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Results based on filters ( 29 jobs found )

Lead Data Scientist

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Job Ref: R07624 Employer: Blue Cross Blue Shield of Massachusetts Sector: ...
Details
Summary
About the job:
Health Insurance Qualifications: Unclassified Software: Python R SAS SQL Tableau Job Type: Full Time Salary and Benefits: $163,800 - $200,200 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. What We Need The Lead Data Scientist will own multiple high-value workstreams within Actuarial and Analytics Solutions (AAS) department through all phases of...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master'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

Consultant Actuarial Analyst

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Job Ref: R07893 Employer: Blue Cross Blue Shield of Massachusetts Sector: ...
Details
Summary
About the job:
Health Insurance Qualifications: Part Qualified Actuary Software: Python R SAS SQL Tableau Job Type: Full Time Salary and Benefits: $90,000 - $139,700 per year 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. What We Need : Blue Cross Blue Shield of Massachusetts (BCBSMA) seeks an Actuarial Consultant to join the Actuarial Leadership Development...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
ProActuary
Certifications / Licenses:
Associate of the Society of Actuaries
Fellow of the Society of Actuaries
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

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 ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Hingham Jul 11, 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, nationally...
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:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

HRIS Consultant

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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Summary
About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Jul 10, 2025 Ready to help us transform healthcare? Bring your true colors to blue. Position Summary This position is eligible for our FLEX persona. We are looking an HRIS Consultant to support the design, functionality and operations of HRIS systems, processes and related activities in collaboration with project teams. Responsibilities include: identifying how to leverage HR systems and/or application functionality more...
Location:
Boston, 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)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Data Scientist

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Ready to help us transform healthcare? Bring your true colors to blue. What ...
Details
Summary
About the job:
We Need The senior data scientist will lead high value workstreams within Actuarial and Analytics Solutions (AAS) department and be intimately involved all phases of development, from ideation to design to build and deployment. This work includes a variety of modeling and analytics to support medical economics, payment integrity, and various other areas of finance. Additionally, they will be responsible for implementing advanced program measurements leveraging statistical analysis and developing/executing on...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Statisticians
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
New Scientist Jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

PROJECT COORDINATOR I

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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Summary
About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Jun 30, 2025 Ready to help us transform healthcare? Bring your true colors to blue. What we need The Strategy, Consulting & Innovation division (SCI) is passionate about advancing the mission of Blue Cross Blue Shield of Massachusetts: To show up for everyone like they're the only one, by guiding our people to the exceptional health care they deserve. Affordably. Equitably. Seamlessly. We do this by crafting a strategy that will...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Project Management Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Program Manager, Clinical Compliance

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Ready to help us transform healthcare? Bring your true colors to blue. The ...
Details
Summary
About the job:
Role: The Medical Clinical Program Manager will focus on utilization management compliance and audit readiness activities such as evaluating and supporting Health and Medical Management’s (HMM) and delegate’s compliance with the applicable NCQA utilization management standards and state and federal regulations. This position leverages analytical, leadership and organizational skills to perform audits, summarize and communicate findings to various levels in the organization, perform gap analysis, risk assessment, track...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Compliance Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
New Scientist Jobs
Certifications / Licenses:
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medicare Risk Adjustment Strategy Program Manager

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 ) Jun 28, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment and Analytics. This role will manage the process of developing and maintaining the risk adjustment strategic plan. This position will track and monitor the key performance indicators of multi-year strategies and tactics designed to...
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:
Diversityjobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Director, Risk Adjustment Data and Analytics

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 ) Jun 28, 2025 Ready to help us transform healthcare? Bring your true colors to blue. Under the direction of the Senior Directory of Medicare Risk Adjustment and Analytics, the Director of Risk Adjustment Data and Analytics is responsible for developing and executing the analytic plan for the Medicare and Merged Market segments. The Director of Risk Adjustment Data and Analytics will oversee the reporting, analytics and management...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
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

Pharmacy Operations Clinical Pharmacist Manager

Blue Cross and Blue Shield of Massachusetts, Inc.
Hingham, MA
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Ready to help us transform healthcare? Bring your true colors to blue. The ...
Details
Summary
About the job:
Pharmacy Operations Clinical Pharmacist Manager manages and directs clinical staff in the day to day clinical operational UM activities to ensure that all Commercial (Pharmacy and Medical benefits) and Medicare Advantage Part D coverage determination requests are processed consistently, timely and accurately in accordance with UM guidelines and are compliant with NCQA and CMS guidelines. In this role, you will manage a clinical staff in a call center environment , forecast and manage staffing needs, develop and monitor...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Pharmacists
Career Level / Education:
Doctoral or professional degree
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Registered Pharmacist
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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