bcbsma

Ready to help us transform healthcare? Bring your true colors to blue. What we need The Health Engagement Consultant leads health promotion and wellness strategy for a premier partner association and its member organizations. This role operates across two core tiers: partnering with association lead

Ready to help us transform healthcare? Bring your true colors to blue. What we need: The Senior Manager, Adaptive, Learning, Enablement and Communication is a strategic change leader responsible for driving two critical target areas: the adoption and transformation of agentic AI tools for Sales Trai

Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The Privacy Program Case Specialist will, with direction from the Privacy Program Manager, support the BCBSMA Privacy Program by assisting in the processing of privacy cases. The Case Specialist works collaborat

Ready to help us transform healthcare? Bring your true colors to blue. What we need The compensation team plans, develops and implements new and revised compensation programs, policies and procedures to align with the company's strategic goals and competitive market practices. This team is also resp

Ready to help us transform healthcare? Bring your true colors to blue. About the Role We are looking for an AI Engineer to join our AI Engineering team focused on designing, building, and deploying intelligent AI assistants powered by Google Cloud Platform (GCP) and Vertex AI. You will work at the i

Ready to help us transform healthcare? Bring your true colors to blue. About the Role: Reporting to the Director of Professional Reimbursement Strategy, the Payment Policy Sr. Specialist serves as a trusted subject matter expert on professional provider payments, claims reimbursement integrity, and

Ready to help us transform healthcare? Bring your true colors to blue. Your Day to Day: In this role you will contribute to the evolution of our company-wide AI, Data & Analytics platform and play a pivotal part in shaping the architecture of our next-generation data platform leveraging Snowflake ,

Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The Medicare Enrollment Processor will support the Medicare Advantage and Medex Medigap enrollment processes. The Enrollment Processor is responsible for ensuring compliance with the Centers for Medicare and Med

Ready to help us transform healthcare? Bring your true colors to blue. What we need Provide installation, configuration and ongoing usability of desktops, laptops, peripheral equipment and software complying with given standards and guidelines. Build and configure computers and peripherals for new h

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 Pharmacy, Medicare Advantage Part D, Home Infusion Therapy, a

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 Pharmacy, Medicare Advantage Part D, Home Infusion Therapy, a

Ready to help us transform healthcare? Bring your true colors to blue. The RoleAs a HEDIS nurse health coach, you will be responsible for engaging members, providing community resources, and referring to case management—all to achieve maximum health outcomes. You will leverage your strong flexibilit

Ready to help us transform healthcare? Bring your true colors to blue. 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 is self-directed a

Ready to help us transform healthcare? Bring your true colors to blue. The physician reviewer is responsible for evaluating pre & post-service clinical service requests made by BCBSMA members and providers. The physician reviewer uses clinical judgment in conjunction with BCBSMA criteria to adjudica

Ready to help us transform healthcare? Bring your true colors to blue. The Role Reporting to the Vice President and Deputy General Counsel - Litigation, the Legal Operations and eDiscovery Manager leads the Law Department’s legal operations and eDiscovery functions, in coordination with the Litigati

Ready to help us transform healthcare? Bring your true colors to blue. The Opportunity We are seeking a strategic, business-minded employment law attorney to join our legal team as Associate General Counsel — Employment Law. This is a high-visibility, sole employment law practitioner role serving as

Ready to help us transform healthcare? Bring your true colors to blue. What We Need The Associate Director of Data Product Management will lead a team of product owners and data analysts, driving the strategy and execution of enterprise data products. This leader will be responsible for maturing the

Ready to help us transform healthcare? Bring your true colors to blue. The RoleThe Senior Project Manager has primary responsibility for driving and executing large corporate projects that are clinically focused on partnership with Health and Medical Management Leadership. The Senior Project Manager

Ready to help us transform healthcare? Bring your true colors to blue. Revised Date: October 16, 2026 Job Title: Stop Loss Underwriter III Job Code: UNW130 Grade (desired): K/J Department: Financial Underwriting Personas: eWorker Title reports to: Susan Prosser Career Stream: Individual Contributor

Ready to help us transform healthcare? Bring your true colors to blue. The Role: This is an exciting opportunity to join the Accounts Payable team in the Financial Operations unit. The AP Processor is a cornerstone of our financial operations, serving as the primary executor for all corporate admini