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Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts in United States

50 jobs at Blue Cross Blue Shield of Massachusetts in United States

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  • Blue Cross Blue Shield of Massachusetts

    Customer Service Representative

    4 weeks ago

    Blue Cross Blue Shield of Massachusetts Quincy, United States

    SCHEDULE: · For the duration of training (approximately 15 weeks) your schedule will be 9am-5pm EST. After training is completed, the schedule will shift to 10:00am-6:00pm EST. · Member Service Representative · Remote work available · Full Time · Compensation: · Starting at $20. ...

  • Blue Cross Blue Shield of Massachusetts

    Care Management Extender

    1 week ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · The Role · The Care Management Extender position is a member of the care management team and works collaboratively with nurse case managers to outreach to members who have been identified for case management ...

  • Blue Cross Blue Shield of Massachusetts

    LPN- Clinical Utilization Reviewer

    4 weeks ago

    Blue Cross Blue Shield of Massachusetts Quincy, United States

    The Role · The Clinical Utilization Reviewer -LPN is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. · Under the Direction of an RN or PT , the LPN ...

  • Blue Cross Blue Shield of Massachusetts

    National Account Executive IV

    4 weeks ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · What we need: · Reporting to the Director of National Sales, this role will oversee a portfolio of national customers. This individual will drive renewal, growth and cross sales activities to increase member ...

  • Blue Cross Blue Shield of Massachusetts

    Program Manager, Release Train Engineer

    1 day ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    What We Need · An energetic Release Train Engineer to drive performance across multiple Scrum teams on complex initiatives that impact multiple business areas. Focused on bringing new and innovative solutions to fruition across the entire product lifecycle. This role will also p ...

  • Blue Cross Blue Shield of Massachusetts

    Sr. Project Manager

    8 hours ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    What We Need · The Senior Project Manager, Scrum Master will be responsible for supporting complex projects/products and programs using pre-existing knowledge, skills, templates, and expertise in various organizational and implementation methodologies. They will support all phase ...

  • Blue Cross Blue Shield of Massachusetts

    Lead Full-Stack Engineer

    8 hours ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    What We Need · At Blue Cross Blue Shield of Massachusetts, we have an exciting opportunity for an energetic & passionate Lead Full-Stack Engineer to help innovate, integrate, and manage technology solutions directly related to Blue Cross Blue Shield of Massachusetts's MyBlue web ...

  • Blue Cross Blue Shield of Massachusetts

    Senior Director, Federal Affairs

    3 weeks ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Position Summary: The Senior Director, Federal Government Affairs will manage BCBSMA activities to achieve effective and time-sensitive advancement of BCBSMA legislative and regulatory agenda in a coordinated and integrated fashion. · Key Accountabilities: Manage BCBSMA activitie ...

  • Blue Cross Blue Shield of Massachusetts

    Vice President, Customer Experience

    4 weeks ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Do you stand for something? For the right things. For listening to the person who has no voice. For believing you can make things better. We're Blue Cross, and we're for big changes, starting right now. We're taking the lead in transforming health care for tomorrow. And together, ...

  • Blue Cross Blue Shield of Massachusetts

    RN Medex Case Manager l Registered Nurse l Medicare Advantage

    3 weeks ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · RESPONSIBILITIES: · Assess and evaluate member or family support needs by using various data tools and resources · Assist members and their families in the administration of their health plan benefits, prom ...

  • Blue Cross Blue Shield of Massachusetts

    Lead Full-Stack Engineer

    1 day ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    What We Need · At BCBSMA, we are seeking an experienced Lead Full Stack Engineer to drive our cutting-edge technology initiatives in an agile environment. As a hands-on leader, you will guide the end-to-end development process, ensuring the delivery of high-quality solutions. You ...

  • Blue Cross Blue Shield of Massachusetts

    Vice President of Product, Government Programs

    8 hours ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    The Role · Reporting to Senior Vice-President of Government Programs, the VP Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result in achieving membership and margin targets for the Government Line of Business. Thi ...

  • Blue Cross Blue Shield of Massachusetts

    Vice President of Product, Government Programs

    8 hours ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · The Role · Reporting to Senior Vice-President of Government Programs, the VP Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result in achiev ...

  • Blue Cross Blue Shield of Massachusetts

    Senior Intelligent Automation Engineer

    20 minutes ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    What We Need · As a Senior IA Engineer, you will strategically drive the development and implementation of automation solutions using Intelligent Automation tools and technologies. In addition to leading a team of engineers, you will collaborate closely with business stakeholders ...

  • Blue Cross Blue Shield of Massachusetts

    Manager, Risk Adjustment Provider Engagement

    3 weeks ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    The Manager of Risk Adjustment Provider Engagement and Education is a Certified Risk Adjustment Coder who will support the development and oversight of a provider engagement program in support of overall clinical documentation improvement to enhance health care delivery and healt ...

  • Blue Cross Blue Shield of Massachusetts

    Salesforce Architect

    4 weeks ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · What We Need · The Salesforce Solution Architect is responsible for architecting the Salesforce Solution on multiple projects or one large complex project. The Solution Architect will work under the guidance ...

  • Blue Cross Blue Shield of Massachusetts

    Senior Manager, Engineering

    3 days ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · What We Need · The Senior Manager, Engineering will lead and be responsible for all projects within the Service Center Technology initiative. The ideal candidate will have strong knowledge & understanding ac ...

  • Blue Cross Blue Shield of Massachusetts

    Senior Contract Manager

    2 days ago

    Blue Cross Blue Shield of Massachusetts Boston, United States

    Ready to help us transform healthcare? Bring your true colors to blue. · What We Need · BCBSMA has been a national leader in implementing value-based payment models like the Alternative Quality Contract and most recently announced our intent to collaborate with providers to devel ...

  • Blue Cross Blue Shield of Massachusetts

    Sr. Audit Specialist, Data Mining

    2 days ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    What We Need · The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to claims processing guidelines, BCBSMA Medical and Payment Policies, contract interpretations and established audit protocols. · The role involves detailed claims analysis ...

  • Blue Cross Blue Shield of Massachusetts

    Case Manager

    2 days ago

    Blue Cross Blue Shield of Massachusetts Hingham, United States

    The Role · The Clinical Care Manger is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. · This position is self-directed and works independently and collaboratively to fa ...