Blue Cross Blue Shield of Massachusetts

Product Manager

• Guide and mentor a team of AI Engineers, ensuring adherence to architectural best practices, coding standards, and engineering excellence.
• Lead the detailed technical design and implementation of complex AI agent components, Generative AI integrations, and the underlying infrastructure.
• Collaborate closely with Product Owners to refine technical requirements, estimate efforts, and ensure the timely and high-quality delivery of AI features.
• Establish and enforce rigorous code review processes to ensure code quality, security, and maintainability.
• Serve as the primary technical escalation point for your team, troubleshooting complex issues and guiding resolutions.
• Actively coach and mentor AI Engineers, helping them grow their technical skills and understanding of agentic architectures.
• Assess new tools, libraries, and frameworks that can improve your team's efficiency and capabilities.

AI Product Owner

AI Engineer

• Provide Technical Leadership: Guide and mentor a team of AI Engineers, ensuring adherence to architectural best practices, coding standards, and engineering excellence.
• Oversee Solution Design: Lead the detailed technical design and implementation of complex AI agent components, Generative AI integrations, and the underlying infrastructure.
• Drive Team Delivery: Collaborate closely with Product Owners to refine technical requirements, estimate efforts, and ensure the timely and high-quality delivery of AI features.
• Ensure Code Quality: Establish and enforce rigorous code review processes to ensure code quality, security, and maintainability.
• Solve Complex Technical Problems: Serve as the primary technical escalation point for your team, troubleshooting complex issues and guiding resolutions.
• Mentor and Develop Talent: Actively coach and mentor AI Engineers, helping them grow their technical skills and understanding of agentic architectures.
• Evaluate New Technologies: Assess new tools, libraries, and frameworks that can improve your team's efficiency and capabilities.

• Conduct ongoing market surveillance of competitor actions and industry trends to identify strategic opportunities and determine the optimal timing for launching new solutions
• Define and communicate a clear product vision and roadmap based on customer feedback, market research, and industry insights
• Create and manage rigorous, data-driven business cases for new product opportunities, including segment and product specific ROI projections and feasibility analysis
• Develop and lead the go-to-market (GTM) strategy for new product launches, including defining the value proposition, creating sales enablement tools, and partnering with Marketing to drive broker and employer engagement
• Drive product affordability initiatives by identifying key drivers of medical cost trend, analyzing financial impacts of benefit changes, and developing product strategies to contribute to lowering the total cost of care
• Lead the end-to-end product development lifecycle, from initial scoping and requirements definition to coordinating testing and final deployment
• Direct the ongoing strategy and management of core commercial medical products adapting approaches for different market segments and partnering closely with regional blues partners and the BCBS Association where applicable to ensure market success
• Collaborate with Sales, Marketing, and other key stakeholders to gather ongoing feedback to ensure product success
• Establish, track, and report on Key Performance Indicators (KPIs) to measure the effectiveness of market offerings against corporate goals
• Develop and present compelling narratives to senior leadership regarding product strategy, performance, and growth opportunities
• Ensure operational readiness for all product initiatives by partnering with Operations, IT, and other business areas to ensure that products can be administered accurately and efficiently

Senior Product Manager

Senior AI Engineer

Program Manager

• Developing, managing, and coordinating Health and Medical Management (HMM) quality improvement activities
• Analyzing current HEDIS/HOS, Stars, and/or QCR performance
• Collaborating with internal stakeholders such as Performance Measurement and Improvement
• Using CQI tools to facilitate improvement
• Collecting, analyzing, and validating data used in quality initiatives

Program Manager, Clinical Quality

Account Executive

• Provide an outstanding level of service to ancillary sales staff, BCBSMA sales and account management staff, customers, brokers, and consultants
• Develop solutions to complex business issues affecting BCBSMA ancillary customers
• Manage client folders with client correspondences
• Conduct Administration meetings with new accounts
• Responsible for managing service cases through Salesforce
• Represent our ancillary partner(s) when discussing enrollment, billing, underwriting guidelines, policy provisions, etc.
• Maintain detailed knowledge of product portfolios of endorsed ancillary partners and specific requirements for sale, implementation, and service of ancillary benefit programs
• Prepare presentations to educate benefit representatives at accounts about their ancillary plan(s)
• Develop and present communications materials to be used for varied group sizes at account sites
• Coordinate and participate in open enrollment activities
• Act as liaison between accounts, Sales, brokers, consultants and our ancillary partner(s)
• Manage multiple projects simultaneously
• Initiate meetings and dialogue with ancillary partner(s) to ensure accurate customer service
• Attend product and professional trainings recommended by direct leader
• Review monthly delinquency report from ancillary partner’s and reach out to brokers and clients who are more than 30 days delinquent to get them paid to date and avoid cancellation

Ancillary Sales Consultant

Manager

• Directs the utilization review clinical team operations for our Commercial plans
• Provide decisive leadership and direct supervision to a clinical staff team, including subordinate leaders and their teams.
• Execute a forward-thinking utilization management strategy that aligns with the company's goals.
• Lead performance management, including hiring, professional development, mentorship, and performance evaluations to build a high-performing, engaged team.
• Foster a culture of clinical excellence, empathy, and member-centered care.
• Direct all utilization review functions, including pre-service, concurrent, and retrospective reviews, ensuring timeliness and adherence to evidence-based medical necessity criteria and internal medical policies.
• Analyze complex utilization data to identify trends, patterns, and opportunities for clinical quality improvement.

Senior Manager, Clinical Review

Financial Planning and Analysis

• Identifying and interpreting payment trends and making recommendations
• Interacting with key internal and external customers to ensure financial strength
• Managing a comprehensive book of business comprised of varying financial arrangements
• Demonstrating accounting skills in completing periodic settlements, processing journal entries, and providing billed versus paid audits as required
• Maximizing cash flow, minimizing bad debt, and negotiating payment plans

Customer Financial Management Specialist

• Spearheads renewal and cross-selling initiatives for a dedicated portfolio of national clients
• Architects and implements customized strategies that align national client business objectives with BCBSMA's comprehensive suite of solutions
• Strategically engages and manages relationships with key internal and external stakeholders
• Embodies and promotes the core values of BCBSMA
• Serves as a dedicated advocate for national account clients and their members

National Account Executive IV

• Collaboration with Application Development, Infrastructure, and 3rd party vendors to ensure the delivery of the Infrastructure Programs enables both current and future business needs
• Communicate effectively with internal colleagues as well as IT management to set clear expectations from a timeline, functionality, and service delivery perspective.
• Routinely assess infrastructure programs and recommend ideas for continuous improvement and/or automation opportunities
• Identify and baseline Key Performance Indicators (KPIs) for critical infrastructure programs
• Act as a liaison between infrastructure technology partners/vendors and other business areas
• Manage complex technical issues and projects with insourced, outsourced, and 3rd party teams.
• Deliver Audit/Compliance responses in a thoughtful, strategic, and articulate manner
• Ability to manage multiple Infrastructure Programs with a continuous learning mindset
• Foster strong working and interpersonal relationships.
• Solid foundational knowledge of IT: Systems, Network, Desktop Cloud, Databases, App/Dev, etc.

Lead Infrastructure Engagement Manager

• Provide strategic direction and oversight for the development of innovative contracting models, financial arrangements, and provider partnerships that support enterprise goals.
• Manage risk, enhance BCBSMA’s competitive position, and serve as a trusted advisor to internal stakeholders.
• Drive cross-functional initiatives and provide people and thought leadership within the Contract Operations function.
• Set strategic direction and lead the development and implementation of innovative contracting methodologies for physician and institutional providers.
• Provide oversight of contract amendments, renewals, and approvals, ensuring compliance with business, legal, and financial requirements.
• Assess and mitigate financial, operational, and contractual risk while ensuring contracts support long-term strategic and financial objectives.
• Lead high-impact, cross-functional project teams and influence decision-making without direct authority.
• Partner with Operations and Technology teams to ensure accurate and timely implementation of contracts within the Provider Contract Management System (e.g., Salesforce).