Remote Jobs at Capital Blue Cross
Find your next remote opportunity · 10 Open Positions
At Capital Blue Cross, we promise to go the extra mile for our team and our community.
This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and well-being are prioritized.
At Capital you will work alongside a diverse and caring team of supportive colleagues and be encouraged to volunteer in your community.
We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.
And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
To increase employee engagement and provide opportunities for networking, learning, career development, and community outreach, Capital also has several Employee Resource Groups.
Our goal is to involve all employees in helping us to create a culture of acceptance, understanding, and growth.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.
Healthcare Data Analyst – Risk Adjustment, Medicare
Healthcare Data Analyst supporting risk adjustment program analytics assisting in strategy execution at Capital Blue Cross. Collaborating on reporting and operational effectiveness in a remote environment.
RN Care Manager – Oncology
Care Manager coordinating member services for optimal health outcomes in a remote setting. Emphasizing education/self-management and promoting quality care with a focus on behavioral health needs.
Government Programs Risk Adjustment Coder
Risk Adjustment Coder conducting compliance reviews and audits to ensure Medicare Advantage accuracy. Collaborating with healthcare providers and maintaining coding standards per CMS guidelines.
Network Contract Analyst
Network Contract Analyst performing contract administration and analytic work for Capital Blue Cross. Collaborating with teams on provider contracts and reimbursement strategies in a healthcare environment.
Manager, Pharmacy Stars and Member Outreach
Manager leading Pharmacy Member Outreach team and overseeing operations for Medicare Pharmacy team at Capital Blue Cross. Ensures performance standards and process improvements in pharmacy services for members.
Performance Analyst
Performance Analyst responsible for FEP Plan performance audits and data validation. Analyzing claims and customer service inquiries; supporting audit processes within a healthcare organization.
Medical Value Analyst II
Medical Value Analyst II analyzing data to assist in design of value based programs at Capital Blue Cross. Collaborating with analysts and resolving operational issues in health care analytics.
Senior Healthcare Data Analyst – Risk Adjustment, Medicare & ACA
Senior Healthcare Data Analyst managing risk revenue initiatives for Medicare and ACA programs. Analyzing large datasets to improve quality of care and optimize revenue.
Senior Health Education Consultant
Senior Health Education Consultant managing wellness education and vendor programs at Capital Blue Cross. Responsible for project management, data analysis, and developing wellness initiatives.
Clinical Support Specialist
Provides administrative support to assigned clinical team in a remote capacity. Supporting clinical processes, documentation, and community events related to healthcare management.
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