Jobs at Blue Cross Blue Shield of Massachusetts

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 Senior Contract Manager leads contract negotiations, manages proposals, analyzes data, collaborates across departments, and ensures contract implementation for healthcare payment models.

Lead large value streams, drive collaboration, and implement technology solutions while managing a team to improve efficiency and outcomes in healthcare delivery.

The Senior Consultant, Advanced Analytics leads analytical projects, optimizes data queries and models, and provides insights to drive performance in healthcare commercial strategies.

Lead complex risk-based audits and consulting projects while advancing the use of AI and analytics in audit processes, providing recommendations to management.

Lead early-stage commercial product development: identify market opportunities, build data-driven business cases, maintain product roadmap, define KPIs, partner across Finance, Actuarial, ET, Operations, Sales and Marketing, and support go-to-market strategy to drive product adoption and affordability.

The Unix System Engineer will design, support, and integrate Unix-based systems, ensuring stability and security across enterprise infrastructure while collaborating with various teams to address technical challenges.

The Associate Director, Out of Network Operations leads strategic initiatives to enhance claims processing, manage vendor relationships, and ensure compliance with healthcare regulations, specifically the No Surprises Act. Responsibilities include developing and overseeing reimbursement programs, improving efficiency, and driving cost savings.

The Director of Business Inclusion and Belonging will develop and implement initiatives to foster a diverse and inclusive environment, manage programs, provide guidance to leaders, and oversee goal tracking mechanisms for inclusion and belonging.

The Director of Risk Adjustment Data and Analytics oversees analytics, reporting, and strategic management of Medicare risk adjustment, ensuring compliance and improving performance. This role leads teams, designs metrics, and drives innovation while collaborating across the organization.

Seeking a Data Scientist to analyze healthcare data, design models, and communicate insights to improve financial outcomes and member care. Requires strong technical expertise and collaboration across functions.

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.

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 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.

The Consultant will support strategic initiatives and planning by conducting market analyses, facilitating strategy efforts, and collaborating with business leaders to inform and prioritize strategic recommendations.

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.

The Senior AI Product Owner will lead AI engineering teams, oversee solution design, mentor engineers, ensure code quality, and assess new technologies in AI initiatives.

The Lead Engineer designs and implements Pega CRM solutions, oversees Agile delivery, provides technical leadership, and ensures system compliance and performance in healthcare.