Blue Cross and Blue Shield of Massachusetts, Inc.
Search among Blue Cross and Blue Shield of Massachusetts, Inc. jobs
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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...
9h
| 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...
9h
| 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. The Sr. MDM Data Engineer is a senior staff member of Data Solutions Delivery team. This role will lead the digital transformation of operational and foundational Master...
9h
| 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...
9h
| 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...
21h
| Job Type | Full Time |
Sr. Manager, Medicare Strategy & Business Planning
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the Vice-President of Medicare Strategy and oversee critical business reporting and data ana...
1d
| 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. The Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via phone and fax for the Retail P...
1d
| Job Type | Full Time |
Clinical Appeals Nurse Reviewer
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 Appeals Nurse Reviewer is responsible for applying sound clinical judgement to review provider and member appeals for denied services according to ...
2d
| 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. The Implementation Specialist supports the Ancillary Sales/Retention areas as the primary resource for client implementation management which includes pre and post sales...
2d
| Job Type | Full Time |
Program Manager, Clinical Compliance
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 Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health an...
3d
| Job Type | Full Time |