• Clinical Pharmacist Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …benefits. This position is eligible for the Flex persona. Local candidates are required to work from the Hingham office 2x per month. KEY RESPONSIBILITIES: + ... with clinical and non-clinical teams for staff training, facilitation of meetings and other ad hoc presentations. + Participate in the development and design of drug… more
    Blue Cross Blue Shield of Massachusetts (08/21/25)
    - Related Jobs

  • Associate Director, Pharmacy Underwriting

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. This position is eligible for ... of the Pharmacy Underwriting Team. The leader will be required to inspire, motivate, and direct a team of...amount and availability of any bonus, commission, or any other form of compensation that are allocable to a… more
    Blue Cross Blue Shield of Massachusetts (07/03/25)
    - Related Jobs

  • Vice President, Medical Economics

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Informatics. + Direct experience leading and managing staff required . + BA/BS required ; FSA, MBA or other advanced degree required Minimum Education ... is responsible for developing and maintaining in a collaborative manner with other key business partners new trend management initiative tracking tools and related… more
    Blue Cross Blue Shield of Massachusetts (06/24/25)
    - Related Jobs

  • Lead Data Scientist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. What You Bring: + Deep ... other data scientists are a plus. + BA/BS required ; MS, MPH, PhD preferred. #LI-Hybrid Minimum Education Requirements:...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (08/22/25)
    - Related Jobs

  • Lead Transformation Consultant

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. We're Looking for: + ... environment. + Relevant experiences in healthcare, payer, insurance, consulting or other highly regulated industries is required . What You'll Gain:… more
    Blue Cross Blue Shield of Massachusetts (09/06/25)
    - Related Jobs

  • Associate Director, Stop Loss Underwriting

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. This position is eligible for ... the Special Risk market segment. The leader will be required to inspire, motivate, and direct a team of...amount and availability of any bonus, commission, or any other form of compensation that are allocable to a… more
    Blue Cross Blue Shield of Massachusetts (07/03/25)
    - Related Jobs

  • Program Manager, Clinical Compliance

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …issues/ risks to closure, and collaboratively develop mitigation strategies. Other NCQA accreditation work includes delegation oversight and preparing documentation ... (SME) and sharing expertise with teammates, HMM associates, and leaders + Other responsibilities as assigned by the Director Key Qualifications: + Strong critical… more
    Blue Cross Blue Shield of Massachusetts (08/30/25)
    - Related Jobs

  • Sr. Medical Policy Developer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …This includes working as an individual contributor and collaborating with other departments, external stakeholders, and team members to support Medical Policy ... is eligible for the Flex persona. Local candidates are required to work from the Hingham office 2X per...analyzing utilization, volume, and data trends as needed. + Other duties as assigned. Qualifications + RN or PA-C… more
    Blue Cross Blue Shield of Massachusetts (07/24/25)
    - Related Jobs

  • RN Medical Policy Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …This includes working as an individual contributor and collaborating with other departments, external stakeholders, and team members to support Medical Policy ... as needed. + Serve as a business consultant for other departments regarding coding concepts and guidelines. + Review... duties as assigned. Qualifications: + RN or PA-C required + CPC required + BSN preferred… more
    Blue Cross Blue Shield of Massachusetts (08/19/25)
    - Related Jobs

  • Actuarial Analyst I

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. We're Looking for: + ... Bachelor's degree required . Math, Business, Healthcare or related field strongly preferred...amount and availability of any bonus, commission, or any other form of compensation that are allocable to a… more
    Blue Cross Blue Shield of Massachusetts (09/06/25)
    - Related Jobs