Blue Cross and Blue Shield of Massachusetts, Inc.
Search among Blue Cross and Blue Shield of Massachusetts, Inc. jobs
| Jobs: 11 - 20 of 41 |
Pharmacy Operations Clinical Pharmacist Manager
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day clinical operational UM activities to ensure that all Commercial...
2d
| Job Type | Full Time |
Sr. Manager, Medicare Strategy & Business Planning
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the Vice-President of Medicare Strategy and oversee critical business reporting and data ana...
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 Clinical Pharmacist Reviewer reviews formulary exception, prior authorization and quantity limit exception requests from providers via phone and fax for the Retail P...
2d
| Job Type | Full Time |
Clinical Appeals Nurse Reviewer
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 Appeals Nurse Reviewer is responsible for applying sound clinical judgement to review provider and member appeals for denied services according to ...
3d
| 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 Implementation Specialist supports the Ancillary Sales/Retention areas as the primary resource for client implementation management which includes pre and post sales...
3d
| 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 Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health an...
4d
| Job Type | Full Time |
Sr. Salesforce Business Analyst
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
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 de...
5d
| Job Type | Full Time |
Senior Data Solution Architect
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. What We Need We are seeking an experienced Senior Clinical Data Architect to join our team. The successful candidate will be responsible for designing and implementing c...
5d
| Job Type | Full Time |
Vice President, Medical Economics
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The leader in this position is responsible for the design, development, and implementation of financial analytics that support BCBSMA's affordability a...
5d
| 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 Senior Clinical Appeals Nurse Reviewer Supervisor facilitates, coordinates, and responds to provider appeals for denied services utilizing extensive clinica...
5d
| Job Type | Full Time |