Blue Cross and Blue Shield of Massachusetts, Inc.
Search among Blue Cross and Blue Shield of Massachusetts, Inc. jobs
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Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The FEP Service Specialist is responsible for investigating and resolving complex written inquiries and appeals to ensure timely and accurate claims ad...
17h
| 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. Position Summary: The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service, pre-paymen...
17h
| 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. Reporting directly to the Executive Vice President & Chief Financial Officer, the Vice President of Procurement will lead BCBSMA's enterprise procurement, sourcing and v...
24h
| 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 Medicare Clinical Program Manager will focus on utilization management compliance and CMS audit readiness activities such as evaluating and supporting Heal...
1d
| Job Type | Full Time |
RN Case Manager (Complex Commercial)
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 RN Case Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to pr...
1d
| Job Type | Full Time |
Dental Utilization Management Reviewer
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. BCBSMA is seeking a new Dental Utilization Reviewer to join our elite Dental Utilization Management Division! Our dental utilization management team reviews certain type...
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 Role The Clinical Intake Specialist is responsible for processing telephonic and fax notifications, referrals and requests for authorization from members, facilities...
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 Role The Pharmacy Operations Analyst is responsible for primary contact for our providers to obtain authorization for Medicare retail pharmacy, home infusion and med...
2d
| 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. Your Day to Day: Define and own the product vision and roadmap for data governance capabilities, including data domain ownership, metadata management, data glossaries, a...
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 Role The Clinical Business Consultant for Cost and Trend Management is responsible for identification, outreach and analysis of individual members and membership pop...
2d
| Job Type | Full Time |