BlueCross & BlueShield of Massachusetts in United States
11 jobs at BlueCross & BlueShield of Massachusetts in United States
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Customer Service Representative
1 week ago
BlueCross & BlueShield of Massachusetts Hingham, United StatesSCHEDULE:For the duration of training (approximately 15 weeks) your schedule will be 9 am-5 pm EST. After training is completed, the schedule will shift to 10:30 am-6:30 pm EST. Member Service Representative. Remote work available. Full Time. Compens Member Service, Customer Serv ...
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Customer Service Representative
2 weeks ago
BlueCross & BlueShield of Massachusetts Hingham, United StatesProvider Service Customer Service Representative Remote work available. Full Time$20.51 / hour ($40,000 / year)Compensation: Starting at $20.51/hour ($40,000/year) during 16-week training. Increase to $41,500/year after training complete. Opportuniti Customer Service, Customer Se ...
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LPN Clinical Care Manager
5 days ago
BlueCross & BlueShield of Massachusetts Hingham, United StatesThe Role The Clinical Care Manager-LPN 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. Under the direction of an RN , the LPN CM works c Clinical, Care Manager, Manag ...
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Claims Nurse Reviewer
10 hours ago
BlueCross & BlueShield of Massachusetts Hingham, MA, United StatesThe Role. The Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. This position requires strong clinical and medical Claims, Nurse, Registered Nurs ...
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Director of Commercial Markets 100+
1 week ago
BlueCross & BlueShield of Massachusetts Boston, United StatesWhat we need:The Director of Commercial Markets is accountable for retention & cross-selling additional product lines in addition to relationship building and management with brokers and consultant partners. The territory is comprised of a team of hi Director, Commercial, Sales, ...
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Medicare Advantage Clinical Care Manager
1 week ago
BlueCross & BlueShield of Massachusetts Hingham, United StatesThe 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 independentl Clinical, Care Manager, Behav ...
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Member Advocate
2 weeks ago
BlueCross & BlueShield of Massachusetts Hingham, United StatesSCHEDULE:For the duration of training (approximately 15 weeks) your schedule will be 9 am-5 pm EST. After training is completed, the schedule will shift to 9:30 am-5:30 pm EST. Member Advocate. Remote work available. Full Time. Compensation: Starting Member Service, Advocate, Cus ...
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Organizational Acceleration Analyst
2 weeks ago
BlueCross & BlueShield of Massachusetts Boston, United StatesOrganizational Acceleration Analyst As an Organizational Acceleration Analyst, you would exhibit curiosity, analytical acumen, and an operational mindset. Youll join a small and mighty team that is highly collaborative; partnering across the divisio Analyst, Project Management, B ...
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health engagement coordinator
1 week ago
BlueCross & BlueShield of Massachusetts Boston, MA , USA, United StatesWhat we need:The Health Engagement Coordinator is a strategic partner to the Health Engagement Strategist (HES) to successfully implement and run health engagement programs for clients across all markets. The HEC will participate in account meetings Health, Engagement, Coordinato ...
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Senior Director, Federal Affairs
6 days ago
BlueCross & BlueShield of Massachusetts Boston, United StatesThe 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 Director, Senior, Regulatory ...
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BlueCross & BlueShield of Massachusetts Hingham, United StatesWhat we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor while collaborating and providing guidance to HMM teams, company leaders Clinical, Compliance, Consult ...