Blue Cross and Blue Shield of Massachusetts, Inc.


Search among Blue Cross and Blue Shield of Massachusetts, Inc. jobs
Jobs: 21 - 30 of 41 |

Payment Integrity: Reimbursement Policy Quality Assurance (QA) Analyst
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for ...
12d
Job Type | Full Time |

Pharmacy Operations Clinical Pharmacist Manager
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day clinical operational UM activities to ensure that all Commercial...
13d
Job Type | Full Time |

Risk Adjustment Provider Education Specialist
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. What we need This role will be responsible for representing Blue Cross Blue Shield MA's risk adjustment documentation and coding improvement initiatives through engageme...
13d
Job Type | Full Time |

Associate Director, Generative AI
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. What We Need: The Associate Director of the Generative AI team will be responsible for leading a team of AI engineers, product owners, and implementation team to develop...
14d
Job Type | Full Time |

Sr. Program Manager, Clinical Quality
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Sr. Program Manager, Clinical Quality is responsible for developing, managing, coordinating, and contributing to numerous Health and Medical Management (HMM...
14d
Job Type | Full Time |

Sr. Program Manager, Clinical Quality
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Sr. Program Manager, Clinical Quality is responsible for developing, managing, coordinating, and contributing to numerous Health and Medical Management (HMM...
14d
Job Type | Full Time |

Case Manager Behavioral Health
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. 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, ...
20d
Job Type | Full Time |

Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Credentialing & Peer Review's Project Manager is responsible for staff support, administrative and project management, quality improvement, and overseeing continuing med...
20d
Job Type | Full Time |

Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Credentialing & Peer Review's Project Manager is responsible for staff support, administrative and project management, quality improvement, and overseeing continuing med...
20d
Job Type | Full Time |

Senior Medical and Dental Underwriter
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. What We Need The Sr. Underwriter is responsible for the profitability of an assigned book of business, including prospective and renewing business in the 51-99 and 100+ ...
21d
Job Type | Full Time |