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CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Serves as an authority over Product Owners and product teams to ensure clarity in strategic direction. Brings an expertise to lead and manage project requirements...
Jul 18, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Lead Systems Engineer - (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: The Facets Systems Administrator is responsible for providing operational support for the claim adjudication system in Legacy and G6 platforms, Cognizant Facets. T...
Jul 18, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Program Manager - NCQA (Hybrid)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Manages end-to-end oversight of business initiatives that include oversight of Health Plan and Health Equity accreditation. Enhance program performance in preparat...
Jul 18, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Lead Software Engineer - (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications PURPOSE: Serves as Technical Lead/SME for the Facets Voucher application team, guiding the requirement analysis, design, development and implementation of Facets Voucher ap...
Jul 18, 2025
Baltimore, MD
CareFirst BlueCross BlueShield
Claims Adjuster II, MD/DC (Remote)
CareFirst BlueCross BlueShield
Resp & Qualifications Although this position is REMOTE, candidates are preferred to live in the MD/DC area in order to travel to the local offices for meetings.PURPOSE: Investigate and perform a...
Jul 18, 2025
Baltimore, MD
Lead Product Owner - Enrollment EDI/FACETS (Remote)
Baltimore, MD
Jul 18, 2025

Resp & Qualifications

PURPOSE: 
Serves as an authority over Product Owners and product teams to ensure clarity in strategic direction. Brings an expertise to lead and manage project requirements and introduces new, beneficial tools and practices. Focuses on managing the development of products to meet the needs of internal and external clients, and helps to establish the business value for their development and implementation. Provides business point of view and guidance on opportunities and risks to support clients. 

ESSENTIAL FUNCTIONS:

  • Leads the development of the product portfolio and provides workable solutions to satisfy customer and market expectations in close collaboration with stakeholders, Product Owners, and scrum teams.

  • Collaborates with management to identify and plan product releases by reviewing milestones with stakeholders; manages the continual development of existing products.

  • Validates proposed solutions by performing market research to gain insights and inform; assists with pricing packages and structures.

  • Communicates internally and externally, develops and maintains Product Roadmap(s).

  • Manages Product Backlog(s) for the development teams by using product road mapping and backlog management tools.

  • Works closely with testing managers to ensure product functionality is properly tested against business requirements; leads change control processes to reflect project priorities.

  • Aides in the development process by attending product refinement, sprint planning, and sprint reviews.

  • Coordinates and organizes workshops with product users using the discover and define approach; validates hypotheses and implements best solutions.

  • Contributes to wider initiatives and activities that support and increase customer satisfaction.

  • Conducts product training to partners, staff, and identifies need for individual/team training opportunities.



SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.


QUALIFICATIONS:


Education Level: Bachelor's Degree in Product Management, Engineering, Information Technology or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.


Experience: 8 years experience business analysis, business development, solutions development, system analysis, technical design/development implantation or equivalent experience OR 6 years Previous product owner experience with an in-depth knowledge of agile process and principles.

Preferred Qualifications:

  • Previous healthcare experience.
  • Advanced degree.
  • Proficient with Enrollment and Payment EDI transactions (834, 820) and working closely with business and external partners to gather information for the technical teams.
  • Must have Health care experience and capable to lead scrum teams to successful delivery of initiatives. 

Must have in depth knowledge of mapping enrollment and payment data to FACETS and understanding of EDIFECS and TIBCO.


Knowledge, Skills and Abilities (KSAs)

  • Proficient in Agile methodologies, principles, and procedures.
  • Ability to use Product KPIs and business metrics to optimize the product.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Ability to analyze, organize and prioritize work while meeting multiple deadlines.



Licenses/Certifications: Certified Scrum Product Owner PO certification Upon Hire Required.

Salary Range: $104,688 - $207,922

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

EDI Biz Ops

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

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Lead Product Owner - Enrollment EDI/FACETS (Remote)
CareFirst BlueCross BlueShield
Baltimore, MD
Jul 18, 2025
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