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At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. 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.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans. The successful candidate will be a Board Certified Child & Adolescent Psychiatrist who will be responsible for appeals reviews within our Medicaid and Medicare programs.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Choice of Blue Cross Blue Shield Medical, Dental and Vision Plans. Oversees vendor delivery to our Medicare Advantage and Exchange customers, including contract management, strategy development, operational delivery and invoicing.
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Engages with external resources, including the consultant community, in order to evaluate and understand the current and emerging market for Medicare Advantage and Exchange programs. This role will have oversight responsibility for Medicare Advantage and ACA Exchanges strategy and executive relationship responsibility for our customers’ compliance executives.
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Assist all patients/clients with applying for Medicaid, Medicare and NV Medicaid Managed Care (Silver Summit, Smart Choice (Primary Care) Behavioral HealthCare Options (Therapy), Anthem Blue Cross Blue Shield (previously Amerigroup.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Are responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and Blue Shield, Commercial/Managed Care, Tri-Care, Worker's Compensation, Schools, DSS/DJS, and Self-Pay.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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A&B is focused on providing Florida Health Insurance through Blue Cross/Blue Shield of Florida offering products aimed at complying with Obamacare (ACA) regulations including Medicare Supplement and Medicare Advantage.
Full-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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OPM, Federal Register, CMS Bulletins, Blue Web Legislative report, etc.) Experience with Medicare Advantage and ACA Exchanges. CHC, CIPM or CIPP Privacy certification, preferred. Collaborates with BCBSM Compliance Office as necessary.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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E-Learning – Comprehensive and current library of e-learning and performance support assets, available on demand and at no cost. Under general direction, the Executive Director, Compliance will lead and provide oversight and management of Compliance and Privacy functions and serve as the company’s Compliance and Privacy Official.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Leads, influences and manages a team of resources to include conducting talent acquisition activities, coaching and/or mentoring, and identifying training requirements for associates. Collaborates with leadership team to provide due diligence and vetting for new growth opportunities.
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Work/Life Balance – NASCO helps you find success at the workplace, and at home. Responsible for overseeing the company’s relationship with our parent’s Enterprise Compliance Office. Helps define department strategic objectives and drives business outcomes in alignment to the organizational strategy.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Conducts performance management activities, including performance reviews, goals, development, and continuous feedback. Establishes and maintains strategic relationships with client, industry, peers, consultants, and government governance organizations guiding and regulating company products.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Provides leadership and guidance in connection with the review and evaluation of regulatory updates, government mandates, BCBSA mandates and industry trends. Collaborates with product leadership on product direction and strategy (i.e. roadmaps, heat maps, product positioning, product concepts, product key messages, and product presentations.
ExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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Ability to see big picture and assist others in understanding how that big picture relates to internal company products and services in support of our customers. Exceptional attention to detail, organized, and able to set priorities for strategy and department.
ExpandApply NowActive JobUpdated 23 days ago
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