Claims Nurse Reviewer
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of...

Medicare Advantage Clinical Care Manager
Hingham, MA
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...

Senior Claims Testing Analyst
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and executing com...

Risk Adjustment Provider Education Specialist
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary This position does require travel within Massachusetts. This role will be responsible for represen...

Strategic Researcher
Boston, MA; Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. The Strategic Researcher is responsible for leading the research efforts of a cross functional journey redesign tea...

Proposal Development Manager
Boston, MA
Ready to help us transform healthcare? Bring your true colors to blue. Your Day to Day Partner with Sales/Account Executives and Blue Cross subject matter experts to manage and develop s...

Lead Data Engineer
Boston, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need Lead Data Engineer is a staff member of Operational Data Solutions Delivery team. This role will lead...

Program Manager, Release Train Engineer
Boston, MA; Quincy, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need An energetic Release Train Engineer to drive performance across multiple Scrum teams on complex initia...

Lead Full Stack Engineer
Boston, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need At BCBSMA, we are seeking an experienced Lead Full Stack Engineer to join our dynamic support team, wh...

Sr. Audit Specialist, Data Mining
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to claims p...

Case Manager - Behavioral Health
Hingham, MA
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...

LPN Clinical Care Manager
Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Care Manager LPN is responsible for facilitating care for members and families of members who...

Medicare Advantage Network Performance Manager
Boston, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need The Medicare Advantage Network Performance Manager, as a member of a cross functional team, is respons...

Senior Contract Manager
Boston, MA
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 Qual...

Senior Manager - Payment Policy and Network Coding
Boston, MA; Hingham, MA
Ready to help us transform healthcare? Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy, the Payment Policy and Net...