Jobs at Blue Cross Blue Shield of Massachusetts

Leads the health insurance underwriting function and a 60-person team, overseeing risk assessment, pricing models, underwriting guidelines, audits, regulatory compliance, and complex medical applications for individual and group plans. Partners with actuarial, finance, sales, legal, brokers, and executive stakeholders to optimize risk selection, pricing, customer support, and growth. Requires extensive health insurance underwriting leadership, healthcare expertise, analytical proficiency, and a bachelor's degree.

Serves as the COO’s strategic partner and trusted proxy, driving enterprise priorities, cross-functional initiatives, governance forums, executive communications, and Board committee materials. Leads planning, consensus building, special projects, and collaboration with senior leaders, vendors, and external stakeholders. The role combines strategic counsel, hands-on execution, team leadership, and operational coordination to advance healthcare strategy, consumer experience, and organizational effectiveness.

Provides healthcare analytics supporting quality, affordability, access, and consumer experience initiatives. Maps clinical journeys, analyzes quality variation, mines complex datasets, develops dashboards, tests hypotheses, and delivers strategic recommendations. Collaborates with cross-functional stakeholders to define business questions, analytical requirements, and reporting specifications, with a focus on Commercial health plan quality and Medicare Star ratings improvement.

Provide corporate and transactional legal support for technology and corporate initiatives, drafting and negotiating complex technology and commercial agreements, advising on AI procurement and data privacy (HIPAA, state laws), supporting governance, investment due diligence, and legal operations improvements.

The Product Manager supports the strategy, development, implementation, and ongoing enhancement of digital healthcare navigation and guidance products. Responsibilities include gathering requirements, coordinating cross-functional initiatives, managing vendors, tracking KPIs, analyzing financial and operational performance, ensuring regulatory alignment, supporting sales and account teams, and identifying product improvement opportunities. The role requires healthcare and health insurance knowledge, strong communication and analytical skills, and experience managing product or business initiatives.

Supports the strategy, development, implementation, and ongoing management of healthcare products, especially HSAs, FSAs, and other funding solutions. Leads cross-functional initiatives, gathers requirements, tracks KPIs, supports business cases and financial analysis, ensures regulatory alignment, and serves as a product expert for Sales, brokers, and account teams. Monitors market feedback and product performance while identifying enhancement opportunities and coordinating with vendors and internal stakeholders.

Leads the full lifecycle of complex, enterprise technology projects within a technical program management office. Responsibilities include strategic planning, resource allocation, budget and schedule management, risk and change management, executive reporting, methodology leadership, stakeholder alignment, and steering committee facilitation. The role coordinates matrixed teams across IT, Data Science, DevOps, and business units while mentoring project managers and improving project management processes.

Manage brand health and execute integrated paid, earned, and owned campaigns. Serve as liaison between agencies, media partners, sponsors, and internal teams. Develop media and creative strategies, author tactical briefs, oversee media buying/production and sponsorships, monitor and report campaign performance, optimize media strategy, and support creative productions and activations.

Lead end-to-end delivery of AI, Generative AI, and automation projects as a technical project manager. Facilitate Agile ceremonies, manage plans, budgets, risks, and stakeholders, coordinate cross-functional teams, track KPIs, support change management, and ensure adherence to technical PM standards.

Deliver competitive intelligence and market insights through secondary and select primary research, data visualization, and stakeholder presentations to inform strategic planning and initiatives across the organization.

Lead actuarial reserving and valuation, serve as Appointed Actuary producing SAOs and regulatory filings, develop forecasting and trend assumptions, oversee premium and variance analysis, advise executive leadership, and manage/mentor an actuarial team supporting pricing, reserving, risk adjustment, and strategic initiatives.

The Director of New Sales will oversee consulting partnerships, drive business growth and member acquisition, manage the sales team, and represent the organization in professional forums.

The Senior Solution Architect leads the architectural strategy for finance systems, aligning technology with business goals, ensuring compliance, and driving innovation through AI and ML integration.

Lead state and federal legislative strategy and advocacy for BCBSMA on healthcare and insurance policy. Analyze legislation, draft policy, build coalitions, testify before regulators/legislatures, advise senior leaders, manage PAC responsibilities, and coordinate internal implementation and stakeholder engagement on issues like behavioral health, substance use disorder, prescription drug pricing, and provider payment policy.

The AI Product Owner guides AI engineering teams, ensuring technical excellence, mentoring engineers, overseeing solution design, and driving timely delivery of high-quality AI products.

Lead AI Engineer to mentor teams, guide AI solution design, ensure code quality, and manage complex AI projects while evaluating new technologies.

Lead the AI Engineering team to define technical architecture, mentor engineers, drive innovation, and ensure robust and scalable AI solutions.

As a Solution Architect, you will design and architect modern IT systems for healthcare, collaborating with product owners and leading technical discussions to improve efficiency and service delivery.

Provide legal counsel on vendor and provider contracts, regulatory compliance (especially Medicare), data privacy/security, and government programs. Draft and negotiate agreements, review communications, identify legal risks, support Procurement and Network Contracting, and manage legal projects for BCBSMA.

Manage and grow a territory of employer accounts (51+ employees) through consultative sales, broker relationships, renewal negotiations, and promoting BCBSMA products. Partner with internal teams to resolve issues and deliver concierge-level service while meeting retention and growth goals.