bcbsma
Program Manager, Payment Integrity
Ready to help us transform healthcare? Bring your true colors to blue. What we need The BCBSMA Payment Integrity (PI) team is dedicated to safeguarding healthcare claims by identifying and addressing provider billing and coding errors. We are seeking a Senior Program Manager to lead the execution of
Data Scientist
Ready to help us transform healthcare? Bring your true colors to blue. Our Account Analytics team is seeking a Data Scientist with strong technical expertise and a background in a quantitative discipline. In this role, you’ll leverage large and complex healthcare datasets to bring key cost and utili
Actuarial Analyst II
Ready to help us transform healthcare? Bring your true colors to blue. What we need Blue Cross Blue Shield of Massachusetts (BCBSMA) seeks an experienced actuarial analyst to join the Actuarial Leadership Development program. Members of the Actuarial Leadership Development Program support our corpor
B2B Marketing Specialist
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary Marketing Specialist for the B2B Team is a key role responsible for the development and execution of B2B marketing strategies and projects that align with the company’s overall business goals. This position will
Pediatric RN Case Manager
Ready to help us transform healthcare? Bring your true colors to blue. Pedi Care Manager The Role The Clinical Care Manager 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 position
Sr. Total Rewards Analyst
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: The Sr. Total Rewards Analyst executes the quantitative analysis, data modeling, and system administration required to support the maintenance of our competitive corporate compensation and benefits programs. This
Senior Contract Manager
Ready to help us transform healthcare? Bring your true colors to blue. Description: BCBSMA has been a national leader in implementing value-based payment models like the Alternative Quality Contract and most recently announced our intent to collaborate with providers to develop incentives to reduce
Member Advocate | Medicare Service Division | January 2027 - Remote (New England Candidates only)
Ready to help us transform healthcare? Bring your true colors to blue. At Blue Cross Blue Shield of Massachusetts, our company promise is to always put our members first. Our mission is the relentless pursuit of quality, affordable, and equitable healthcare with an unparalleled consumer experience.
Member Advocate | Medicare Service Division | January 2027 - Remote (New England Candidates only)
Payment Integrity Project Manager
Ready to help us transform healthcare? Bring your true colors to blue. The Role: The Payment Integrity Senior Project Manager will report to the Senior Director, Payment Integrity and will lead the implementation of critical projects focused on improving how Blue Cross ensures that health care claim
Direct Clinical Care Manager (NP)
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Direct Care Clinical Care Manager is responsible for facilitating and delivering care to members to increase access to care and improve clinical outcomes. This position is self-directed and works collaboratively to c
Senior Data Engineer
Ready to help us transform healthcare? Bring your true colors to blue. What we need At Blue Cross Blue Shield of Massachusetts, we have an exciting opportunity for a Data Engineer to join our Data Delivery team. The primary focus of this role is to design, develop, and maintain our IBM Planning Anal
Senior Manager, Executive Office Operations
Ready to help us transform healthcare? Bring your true colors to blue. What We Need: The Senior Manager will provide high-level strategic, administrative, and operational leadership to ensure the seamless functioning of the Executive Office. Reporting directly to the Vice President of Board Relation
PT Utilization Management Reviewer
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. Thi
Accounting Analyst
Ready to help us transform healthcare? Bring your true colors to blue. The Role: The Accounting Analyst position is an entry-level opportunity to become directly involved in the monthly closing process and daily operations of the Corporate Accounting area within the Controllers Division. The Account
Sr. Investments Analyst
Ready to help us transform healthcare? Bring your true colors to blue. The Role: Working in the collaborative investment management unit of the Treasury Department, the senior investment analyst role plays an integral role in supporting the oversight of the Corporate, Retirement, Employee Savings Pl
Associate Director, AI Solution Architecture
Ready to help us transform healthcare? Bring your true colors to blue. We are looking for an Associate Director, AI Solution Architecture to lead our Enterprise AI and Solution Architecture group. In this leadership role, you will translate enterprise AI strategy into coherent, governed, and product
AI Solution Architect
Ready to help us transform healthcare? Bring your true colors to blue. The AI Solution Architect is responsible for designing and implementing specific architectural components and solutions for AI agents within the established Bluefield framework. This role works in close collaboration with Generat
Senior Behavioral Scientist, Nudge Unit & Behavioral Insights
Ready to help us transform healthcare? Bring your true colors to blue. Reporting to the Director, Nudge Unit & Behavioral Insights, the Senior Behavioral Scientist, Nudge Unit & Behavioral Insights, will support the company’s efforts to apply behavioral insights (i.e., “nudges” and other behavioral
Consultant, Competitive Intelligence
Ready to help us transform healthcare? Bring your true colors to blue. What we need The Enterprise Strategic Services team exists to define and facilitate the strategic planning process; develop, articulate, and adapt the company’s strategic plan; and support critical strategic initiatives in their
Product Specialist COE
Ready to help us transform healthcare? Bring your true colors to blue. What we needThe Product Consultant supports the execution, coordination, and operational management of healthcare product initiatives across the product lifecycle. This role partners closely with Product Managers, Marketing, Sale