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Results based on filters ( 25 jobs found )

Data Scientist

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 ) Oct 28, 2025 Ready to help us transform healthcare? Bring your true colors to blue. Our Medical Economics team is seeking a Senior Data Scientist with strong technical expertise and a background in a quantitative discipline. In this role, you'll leverage large and complex healthcare datasets to drive data-informed decision making across the organization. You will design and validate analytic frameworks, uncover emerging drivers of...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Data Scientists
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

Lead Product Owner

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 ) Oct 27, 2025 Ready to help us transform healthcare? Bring your true colors to blue. What we need We are hiring a Lead Product Owner within the Enterprise Technology (ET) team. You will own all aspects of our API technical product in the Agile environment. You will apply specialized healthcare product knowledge across multiple healthcare domains and expertise to understand the business needs and technology objectives, identify and...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
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

Prepayment Review Coding 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 ...
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Summary
About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Oct 25, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). The position will be a dedicated coding specialist reviewing medical records to identify instances of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Certified Evaluation and Management Coder
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Prepayment Review Coding Specialist

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 Oct 25, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The position serves as a Prepayment Review Coding Specialist within the Fraud Investigation & Prevention Unit ("FIP"). The position will be a dedicated coding specialist reviewing medical records to identify instances of health care fraud, waste, and abuse and to facilitate accurate claim payments. The Prepayment Review Coding Specialist will conduct pre-payment reviews of claims...
Location:
Hingham, MA
Job Type:
Full-Time
Permanent
Occupation:
Billing and Posting Clerks
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Diversityjobs
Certifications / Licenses:
Certified Evaluation and Management Coder
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Manager, Systems Engineering & 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 ...
Details
Summary
About the job:
time off, 401(k) United States, Massachusetts, Boston 101 Huntington Avenue ( Show on map ) Oct 24, 2025 Ready to help us transform healthcare? Bring your true colors to blue. What We Need We're looking for a highly skilled and experienced Support Manager to lead our technical support team. The ideal candidate will have a background in technical support or Site Reliability Engineering (SRE) and will be the primary driver for ensuring the reliability, performance, and security of our services in a hybrid on-premises and...
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:
AWS Certified Solutions Architect
Oracle Certified Professional
ITIL Foundation certification (v3)
Certified Solutions Architect
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Director, Clinical Data Management

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 ...
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Summary
About the job:
we need The Associate Director of Clinical Data Management will be a key leader in executing BCBSMA's data & analytics strategy of becoming a data driven organization. The successful candidate will be responsible for leading the clinical data management function, providing strategic direction, and ensuring the delivery of high-quality, trustable clinical data to support key initiatives around quality, risk adjustment, medicare stars, and interoperability. This is a key leadership role that requires strong technical...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Clinical Data Managers
Career Level / Education:
Bachelor'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

Pharmacy Supervisor

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 Oct 23, 2025 Ready to help us transform healthcare? Bring your true colors to blue. The Role The Pharmacy Operations Training Supervisor plays a critical role in the onboarding of new associates, hosting training classes/refresher training, systems testing and deployments. This role encompasses staffing, workflow management, quality and production and ensuring regulatory compliance and service excellence. Reporting to the MAPD, Pharmacy Operations Manager and in...
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:
National Committee for Quality Assurance
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 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

Senior Data Scientist

Blue Cross and Blue Shield of Massachusetts, Inc.
Boston, MA
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Job Ref: R07986 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: $155,070 - $189,530 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 senior data scientist will lead high value workstreams within Actuarial and Analytics Solutions (AAS) department and be intimately involved all...
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

Payment Policy Sr. Specialist

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. ...
Details
Summary
About the job:
Reporting to the Director of Professional Reimbursement Strategy, the Payment Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted subject matter expert on professional payments. Excelling at this work as part of a small but mighty team, is critical to BCBSMA’s goal of affordability. Key Functions: - Support implementation of identified opportunities to improve the effectiveness of the Professional reimbursement strategy, - Assist managing...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Six Figure Jobs (more than $100K)
From:
Diversityjobs
Certifications / Licenses:
Certified Professional Coder
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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