Blue Cross Blue Shield of Massachusetts
The Medicare Clinical Program Manager focuses on utilization management compliance and CMS audit readiness activities, evaluating and supporting Health and Medical Management’s regulations and reporting. This role leverages analytical, leadership, and organizational skills to perform audits, conduct gap analyses, and develop mitigation strategies. The position serves as a subject matter expert, collaborating with internal teams and external delegates to ensure compliant processes and drive organizational success.
Headquarters
Boston, Massachusetts, United States
Company Size
1001-5000 employees
Founded
1937
Blue Cross Blue Shield of Massachusetts brings health insurance plans, medical claims, insurance coverage, benefits and telehealth via MyBlue Web & App
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS ANNOUNCES LATEST RESULTS
2 weeks ago
GLP-1 weight loss drugs help drive another year of historic losses at Blue Cross Blue Shield of Mass.
2 weeks ago
Blue Cross Blue Shield posts $380M loss, second-largest in its history
2 weeks ago
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
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
View leadership team, funding history,
and employee contacts for Blue Cross Blue Shield of Massachusetts.
13% below the average for this role
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