5 isc production supervisor jobs found in Baltimore

CareFirst BlueCross BlueShield Resp & Qualifications We're hiring for a Lead Data Analyst - Value-Based Care Reporting on the Health Economics and Reporting team at CareFirst! 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. We are not looking for generalists who may have an IT background and various credentials like Scrum, Agile, etc. PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions. ESSENTIAL FUNCTIONS: Engages in data exploration using various programming languages (reading and writing code), requiring advanced knowledge of multiple database structures....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of low to medium levels fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. ESSENTIAL FUNCTIONS: Independently conduct low to medium level investigations and provide support as part of an assigned team to all levels (low to medium) investigations of suspected fraud, waste, and abuse. In conjunction with assigned team or management, develop and execute investigative plans that may include performance of audits of financial business records, provider and subscriber medical data, claims, systems? reports, medical records, analysis of contract documents, provider/subscriber claims history, benefits, external data banks and other documents to determine the possible existence of fraud and/or...

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: Provides strategic and tactical planning, as well as, knowledge services relating to the implementation of key mandate initiatives, covering a broad range of legislative and regulatory matters including: Federal, BCBSA, Government Programs, State. Provides internal and external liaison functions, workflow, customer service, communications, training, strategic delivery, efficiency, cost reduction and skill development initiatives. We are looking for an experienced professional to work remotely. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Analyzes legislation and regulations as it relates to CareFirst and creates high level compliance requirements. Primary/dedicated Regulatory point of contact for Project Managers who implementation projects. Takes a lead role in various...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of low to medium levels fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. ESSENTIAL FUNCTIONS: Independently conduct low to medium level investigations and provide support as part of an assigned team to all levels (low to medium) investigations of suspected fraud, waste, and abuse. In conjunction with assigned team or management, develop and execute investigative plans that may include performance of audits of financial business records, provider and subscriber medical data, claims, systems report, medical records, analysis of contract documents, provider/subscriber claims history, benefits, external data banks and other documents to determine the possible existence of fraud and/or abuse....