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Senior Claims Testing Analyst

Blue Cross Blue Shield of Massachusetts
Hingham, MA
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Summary
About the job:
Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a high-quality manner within established time frames Key Accountabilities: - Define, develop, and implement test plans and test cases to validate new coding logic or system changes for complex business requirements - Work closely with IT on testing automation and...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Quality Assurance Analysts and Testers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
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Detailed Job Information

Senior Director, Federal Affairs

Blue Cross Blue Shield of Massachusetts
Boston, MA
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About the job:
Position Summary: The Senior Director, Federal Government Affairs will manage BCBSMA activities to achieve effective and time-sensitive advancement of BCBSMA legislative and regulatory agenda in a coordinated and integrated fashion. Key Accountabilities: Manage BCBSMA activities to achieve effective and timely advancement of BCBSMA’s federal legislative and regulatory agenda in a coordinated fashion. Work closely with the Vice President, State and Federal Government and Regulatory Affairs and other key leaders, including...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Chief Executives
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
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Detailed Job Information

Lead Data Engineer

Blue Cross Blue Shield of Massachusetts
Boston, MA
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About the job:
We Need The Lead Data Engineer works with the Data, Analytics and BI Transformation team. This role will lead solutioning and implementation of data and integration needs of digital & analytical platforms at BCBSMA. You will work closely with other technology partners to build highly available, scalable and distributed data platforms using open-source frameworks to process high volume, high velocity, and wide variety of structured and unstructured data. Strong focus on defining and executing data solutions with cloud...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Lead Full-Stack Engineer

Blue Cross Blue Shield of Massachusetts
Boston, MA
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Summary
About the job:
We Need At Blue Cross Blue Shield of Massachusetts, we have an exciting opportunity for an energetic & passionate Lead Full-Stack Engineer to help innovate, integrate, and manage technology solutions directly related to Blue Cross Blue Shield of Massachusetts’s MyBlue website and mobile applications, which deliver innovative and intuitive digital experiences to our members. As a technology driver, you will collaborate with enterprise architecture, solutions design, development, product management and business teams to...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Sr. Audit Specialist, Data Mining

Blue Cross Blue Shield of Massachusetts
Hingham, MA
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About the job:
We Need The Senior Audit Specialist role will review paid claims for coding accuracy in accordance to claims processing guidelines, BCBSMA Medical and Payment Policies, contract interpretations and established audit protocols. The role involves detailed claims analysis of complex issues including but not limited to; understanding the specifics of new and existing claim systems/applications, how to identify opportunities for improvements by reviewing BCBSMA Medical and Payment policies, and review appeals to support...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Coding Specialist
Certified Professional Medical Auditor
Workkeys
Applied Math
4
Graphic Literacy
5
Workplace Documents
4
apply
Detailed Job Information

Senior Manager, Ancillary Network Contracting

Blue Cross Blue Shield Massachusetts
Boston, MA
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About the job:
Position Summary: The Senior Manager, Ancillary Network Contracting will assist in the development, management, and execution of the contracting strategy for assigned segments of the Blue Cross Blue Shield of Massachusetts ancillary provider network including clinical laboratory, imaging, home infusion therapy. Major Responsibilities: - Lead a team that develops and negotiates new and innovative contracting approaches and methodologies which maximize Blue Cross's competitive position and support its strategic vision of...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Managers, All Other
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Vice President of Enterprise Risk Management

Blue Cross Blue Shield Massachusetts
Boston, MA
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About the job:
Reporting to the Senior Vice President of Risk and Audit Management, the Vice President of Enterprise Risk Management provides leadership to ensure the optimal design and alignment of all risk management functions in support of Blue Cross and Blue Shield's (BCBSMA's) mission, vision and values. Serves as a key executive leader and strategic advisor on risk management across the enterprise. Leads the development and implementation of a risk management vision that delivers strategic thought and partnership across the...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Financial Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Treasury Analyst

Blue Cross Blue Shield Massachusetts
Boston, MA
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About the job:
Analyst joins a team of treasury professionals who work together to manage the Company's $31 billion in cash flows on an annual basis. The Treasury Analyst reports to the Manager of Cash Management, Banking & Financing and provides banking and cash management support to the Cash Management Unit within the Treasury department. The team works together to complete the daily cash position, review and reconcile daily bank reporting, complete wire and ACH transactions and process daily liquidity investments as part of...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Financial and Investment Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information

Senior Full Stack Engineer

Blue Cross Blue Shield of Massachusetts
Boston, MA
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About the job:
We Need At BCBSMA, we have a unique opportunity to work within the Integration and Interoperability Team as a Senior Full Stack Engineer. You will set guardrails, patterns and framework for other IIT & federated API development teams to follow as well as provide needed governance and audit to make sure it is followed. You will work with stakeholders, engineers, and subject matter experts to analyze, design, build and implement API proxies, back-end services and their policies, provide developer portal access for the...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Senior Intelligent Automation Engineer

Blue Cross Blue Shield Massachusetts
Boston, MA
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About the job:
we need As a Senior IA Engineer, you will strategically drive the development and implementation of automation solutions using Intelligent Automation tools and technologies. In addition to leading a team of engineers, you will collaborate closely with business stakeholders, process owners, and senior management to identify automation opportunities, design complex solutions, and drive the successful delivery of projects. Will leverage your technical and leadership skills to provide oversight and direction to support...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Job Type: Full-time
Career/Education Level: Bachelor's degree
Company Name: Blue Cross Blue Shield of Massachusetts
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