Capital Blue Cross remote roles

• Underwriter II

  Company: Capital Blue Cross

  Location: United States

  Salary: $55.1k - $103.81k

  Job type: full-time. Experience level: mid.

  Skills: Underwriting, Risk Management, Financial Analysis, Mathematical modeling, Data Research, Actuarial Pricing.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates.

• RN Care Manager - Oncology

  Company: Capital Blue Cross

  Location: United States

  Salary: $58.76k - $110.739k

  Job type: full-time. Experience level: mid.

  Skills: Care Management, Oncology, Clinical Assessment, Critical Thinking, Problem Solving, Communication Skills.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Care Management Team Lead

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Leadership, Case management, Critical Thinking, Problem Solving, Time Management, Organizational Skills.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Care Management Team Lead

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Leadership, Case management, Critical Thinking, Problem Solving, Time Management, Organizational Skills.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Medical Policy & Coding Project Consultant- RN/CRNP

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Medical policy, Medical Coding, Clinical Research, Evidence-Based Practice, Claims Administration, Healthcare Data Analysis.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Medical Policy & Coding Project Consultant- RN/CRNP

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Medical policy, Medical Coding, Clinical Research, Evidence-Based Practice, Claims Administration, Healthcare Data Analysis.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Manager, Risk Adjustment Operations

  Company: Capital Blue Cross

  Location: United States

  Salary: $83.8k - $157.89k

  Job type: full-time. Experience level: senior.

  Skills: Risk Adjustment, Operational Management, Project Management, Data-Driven Decision Making, Cross-functional coordination, Vendor management.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates.

• Manager, Data Engineering

  Company: Capital Blue Cross

  Location: United States

  Salary: $98.88k - $186.29k

  Job type: full-time. Experience level: senior.

  Skills: Technical Leadership, Data Modeling, Project Management, Communication Skills, Snowflake, Azure.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• HEDIS Performance Analytics Lead

  Company: Capital Blue Cross

  Location: United States

  Salary: $83.8k - $157.89k

  Job type: full-time. Experience level: staff.

  Skills: Predictive Modeling, Statistical Analysis, SQL, Python, R, Tableau.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Information Security Specialist

  Company: Capital Blue Cross

  Location: United States

  Salary: $83.8k - $157.89k

  Job type: full-time. Experience level: mid.

  Skills: Information Security, Cybersecurity, SIEM, Vulnerability Management, Incident Response, Risk Management.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Senior Provider Audit Specialist

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Hospital Billing, Reimbursement methodologies, Compliance, Data Visualization, CPT Coding, Chargemaster.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates.

• MV Systems Analyst II

  Company: Capital Blue Cross

  Location: United States

  Salary: $55.1k - $103.81k

  Job type: full-time. Experience level: mid.

  Skills: Data Analytics, SAS, Tableau, Power BI, Project Management, Business Requirements.

  Position Description Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates.

• Sr Government Operations Analyst

  Company: Capital Blue Cross

  Location: United States

  Salary: $55.1k - $103.81k

  Job type: full-time. Experience level: mid.

  Skills: Medicare Advantage, Claims Processing, Data Modeling, Regulatory reporting, Facets, Root Cause Analysis.

  Position Description The Senior Operations Business Analyst provides advanced analytical, reporting, and problem‑resolution support across Claims, Customer Service, Enrollment & Billing, and Appeals & Grievances.

• Sr. Government Ops Business Consultant

  Company: Capital Blue Cross

  Location: United States

  Salary: $72.87k - $137.29k

  Job type: full-time. Experience level: senior.

  Skills: Analytical Support, Business Intelligence, Data Analysis, Research Design, Statistical Methods, Project Management.

  Position Description The Senior Operations Consultant is responsible for providing analytical support to various business areas and customers. Also acts as subject matter expert providing technical and/or business knowledge to support decision making processes.