• Risk Adjustment Analyst

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …support the goals of the team. + Perform other related projects and duties as assigned Qualifications: + Understanding of standard healthcare data and the healthcare ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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  • RN Medical Policy Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …any code changes that impact edits. Implement edit changes as necessary. + Other duties as assigned. Qualifications: + RN or PA-C required + CPC required + BSN ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
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  • Sr. Manager, Business Continuity & Crisis…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …rapidly based on corporate priorities in a fast-paced environment + Perform other duties as assigned or required in support of organizational resilience and crisis ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/16/25)
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  • Physical Therapy Utilization Management Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …compliance and regulatory requirements (examples: NCQA, Department of Insurance). + Other duties as assigned and based on business needs. Key Qualifications: + Able ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (08/13/25)
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  • Sr. Medical Policy Developer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …for coverage positions, analyzing utilization, volume, and data trends as needed. + Other duties as assigned. Qualifications + RN or PA-C required + CPC required or ... education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs… more
    Blue Cross Blue Shield of Massachusetts (07/24/25)
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