and synthesizing of business requirements for moderate complexity software, systems, processes and/or services and translates them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow. ESSENTIAL FUNCTIONS: Interprets Medicare Pharmacy business needs and issues by gathering, eliciting, creating, analyzing, documenting and validating the...

CareFirst BlueCross BlueShield Resp & Qualifications We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. PURPOSE: This role enables a seamless provider experience serving as a primary liaison with stakeholders within Health Services and across the company. Provides communication, education, issue/dispute resolution and support of managing all of CareFirst's contracted in-network providers including independent professional practices, health systems, hospitals, and ancillary providers across all lines of business. ESSENTIAL FUNCTIONS: RELATIONSHIP MANAGEMENT: Establishes and maintains relationships with providers and key stakeholders, by ensuring regular communications...

CareFirst BlueCross BlueShield Resp & Qualifications We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week PURPOSE: This role will lead, guide, strategize and manage complex negotiations for larger top-tier provider-specific institutional, ancillary, and professional contracts. Key responsibilities include negotiating contract terms in accordance with regulatory requirements, analyzing financial data to evaluate implications across various business lines, while ensuring compliance with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care. This role will also collaborate with various...

CareFirst BlueCross BlueShield Resp & Qualifications We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. PURPOSE: This role will lead, guide, strategize and manage negotiations for provider-specific institutional, ancillary, and professional contracts. Key responsibilities include negotiating contract terms in accordance with regulatory requirements, analyzing financial data to evaluate implications across various business lines, while ensuring compliance with company policies and procedures, and coordinating with the Payment Transformation team to transition fee-for-service arrangements to value-based care. This role will also oversee complex projects related to provider...