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Results based on filters ( 43 jobs found )

RN Utilization Management Reviewer

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
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Summary
About the job:
time off, 401(k) United States, Massachusetts, Hingham Oct 21, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The Role The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical skills, principles of managed care,...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Vice President, Total Rewards HRIS and HR Operations

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
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About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Jan 07, 2026 Ready to help us transform healthcare? Bring your true colors to blue. Vice President, Total Rewards, HRIS and HR Operations This position is eligible for our FLEX persona. For more information on our personas, visit our How We Work page. Job Summary The Vice President of Total Rewards and HR Information Systems and Operations is a strategic and hands-on leader responsible for the design, implementation, and...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Compensation, Benefits, and Job Analysis Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Certified Compensation Professional
Society for Human Resource Management Senior Certified Professional
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

PEDIATRIC RN CASE MANAGER

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
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About the job:
time off, 401(k) United States, Massachusetts, Quincy Jan 29, 2026 Ready to help us transform healthcare? Bring your true colors to blue. Pedi Case Manager The Role The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care based on the principles of care management. Facilitation is focused on...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Registered Nurses
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Actuarial Intern

Blue Cross Blue Shield of Massachusetts
Boston, MA
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Job Ref: R08247 Employer: Blue Cross Blue Shield of Massachusetts Sector: ...
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Summary
About the job:
Health Insurance Qualifications: Graduate Actuary Software: Excel SAS SQL R Python Tableau Job Type: Full Time Salary and Benefits: Competitive Remote: No Location Country: United States State/Province/County: Massachusetts - MA City: Boston Post Code: 02199 Map: ( Show on map ) Description Ready to help us transform healthcare? Bring your true colors to blue. This position is eligible for the following persona(s): eWorker, Mobile, & Resident Internship Duration: June 1, 2026 - August 14, 2026 (11-weeks) The Actuarial...
Location:
Boston, MA
Job Type:
Full-Time
Internship
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
ProActuary
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Solution Architect

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
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About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Jan 27, 2026 Ready to help us transform healthcare? Bring your true colors to blue. What We Need BCBSMA is requiring an Informatica Solutions Architect responsible for the design and support of BCBSMA's modern platform enablement including design, security, governance, sizing, and capacity planning. The candidate will provide guidance and recommendations when scoping infrastructure requirements with business leaders, enterprise...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Underwriting Intern

Blue Cross Blue Shield of Massachusetts
Boston, MA
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Ready to help us transform healthcare? Bring your true colors to blue. This ...
Details
Summary
About the job:
position is eligible for the following persona(s): eWorker, Mobile, & Resident Internship Duration: June 1, 2026 - August 14, 2026 (11-weeks) The Underwriting Internship is designed to provide those interested in pursuing an underwriting career with the opportunity to spend the summer working on challenging projects in a professional environment. The Underwriting internship will expose the intern to multiple facets of the healthcare business from an underwriting lens. The intern will learn some of the basics of...
Location:
Boston, MA
Job Type:
Full-Time
Contract
Internship
Occupation:
Insurance Underwriters
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

PT Utilization Management Reviewer

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Hingham Jan 24, 2026 Ready to help us transform healthcare? Bring your true colors to blue. The Role The PT Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical skills, principles of managed care, nationally...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CLINICAL UTILIZATION MANAGEMENT REVIEWER

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Hingham Jan 24, 2026 Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing medically necessary services at the right level of care to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical skills, principles of managed care,...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
National Committee for Quality Assurance
Licensed Practical Nurse
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

CUSTOMER FINANCIAL MANAGEMENT SPECIALIST

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Blue Cross and Blue Shield of Massachusetts, Inc. vision insurance, paid ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Jan 24, 2026 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 ensuring the processing of accurate and timely invoices for all product lines. Analysts will make recommendations and decisions involving account set-up to their manager or work directly...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Financial Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director of Analytic Solutions

Blue Cross Blue Shield of Massachusetts
Boston, MA
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Ready to help us transform healthcare? Bring your true colors to blue. About ...
Details
Summary
About the job:
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 strategic liaison to the organization's analytics leaders, championing their data and technology requirements. The core of this role is to develop a deep understanding of business operations, translating strategic objectives and critical challenges into an actionable, high-impact roadmap for data solutions and infrastructure improvements. This role is eligible for...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Built in Boston
Certifications / Licenses:
Project Management Institute
Associate of Applied Science
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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