• Program Manager, Clinical Compliance

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... and audit readiness activities such as evaluating and supporting Health and Medical Management's (HMM) and delegate's compliance with...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (05/31/25)
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  • RN Utilization Management Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... at the right level of care to promote optimal health . This position is self-directed and works independently and...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (07/11/25)
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  • Clinical Pharmacist Reviewer

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... + Provide analysis and resolution for issues from MAPS, Health and Medical Management, IT & Ops, PBM account...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Senior Medicare Markets Pricing Consultant…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield...years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively… more
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • Manager I, Pharmacy Operations

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield...years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively… more
    Blue Cross Blue Shield of Massachusetts (07/23/25)
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  • Associate Director, Risk Adjustment Data…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield...years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively… more
    Blue Cross Blue Shield of Massachusetts (06/27/25)
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  • Vice President - Finance

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield...years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively… more
    Blue Cross Blue Shield of Massachusetts (06/24/25)
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  • Clinical In-take Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... adjusted based on holidays. Key Responsibilities: + Handle protected health information consistent with department and company policies and...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (07/24/25)
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  • Pharmacy Operations Clinical Pharmacist Manager

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... Pharmacist degree required. Graduate study in a business, public health , or health policy field will be...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Medical Management Administration Associate

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, ... RoleThe Operational Support Specialist will provide multi-specialty support to Health and Medical Management clinical staff, including Care Management,...the Company's sole discretion, consistent with the law. WHY Blue Cross Blue Shield… more
    Blue Cross Blue Shield of Massachusetts (08/01/25)
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