bcbsma
Appeals Nurse, Certified Coder
Ready to help us transform healthcare? Bring your true colors to blue. The Role The Clinical Appeals Nurse Reviewer facilitates, coordinates, and responds to provider appeals for denied services utilizing extensive clinical, regulatory, business, and coding knowledge. Collaborates with the Physician
Senior Product Owner
Ready to help us transform healthcare? Bring your true colors to blue. About the Role As a Senior Product Owner and member of the Pharmacy Value Stream, you will be responsible for defining and prioritizing the team's work to streamline the delivery of business value. You will collaborate closely wi
Systems Engineer
Ready to help us transform healthcare? Bring your true colors to blue. What we need We are seeking a seasoned Unix System Engineer to provide expert-level design, support, and integration for our critical enterprise infrastructure. This role is pivotal in ensuring the stability, security, and scalab
Associate Director, AI Governance
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: The Associate Director of AI Governance is a key leader in operationalizing BCBSMA’s AI Governance strategy as the organization scales responsible AI adoption in service of its mission. This role leads AI governan
Clinical Reviewer - FEP
Ready to help us transform healthcare? Bring your true colors to blue. Position Summary: The Post-Service Claims Nurse Reviewer is a pivotal role responsible for safeguarding the integrity of our claims process in a post-service, pre-payment environment. In this position, you will leverage your deep
Sr AI Product Owner
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: Blue Cross Blue Shield of Massachusetts is looking for a Senior AI Product Owner to guide one or more of our high-performing AI engineering teams. In this role, you will be a hands-on leader, combining deep techni
Sr. Manager, Information Security Identity and Access Management Operations
Ready to help us transform healthcare? Bring your true colors to blue. What we need The IAM Operations Senior Manager is experienced leading a team and overseeing daily operations and governance of the IAM program. This person is an effective leader who drives continuous improvement and maturity of
Sr. Manager, Information Security Identity and Access Management Operations
AI Solution Architect
Ready to help us transform healthcare? Bring your true colors to blue. The AI Solution Architect is responsible for designing and implementing specific architectural components and solutions for AI agents within the established Bluefield framework. This role works in close collaboration with Generat
Lead AI Product Owner
Ready to help us transform healthcare? Bring your true colors to blue. Lead AI Product Owner (R08113) About the Role: Blue Cross Blue Shield of Massachusetts is seeking a visionary and strategic Lead AI Product Owner to drive the future of our agentic AI framework. This is a leadership role where yo
Lead AI Engineer
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: Blue Cross Blue Shield of Massachusetts is looking for a Lead AI Engineer to guide one or more of our high-performing AI engineering teams. In this role, you will be a hands-on leader, combining deep technical exp
Sr. Manager, AI Engineering
Ready to help us transform healthcare? Bring your true colors to blue. About the Role: Blue Cross Blue Shield of Massachusetts is seeking a transformative Senior Manager of AI Engineering to lead the technical strategy and execution of our next-generation agentic AI systems. In this high-impact role