Company · 93 open roles
Careers at Bcbsma
Bcbsma has 93 active roles on ResuMinder right now. Score your CV instantly and use the ResuMinder extension to apply in seconds — no manual form-filling.
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93 positions at Bcbsma
RN Case Manager
Bcbsma·Hingham
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, to promote optimal health. This positi…
Director, Benefits
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. This role is eligible for our FLEX persona and candidates are expected to be in our Boston or Hingham location on Tuesday and Wednesday each week. About the Role: We are seeking a forward-thinking Director…
Physical Therapy Utilization Management Reviewer
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation services. The position works to ensure servic…
Sr. Salesforce Business Analyst
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. What we need: We are seeking a highly experienced and results-driven experience Salesforce Business Analyst to work closely with subject matter experts, end users and development teams to ensure alignment and…
AR Specialist
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. The Role This position is an opportunity to become directly involved in the daily operations of the Accounts Receivables department within Treasury Operations. This position requires negotiation skills, exce…
Sr. Budget Consultant (FP&A)
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a highly accomplished Senior Budget Consultant with a proven track record of driving fiscal excellence and operational efficiency. In this high-impact, strategic role, you will partner…
Analyst, Medicare Compliance
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Medicare Compliance Analyst provides critical cross-functional support to ensure organizational adherence to the regulations established by the Centers for Medicare & Medicaid Services (CMS) for…
Analyst, Medicare Compliance
Bcbsma·Hingham, Massachusetts, United States
Analyst, Medicare Compliance at Bcbsma. Location: Hingham, Massachusetts, United States. Role: auditing operations, analyzing regulations, reporting findings Requirements: 3+ years industry experience in health insurance/managed care, 2+ years Medicare/Part D or compliance experi…
Clinical In-take Specialist
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Intake Specialist (Customer Service) is an integral part of Utilization Management, processing telephonic and fax notifications, referrals, and requests for authorization from members, f…
Account Executive IV, Muni
Bcbsma·Hingham, Massachusetts, United States
Account Executive IV, Muni at Bcbsma. Location: Hingham, Massachusetts, United States. Role: building relationships, negotiating sales, managing renewals Requirements: Proven healthcare sales/account management experience (5+ years), Massachusetts Life/Accident & Health producer …
Account Executive IV, Muni
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. Your Day to Day: Essential Functions: • Uses strong consultative selling skills, ability to build relationships, influence decision-making, and negotiate sales to meet or exceed assigned quota and goals fo…
Sr. Audit Specialist
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Director of Regulatory and PBM Audit, the Senior Auditor is a key member of the team responsible for the facilitation of regulatory, compliance, and Pharmacy Benefit Manager (PBM) audits. Thi…
Lead IAM Engineer
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. We are seeking a highly experienced Lead IAM Engineer to serve as the senior technical authority for enterprise Identity and Access Management. This role will lead the design, engineering, automation, and ope…
Manager II, AP/AR
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: This position is directly involved in the daily operations of the Customer Cash Receipts Unit within the Treasury Operations department. This position requires the ability to manage a high…
Financial Reporting Consultant
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a seasoned Financial Reporting Consultant to provide expert-level data analysis and reporting for our critical business functions. This role is pivotal in delivering essential reports…
RN Manager, Case Management / Utilization Management
Bcbsma·Hingham
Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a dynamic leader to join our team as the Manager, Clinical Review. This role directs the utilization review clinical team operations for our Commercial plans. The manager will lead a …
Associate Director, Actuarial
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. We are seeking a highly qualified and experienced Associate Director of Actuarial Reserves to lead our actuarial reserving functions. The successful candidate will be responsible for overseeing all aspects of…
Associate Director, Actuarial
Bcbsma·Boston, Massachusetts, United States
Associate Director, Actuarial at Bcbsma. Location: Boston, Massachusetts, United States. Role: leading reserving, developing models, serving actuary Requirements: FSA and MAAA required; 8+ years actuarial experience in health insurance with 3+ years leadership; Bachelor’s in a qu…
Knowledge Management Specialist
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Knowledge Management Specialist role provides project support for Underwriting (UW) Training and Development Team that is internal to UW. This support ranges from simple to complex but is primar…
Director, Government Legislative Affairs
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. What we need: The Director of Legislative Affairs for Government and Regulatory Affairs serves as a health care policy expert and key advocate for Blue Cross Blue Shield of Massachusetts with legislators, r…
Underwriter II - New Business and Select Markets
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The Underwriter Il is responsible for the profitability of an assigned book of business, including prospective and renewing business in the 51-99 and 100+ market segment. In addition, t…
Integration Solution Architect
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. What we need We're looking for a Solution Architect to help shape the digital nervous system of healthcare at BCBSMA. Our Integration & Interoperability team connects applications, data, healthcare partners,…
Legal Counsel (Corporate and Technology)
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The Counsel position provides transactional, regulatory, and other corporate legal services in support of corporate functions and business initiatives at Blue Cross Blue Shield Massachuset…
Associate Director, Risk Adjustment Data and Analytics
Bcbsma·Boston
Ready to help us transform healthcare? Bring your true colors to blue. The Role Director of Risk Adjustment Data and Analytics Under the direction of the Senior Directory of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data and Analytics is responsibl…