Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Massachusetts Jobs & Careers
6 Blue Cross Blue Shield of Massachusetts jobs found on Monster.Jobs 1 to 6 of 6
Are you a Project Manager with a track record of successful large scale system and business implementations? Are you working for a firm driven solely by the bottom line where you are not connected to the mission and not valued as an individual? Are you ready to proactively manage your career? Blue Cross Blue Shield of MA is building our talent pool of Enterprise and IT Project Managers at various...
Are you working for a firm driven solely by the bottom line where you are not connected to the mission and not valued as an individual? Are you ready to proactively manage your career? Blue Cross Blue Shield of MA is building our talent pool of System and Business Analysts at various career stages who don’t mind starting a discussion regarding multiple near-term and long-term upcoming opportunitie...
Blue Cross Blue Shield of Massachusetts Hingham, MA
Position Summary Perform medical record reviews either on-site in physician offices or electronically from home for our Medicare Advantage members area to ensure proper medical diagnoses are being submitted for reimbursement from CMS. Responsibilities Perform medical record reviews for appropriate ICD-9 diagnoses codes for risk adjustment data validation. Ensure that all ICD-9 diagnoses are report...
Blue Cross Blue Shield of Massachusetts Quincy, MA, 02171
Description: Major Responsibilities: The Associate Medical Director for Behavioral Health is a senior physician manager who is responsible for the management, quality, and effectiveness of physician and psychologist review of clinical services requests and appeals within the Behavioral Health division of the Physician Psychologist Review Unit. This senior physician is actively involved in implemen...
Blue Cross Blue Shield of Massachusetts North Quincy, MA, 02171
Blue Cross Blue Shield of Massachusetts is looking for a Data Specialist to join our Corporate Peer Review team in Quincy, MA. This is a terrific opportunity for a systems savvy healthcare industry professional to join a well-established team and grow at Blue Cross Blue Shield of MA. This role reports to the Director of Corporate Peer Review, Health & Medical Management Division. About Blue Cross...
Job Description This position serves as a data analyst within the Fraud Investigation & Prevention unit. This position reports directly to a Manager in the development of investigation targets, makes recommendations for software updates and changes, supports the analytical software programs and assures the availability during business hours. This position will work with a variety of business areas...
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