Jobs at Blue Cross Blue Shield of Massachusetts

Validate and enter provider enrollment, credentialing, and maintenance data into multiple systems; verify provider credentials/licenses; review contracts and documentation for completeness; respond to inquiries, resolve discrepancies, meet turnaround and quality goals, and coordinate escalations with leadership.

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.

The Engineer will develop and support CRM solutions using the Pega platform, translating business requirements into functional solutions and collaborating with cross-functional teams.

The Project Manager will drive AI and automation initiatives within the healthcare sector, managing projects from concept to deployment, while facilitating agile ceremonies and ensuring stakeholder alignment and operational efficiency.

Design and govern enterprise integration, API, event-driven, and interoperability solutions across cloud, on‑premises, and hybrid environments. Lead architecture reviews, define patterns and standards, run proofs-of-concept for integration and AI-enabled capabilities, and collaborate with engineering, product, security, and stakeholders to deliver scalable, secure, and resilient connectivity for healthcare systems.

The AI Solution Architect will design, implement, and optimize AI systems within the Bluefield framework, mentor engineers, and ensure architectural quality.

Lead and mentor engineering teams for the MyBlue member portal. Drive digital technology solutions, architectural design, and oversee software development lifecycle using Agile methodologies.

Lead AI Engineer responsible for guiding AI engineering teams, overseeing solution design, ensuring code quality, and mentoring AI engineers.

The Senior Full Stack Engineer will lead quality assurance strategies, develop automation frameworks, mentor engineers, and contribute to full-stack development while leveraging AI in testing.

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 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.