Payment Policy Sr. Specialist

Blue Cross Blue Shield of Massachusetts(2 months ago)

Hingham, MAOnsiteFull TimeSenior$87,930 - $107,470Payment Integrity

About this role

The Payment Integrity Consultant at Blue Cross Blue Shield of MA serves as a subject matter expert on facility payments, using payment policy and business operations knowledge to inform reimbursement strategy. The role supports implementation and execution of facility reimbursement and payment integrity initiatives, including analyzing claims data and assessing financial impacts. The position collaborates across teams to develop and maintain payment policies, claim editing logic, fee schedules, and vendor relationships to improve affordability and payment accuracy.

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Required Skills

Facility Reimbursement
Payment Integrity
Claims Analysis
Policy Development
Claims Editing
Data Analysis
Vendor Management
Fee Scheduling
Project Management
Communication

+1 more

Qualifications

Bachelor's Degree
High School Diploma
CPC
COC

About Blue Cross Blue Shield of Massachusetts

bluecrossma.org

Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App

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