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Results based on filters ( 12 jobs found )
Senior Claims Testing Analyst
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Blue Cross Blue Shield of Massachusetts
Hingham, MA
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...
Details
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
apply
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Senior Director, Federal Affairs
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Blue Cross Blue Shield of Massachusetts
Boston, MA
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...
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Summary
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
apply
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Lead Data Engineer
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Blue Cross Blue Shield of Massachusetts
Boston, MA
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...
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Summary
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
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Lead Full-Stack Engineer
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Blue Cross Blue Shield of Massachusetts
Boston, MA
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...
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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
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Sr. Audit Specialist, Data Mining
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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
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Vice President of Enterprise Risk Management
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Blue Cross Blue Shield Massachusetts
Boston, MA
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Summary
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
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Senior Full Stack Engineer
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Blue Cross Blue Shield of Massachusetts
Boston, MA
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Details
Summary
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
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Business Analyst, Information Security
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Blue Cross Blue Shield of Massachusetts
Boston, MA
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About the job:
Business Analyst, Information Security works within the End User Behavior & Analytics (EUBA) Team & will be the primary technical and operational point of contact for the full stack of core reporting, user training, simulations and metrics related to their activities. This BA will understand the nuances of how this service is being used to support the leadership decision making process as well as its technical capabilities, always striving to keep them aligned. This role continually looks to the business to help...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Analysts
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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Vice President, Innovation and Product Management
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Blue Cross Blue Shield Massachusetts
Boston, MA
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About the job:
Drives segment product innovation and management through pods made up of marketing and product associates (2 minimum) dedicated per segment. Rather than having product teams working separately from the marketing associates, through this “pod” alignment, there's an efficiency in approach to innovation and product management. This leader is accountable for strategic oversight for development of new offerings, benefits, features, products, programs etc. as well as the marketing. Oversight includes identification of market...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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Manager, Customer Experience Design
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Blue Cross Blue Shield Massachusetts
Boston, MA
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...
Details
Summary
About the job:
Cross Blue Shield of Massachusetts (BCBSMA) is aiming to create a frictionless Member Experience for the people we serve by reimagining how they navigate key journeys and use healthcare products. Our goal is to achieve best-in-class Net Promoter Scores and drive business results by transforming the experience our members have with us. We will anticipate and exceed members' individual needs to increase their access to care, drive better health outcomes, lower healthcare costs, and improve the end-to-end experience...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Marketing Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
7
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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Blue Cross Blue Shield of Massachusetts
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