• Associate Director, Risk Adjustment Data…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …adjustment model + Knowledge of Medicare and risk adjustment data and system interfaces required + SAS/SQL experience required . Other experience with the use of ... planning skills What You Bring : + Bachelor's degree required ; Master's degree preferred + A minimum of 7...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Vice President, Medical Economics

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …Practices, and Provider and/or Account Informatics. + Direct experience leading and managing staff required . + BA/BS required ; FSA, MBA or other advanced degree ... required Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationBostonTime TypeFull time Salary Range:… more
    Blue Cross Blue Shield of Massachusetts (06/24/25)
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  • Salesforce Technical Architect

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …+ Establish the milestones for the various sprints and releases that would be required to deliver solutions to all the prioritized requirements. + Mentor the team ... requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. We're Looking for: + Healthcare… more
    Blue Cross Blue Shield of Massachusetts (06/22/25)
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  • Program Manager, Clinical Compliance

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …and theory Education and Experience: + Active and Unrestricted State Clinical License required + Bachelor's degree required + 3-5 years direct clinical ... #LI-HYBRID Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationHinghamTime TypeFull time Salary Range:… more
    Blue Cross Blue Shield of Massachusetts (05/31/25)
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  • Senior Medicare Markets Pricing Consultant…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …oriented/collaborative Education/Relevant Experience: + 2-5 years of Medicare pricing experience required + Bachelor's Degree required + Associate of Society ... preferred Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above LocationBostonTime TypeFull time Salary Range:… more
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • RN Manager, Case Management

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …variety of media) Education and Experience: + Active licensure in Massachusetts is required , appropriate to position (RN, PT, CCM, LICSW, LMHC, BCBA) Licensure in ... Nurses Only: A Bachelor's degree in nursing (BSN) is required ; Master's degree, preferred. + Minimum 3-5 years of...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (07/25/25)
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  • Clinical In-take Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …Intake associates runs for approximately 3 months. + During this time new hires will be required to be in house for up to two days per week. + In-house training will ... Education and Experience: + High school diploma or equivalent required . + 6-12 months of relevant experience. + Preferred...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (07/24/25)
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  • 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 and broad ... Direct experience supervising other data scientists are a plus. + BA/BS required ; MS, MPH, PhD preferred. #LI-Hybrid Minimum Education Requirements: High school… more
    Blue Cross Blue Shield of Massachusetts (07/18/25)
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  • Workday Consultant

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …post go-live implementation support Qualifications + Bachelor's Degree or equivalent experience required . + Three (3) years of HRMS experience; Workday experience ... required + Proficient in MS Office; Word, Excel and...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (07/10/25)
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  • Clinical Appeals Nurse Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …and Experience: + Registered Nurse with an active Massachusetts Nursing license required + Associate's Degree in Nursing (ADN) or Bachelor's Degree in Nursing ... (BSN) required + Minimum 3-5 years of clinical care experience...in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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