About Us
CareFirst. It's not just our name. It's our promise. Over 3.5 million people trust us with their healthcare needs, and we take this responsibility seriously.

Our vision for healthcare is clear. Quality care should be easy to afford, easy to use and available to everyone. And what we're building for you is exactly what we expect for ourselves and those we love.

Every day, we make a meaningful difference in the communities where we live and work. We solve real problems for the people we serve with equal parts empathy and urgency-simplifying the complex, delivering tailored solutions and stepping forward with new ideas.
Reston, VA
Remote
Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their d ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: This position ensures that the more complex accounts are accurately invoiced, reconciled and outsta ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform ...
Baltimore, MD
Remote
Resp & Qualifications Although this position is REMOTE, candidates must live in the MD/DC/VA area in order to travel as needed to the n ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: The Appeals Specialist I is responsible for the initial analysis of appeals correspondence, and det ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: Under direct supervision, reviews and adjudicates paper/electronic claims. Determines proper handli ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: This position supports the clinical teams by handling non-clinical tasks related to preauthorizatio ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: Under direct supervision, the Claims Recovery Specialist I review and audits medical and/or dental ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: In collaboration with the Medical Director, the Medical Policy Analyst will research, analyze, eval ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: Manages and implements custom extensions within TriZetto Facets application. This role plays a crit ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: Executes medium to complex sourcing projects, from start to finish. This role will rationalize the ...
Baltimore, MD
Remote
Resp & Qualifications PURPOSE: This position is responsible for renewing/growing a book business which includes more complex accou ...