What We Need
We are seeking a Director-level Engineering and Value Stream Lead for our Payment Integrity and Fraud Waste and Abuse (FWA) Value Stream to drive exceptional business outcomes through expert collaboration and a deep understanding of both technical and business domains. This role demands a strategic thinker with a strong focus on continuous improvement, capable of leading cross-functional teams to enhance efficiency and effectiveness in our value delivery processes.
This role is eligible for our Flex Persona. For candidates local to our Boston, MA and Hingham MA offices.
The ideal candidate will be able to demonstrate a proven track record in harnessing technology and innovation to deliver tangible outcomes. Join us to play a key role in achieving the Blue Cross Blue Shield of Massachusetts mission – affordable, accessible, high quality healthcare for all.
Your Day to Day
Lead large and complex value streams, which includes aligning activities across teams and working toward common business outcomes
Build and foster collaborative relationships across other Value Streams, business areas and with key partners, with the ability to influence executive-level leadership.
Establish and support a technology ecosystem for your Value Streams with an eye towards staying ahead of disruptive forces and bringing innovative solutions to our toughest business challenges.
Define a vision and strategy for your Value Streams, and continuously identify opportunities to adapt and improve.
Partner with Senior Business Leaders to effectively define, plan, and deliver technical solutions that support Business outcomes.
Manage the definition and execution of a portfolio of projects and drive executive level communication
Drive ‘speed to value’ by identifying and deploying agile processes in partnership with business owners.
Support the prioritization backlogs, addressing risks and dependencies to defined outcomes and ensuring overall alignment with technology and business strategy
Make key trade-off decisions to balance quality, cost, and timelines to maximize value; utilize and adhere to technology standards.
What You Bring:
Must have a strong knowledge of the Health Plan and/or Payor industry specifically in the Payment Integrity space.
Ability to develop and leverage business and/or vendor partnerships, consult on business priorities, and optimize value through solution identification aligned with business objectives.
Experienced in an Agile/execution leadership role delivering technology solutions on a demanding schedule.
Six years of people leadership/ management experience.
Strong technical skills and a deep strategic mindset. Must be able to assess commercial AI solutions and recommend “build” AI opportunities for the Payment Integrity and Fraud Waste and Abuse Value Stream.
Proven analytical skills and experience making decisions based on hard and soft data.
What You’ll Gain:
It is our mission at Blue Cross Blue Shield of Massachusetts to foster a culture that enables associates to do their best work while living happy and healthy lives. That's why we offer you a variety of ways to support your best physical, emotional, financial, and social well-being. For more information on our benefit offerings, visit https://careers.bluecrossma.org/us/en/benefits
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Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above
LocationBostonTime TypeFull timeSalary Range: $221,707.50 - $271,040.00The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.
What We Do
Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 80 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 3 million members, and consistently offering security, stability, and peace of mind to both our members and associates. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Massachusetts complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation or gender identity. ATTENTION: If you don’t speak English, language assistance services, free of charge, are available to you. Call Member Services at the number on your ID Card (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia con el idioma. Llame al número de Servicio al Cliente que figura en su tarjeta de identificación (TTY: 711). ATENÇÃO: Se fala português, são-lhe disponibilizados gratuitamente serviços de assistência de idiomas. Telefone para os Serviços aos Membros, através do número no seu cartão ID (TTY: 711
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