Blue Cross Blue Shield of Massachusetts

Boston, Massachusetts, USA
Total Offices: 2
3,932 Total Employees
Year Founded: 1932

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Jobs at Blue Cross Blue Shield of Massachusetts
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The Corporate Insurance and Business Continuity Analyst will support insurance programs and business continuity measures, including procurement of insurance policies, managing claims, and providing risk management advice. Responsibilities include conducting business impact analyses, developing budgets, delivering training, and ensuring organizational preparedness for disasters while collaborating with various stakeholders.
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As an IAM Solutions Architect, you will drive the assessment and design of IAM solutions, collaborating with stakeholders and other engineers to enhance security and automate processes. Responsibilities include presenting solutions, onboarding applications, ensuring compliance, and mentoring teams. This role demands extensive experience in IAM architecture and managing complex projects.
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As an Associate Automation Solutions Architect, you will assess automation solutions, design complex architectures, and guide the delivery of projects. You will collaborate with stakeholders, oversee implementation, and ensure solutions comply with standards while managing timelines and enabling the integration of innovative technologies for effective automation.
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The Vice President of Corporate Communications leads the corporate communications function, managing a team and developing strategies to engage employees and enhance reputation. Responsibilities include advising executives, managing media relations, and overseeing internal events and communications, particularly during organizational changes.
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The Senior Internal Auditor will conduct and support audits related to financial and operational areas, ensuring compliance with regulations. Responsibilities include risk assessment, communication of audit findings, and project management across various departments. The role emphasizes the importance of control consciousness and continuous improvement strategies.
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The Associate Director of Generative AI will lead a team responsible for developing Generative AI applications in healthcare. This role focuses on strategy, collaboration with stakeholders, managing implementation teams, and evolving operational models to deliver business value through AI.
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The Senior Product Owner will collaborate with stakeholders to manage the product backlog, define user stories, and prioritize features. The role involves mentoring other product owners, facilitating agile ceremonies, and ensuring product delivery aligns with business goals and customer needs.
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The Vice President of Underwriting at Blue Cross Blue Shield of Massachusetts will lead the underwriting function, ensuring alignment with business and risk management goals. Responsibilities include developing underwriting guidelines, pricing models, and collaborating across departments to optimize risk selection and pricing strategies. The role requires dynamic leadership and the ability to effectively communicate underwriting decisions.
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The Network Contract Leader negotiates hospital and physician contracts, ensuring business objectives are met while managing financial terms and proposals. They perform data analysis, collaborate with various departments, and contribute to innovative healthcare strategies to improve competitive positioning. This role requires strong negotiation, analytical, and communication skills, and familiarity with healthcare reimbursement.
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The AV/Network Intern is responsible for supporting the audio-visual infrastructure at BCBSMA locations, assisting with video equipment setup, troubleshooting, and management, while providing technical customer service support. The intern will work closely with business users and various IT groups to ensure the functionality of video systems and maintain equipment standards.
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The Ancillary Contract Manager will negotiate contracting strategies with ancillary providers, develop rate proposals using Excel, draft contracts, work with clinical and legal teams, and manage provider issues to ensure effective contractual arrangements.
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The Compliance Project Manager will provide program support for the Mental Health Parity compliance program, track project status, manage risks, and ensure quality deliverables. Responsibilities include developing policy initiatives, collaborating with stakeholders, analyzing data, and maintaining project documentation across multiple initiatives.
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As a Senior Intelligent Automation Engineer, you will drive the development and implementation of automation solutions, lead a team of engineers, and collaborate with stakeholders to identify opportunities and deliver projects. You'll monitor automation systems, design and develop software applications, and ensure solutions meet security standards, while guiding the team in Agile methodologies.
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As a Senior Intelligent Automation Engineer, you will lead the development and implementation of automation solutions, collaborate with stakeholders, manage timelines, and ensure the performance and compliance of Intelligent Automation systems and Chatbots. You will also oversee software development efforts and mentor team members in Agile methodologies.
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The Senior Manager, Network Contracting is responsible for leading contract negotiations with healthcare providers, developing proposals, and managing financial terms. This role requires strong analytical and communication skills, with a focus on value-based payment models and healthcare reimbursement strategies.
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The Systems Database Administrator will implement and support the Enterprise Database Environment with a primary focus on PostgreSQL and secondary focus on Microsoft SQL Server. Key responsibilities include managing systems, ensuring integration and synchronization of applications, and planning and designing database software, along with providing operational support and leading new technology projects.
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The Prepayment Review Coding Specialist conducts comprehensive reviews of medical claims to identify fraud, waste, and abuse in billing. They leverage coding knowledge in CPT, HCPCS, and ICD-10 to ensure accurate claim payments, provide consultation and education, and recommend improvements in processes and policies.

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