Blue Cross Blue Shield of Massachusetts

Physician Reviewer

Blue Cross Blue Shield of Massachusetts

1 day ago
Hybrid
Full Time
Senior
0 applicants
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Blue Cross Blue Shield of Massachusetts
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About this role

The Physician Reviewer role involves evaluating clinical service requests using medical judgment in conjunction with BCBSMA criteria, engaging with healthcare providers, and providing clinical leadership within BCBSMA. The position supports case reviews, manages information requests, documents decisions, and participates in quality improvement activities.

Skills

Qualifications

MD or DO DegreeSpecialty Board CertificationState of Massachusetts Medical LicenseClinical Practice ExperienceUtilization Management Experience
Blue Cross Blue Shield of Massachusetts

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

About Blue Cross Blue Shield of Massachusetts

Headquarters

San Francisco, CA

Company Size

201-500 employees

Founded

2018

Industry

Technology

Glassdoor Rating

4.2 / 5

Leadership Team

Sarah Johnson

Chief Executive Officer

Michael Chen

Chief Technology Officer

Emily Williams

VP of Engineering

David Rodriguez

VP of Product

Jessica Thompson

Chief Financial Officer

Andrew Park

VP of Sales

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