Blue Cross and Blue Shield of Massachusetts, Inc.
Search among Blue Cross and Blue Shield of Massachusetts, Inc. jobs
| Jobs: 1 - 10 of 43 |
PT Utilization Management 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 Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical necessity of outpatient rehabilitation and ot...
1h
| Job Type | Full Time |
Customer Financial Management Specialist
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 This position involves account management in a billing and receivables area with a dedicated book of business. The Analyst II will be responsible for ensuri...
1h
| Job Type | Full Time |
Director of Analytic Solutions
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: We are in search of a dynamic and seasoned leader to take on the role of Director of Analytic Solutions. This pivotal position serves as the key strategi...
7h
| 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 Provider Operations processer is primarily accountable for validating and entering data information supplied by providers, provider organizations, and internal BCBSM...
7h
| 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 Provider Operations processer is primarily accountable for validating and data entering information supplied by providers, provider organizations, and internal BCBSM...
7h
| 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. Position Summary: The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service, pre-paymen...
24h
| Job Type | Full Time |
Boston, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. Reporting directly to the Executive Vice President & Chief Financial Officer, the Vice President of Procurement will lead BCBSMA's enterprise procurement, sourcing and v...
1d
| 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 Medicare Clinical Program Manager will focus on utilization management compliance and CMS audit readiness activities such as evaluating and supporting Heal...
2d
| Job Type | Full Time |
RN Case Manager (Complex Commercial)
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 RN Case Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to pr...
2d
| Job Type | Full Time |
Dental Utilization Management Reviewer
Hingham, Massachusetts
Blue Cross and Blue Shield of Massachusetts, Inc.
Ready to help us transform healthcare? Bring your true colors to blue. BCBSMA is seeking a new Dental Utilization Reviewer to join our elite Dental Utilization Management Division! Our dental utilization management team reviews certain type...
2d
| Job Type | Full Time |