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Blue Cross Blue Shield of Massachusetts

Remote Jobs

Bring your true colors to Blue!

13 open rolesTeam 1001,5000H1B No SponsorLatest: Jun 25, 2026, 1:49 PM UTCCompany SiteLinkedIn
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13 Jobs

Full TimeRemoteJuniorTeam 1,001-5,000H1B No Sponsor

• As a Medicare Member Advocate, you’ll hold one of the most important positions at Blue Cross Blue Shield of MA. • You’ll be the attentive ear and friendly voice that guides members to the answers they need and explain their medical and dental packages. • You’ll reinforce our unwavering commitment to excellent service. • Medicare Member Advocates work in a structured and supportive service center environment and are one of the most important positions at BCBSMA. • You will be enrolled in a new hire training program to teach you everything you need to know about the health insurance industry. • You will help develop the skills and knowledge for a successful career with impact to the Medicare population. • Taking calls with members and dedicating time to learning and development, and research in support of career growth and development.

Massachusetts
$40K / year
General3 days ago
Full TimeRemoteJuniorTeam 1,001-5,000H1B No Sponsor

• As a Member Advocate, you’ll hold one of the most important positions at Blue Cross Blue Shield of MA. • You’ll be the attentive ear and friendly voice that guide members to the answers they need, and explain their medical and dental packages. • You’ll reinforce our unwavering commitment to excellent service. • Member Advocates work in a structured and supportive service center environment. • You will be enrolled in a phased new hire training program to teach you everything you need to know about the health insurance industry.

Massachusetts
$40K / year
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Role Description As a Medicare Member Advocate, you’ll hold one of the most important positions at Blue Cross Blue Shield of MA. You’ll be the attentive ear and friendly voice that guide members to the answers they need, and explain their medical and dental packages. You’ll reinforce our unwavering commitment to excellent service. - Work in a structured and supportive service center environment. - Enrolled in a new hire training program to teach you about the health insurance industry. - Develop skills and knowledge for a successful career impacting the Medicare population. - Available to members when they need assistance. - Scheduled for 37.5 hours/week. - Spend the majority of each week taking calls with members. - Specific time dedicated to learning, development, and research for career growth. - Supportive remote working opportunities. Qualifications - Committed to answering members’ questions and solving their problems. - Empowered to provide members with peace of mind. - Curious and committed to learning and gathering information. - Effective communicators able to translate complicated concepts into simple terms. - Emotionally intelligent and able to empathize with members’ needs. - Proactive, solution-oriented decision makers. - Planners, multi-taskers, and expert problem solvers. - Analytical and critical thinkers. - Able to multitask and thrive in a fast-paced, high-pressure environment. Requirements - High school diploma or equivalent required. - 1+ years customer service experience with frequent communication (minimum 60% of time) with customers by phone, email, and/or in person. - Strong familiarity and comfort with technology, including Microsoft Office applications. - Ability to quickly learn and adapt to new tools and software. Benefits - Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits. - Paid holidays, vacation, personal, and wellness time. - Internal career pathing with individual mentorship, networking, and events. - Access to internal career growth opportunities. - Participation in Employee Resource Groups.

United States
$21 / hour
Job Closed
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Role Description As a Medicare Member Advocate, you’ll hold one of the most important positions at Blue Cross Blue Shield of MA. You’ll be the attentive ear and friendly voice that guides members to the answers they need, and explain their medical and dental packages. You’ll reinforce our unwavering commitment to excellent service. - Work in a structured and supportive service center environment. - Enrolled in a new hire training program to teach you everything about the health insurance industry. - Develop skills and knowledge for a successful career impacting the Medicare population. - Available to members when they need us most. - Scheduled for 37.5 hours/week. - Spend the majority of each week taking calls with members, with specific time dedicated to learning and development. - Supportive remote working opportunities. Qualifications - Committed to answering members’ questions and solving their problems. - Empowered to provide members with peace of mind. - Curious and committed to learning and gathering information. - Effective communicators able to translate complicated concepts into simple terms. - Emotionally intelligent and able to empathize with members’ needs. - Proactive, solution-oriented decision makers. - Planners, multi-taskers, and expert problem solvers. - Analytical and critical thinkers. - Able to multitask and thrive in a fast-paced, high-pressure environment. Requirements - High school diploma or equivalent required. - 1+ years customer service experience with frequent communication (minimum 60% of time) with customers by phone, email, and/or in person. - Strong familiarity and comfort with technology, including Microsoft Office applications. Benefits - Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits. - Paid holidays, vacation, personal, and wellness time. - Internal career pathing with individual mentorship, networking, and events. - Access to internal career growth opportunities. - Participation in Employee Resource Groups.

United States
$21 / hour
Job Closed
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Role Description The Pharmacy Operations Analyst is responsible for primary contact for our providers to obtain authorization for retail pharmacy, home infusion and medical utilization management requests. These requests are received via fax, phone and web. In addition, the Pharmacy Operations Analyst supports inquiries from other business areas via phone and email. Key Responsibilities: - Receive, process, and archive provider’s retail fax and phone authorization requests accurately using multiple computer systems against our Medical Policy Criteria. - Review and interpret member’s eligibility, claim history, and Pharmacy Program information using the PBM claims software to provide information to both internal and external clients via telephone or email. - Analyze and interpret high level medical data and accurately data entry information according to NCQA guidelines. - Receive, process, and archive Home Infusion Therapy and Utilization Management Medical requests accurately using MHK and other systems via fax or telephone. - Communicate determinations to providers via incoming and outgoing telephone calls. - Process pharmacy authorizations utilizing PBM real time on line claims adjudication software. - Support new clinical program implementation. - Serve as a liaison to Member Services and other internal clients for real-time support on pharmacy benefit interpretation, Medical Policy interpretation, and plan design interpretation. - Support Medicare Part D and understanding of CMS guidelines. - Other responsibilities as needed. ***This position has been identified as essential to the operations of the company in the event of a building closure due to weather, emergency, or disaster. Holding an essential position, you may be expected to bring a company issued laptop home and work from home or other remote location in the event of a building closure, emergency, or disaster. Qualifications - Excellent Customer Service skills. - Prior experience assisting members and/or providers with telephone inquiries. - Strong organizational, problem solving, communication, and interpersonal skills. - Excellent written and oral communication skills required. - Must have strong data entry and attention to detail in building cases. - Must be able to multitask and be results oriented. Requirements - Minimum of a High School diploma required. Associate or Bachelor’s degree preferred. - Proficiency in MHK and PBM System preferred. - Experience in a Windows environment preferred. - Previous experience in a managed care environment preferred. - Previous pharmacy experience preferred. Benefits - Comprehensive package of benefits including paid time off. - Medical/dental/vision insurance. - 401(k). - Suite of well-being benefits to eligible employees.

United States
$22 - $27 / hour
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Ready to help us transform healthcare? Bring your true colors to blue. What you’ll do Member Advocates work in a structured and supportive call center environment and are one of the most important positions at BCBSMA. You will be enrolled in a phased new hire training program to teach you everything you need to know about the health insurance industry. We will help you develop the skills and knowledge for a successful career to make a positive impact to Federal Employees. This is a fast-paced service center environment. No two members, problems, or resolutions are the same. We’re looking for someone who is up for the challenge to be an expert and master the role by exceeding productivity, customer service, and performance measurements. - As a call center employee, you’ll be available to our members when they need us most. - Our call center is open Monday, Tuesday, Wednesday, and Friday, 8:30am – 4:30pm EST (Thursdays 8:30-5:30) - We offer flexible, remote working opportunities as well as additional training and development as you grow your career. - Member Advocates usually spend most of each week taking calls with members, with specific time dedicated to learning and development, and research. - The more you learn, the more you’ll have opportunities to grow your career. What you bring Our Member Advocates are the kind of people who create a plan and take charge in situations where others feel lost. They deliver an exceptional member experience by taking ownership of members’ issues, relieving their stress while guiding them to a resolution. We’re looking for people who are: - Proactive, solution-oriented decision makers. - Planners, multi-taskers, and expert problem solvers - Analytical and critical thinkers – able to anticipate and address future needs. - Able to multitask and thrive in a fast-paced, high-pressure environment. - Curious, committed to learning and gathering information. - Effective communicators and able to translate complicated concepts into simple terms. - Emotionally intelligent and able to empathize and understand our members’ needs and respond with compassion and guidance. - Committed to answering members’ questions and solving their problems to help them get back to enjoying their lives as quickly and effortlessly as possible. - Empowered to provide members with peace of mind that their current issue is resolved and that none are on the horizon. What we bring As a FEP Member Advocate, you are the face of our company, and at BCBSMA we believe it’s important to ask for your input on anything from member solutions to workspace design. We are rooted in the community we serve and are committed to helping all members and Massachusetts residents lead healthier lives. Join our team to enjoy: - Flexible remote working solutions - Recognition and rewards for high performance and improvement - Internal career pathing with individual mentorship, networking, and events - Employee resource groups for employees with shared backgrounds or the desire to learn more about their colleagues. All are welcome at our ERGs! - Best in class health, wellness, and 401(k) retirement benefits among many others! - Paid holidays, vacation, personal, and wellness time - Paid volunteer and service opportunities - Tuition reimbursement Required Qualifications - High school diploma or equivalent required - 1 year customer service experience in insurance or financial services - 6+ months experience frequently communicating (minimum 60% of time) with customers by phone, email, and/or in person. - Technology savvy with strong working knowledge of computer software applications and operating systems with the ability to learn quickly and navigate through multiple systems simultaneously. Preferred Qualifications - Experience in fast-paced contact center environment highly preferred - Proficient in keyboarding and ability to type. Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above Location HinghamTime Type Full time Hourly Rate: $20.51 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. 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. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.

United States
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Role Description As a Provider Service Representative, you will resolve telephone and written Provider claims-related service inquiries. The Provider Services Representative responds to our Provider’s benefit-related issues and questions, including but not limited to: - Corporate policies and guidelines - Timely filing - Account receivables - Claims processing You’ll be able to represent the Provider Services team in a positive and professional manner through appropriate telephone techniques and written responses. Provider Service Representatives work in a structured and supportive service center environment and are one of the most important positions at BCBSMA. You will be enrolled in a phased new hire training program to teach you everything you need to know about the health insurance industry. We will help you develop the skills and knowledge for a successful career with impact to millions of Americans. This is a fast-paced, unscripted service center environment. No two problems, or resolution journeys are the same. You’ll be scheduled for 37.5 hours/week; the shift begins at 8:30am EST and ends at 4:30pm EST. Provider Service Representatives usually spend most of each week taking calls with providers, with specific time dedicated to learning and development, and research in support of career growth and development. We offer supportive remote-working opportunities. Qualifications - High school diploma or equivalent required - 1+ years customer service experience where you are frequently communicating (minimum 60% of time) with customers by phone, email, and/or in person - Strong familiarity and comfort with technology, including Microsoft Office applications, and an ability to quickly learn and adapt to new tools and software - Experience in fast-paced, unscripted service-first environments highly preferred Requirements - This role requires frequent speaking, being on the phone with our Providers, using a headset in an environment free from distractions, and long periods of sitting and working at a computer - Shifts are fixed within our hours of operation with scheduled lunches and breaks - Establish an appropriate physical work environment that is ergonomically comfortable and suited to the specific work being conducted - All associates working remotely will be required to adhere to BCBSMA’s Hybrid Working Guidelines, including video participation in trainings and meetings Benefits - Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits among many others - Paid holidays, vacation, personal, and wellness time - Internal career pathing with individual mentorship, networking and events - The ability to Drive Your Career, with access to internal career growth opportunities - All associates are invited to join and participate in Employee Resource Groups

United States
$40K / year
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Ready to help us transform healthcare? Bring your true colors to blue. This is a part time position with an expectation of working 4 hours per week. The Role This part time position is responsible for the clinical integrity, accuracy and consistency of our dental service reviews. The consultant evaluates documentation for clinical dental services submitted under various CDT codes to ensure they represent necessary and appropriate care for our members. These reviews can occur as pre-treatment estimates, claim submissions after the services have been completed or as appeals to initial denials. In performing these duties, the dental consultant will collaborate with cross-functional team members for consultation and advice, ensuring all reviews are conducted thoroughly and in accordance with our established guidelines. Collaboration is performed through various channels including but not limited to emails, phone calls, internal systems and meetings. Excellent communication skills are essential, as the consultant will also contact submitting providers as needed to clarify documentation or deliver determination notifications. Your Day to Day 1. A primary responsibility is to evaluate the clinical necessity, appropriateness, and efficacy of dental procedures requested or performed. This involves using a set of formal techniques to review the dental care request and collaboration with others for proper adjudication. The expectation would be the ability to daily review the limited clinical assignments so that adjudications can be made on a timely basis in accordance with regulatory standards. 2. Collaborate with various business areas to offer guidance and solicit input into clinical policies. This collaboration would be primarily with dental utilization reviewers from claim operations and dental network managers from our network contracting division. 3. Interact with dental providers when there is a question about the documentation submitted for claim predetermination or review to assure all necessary information is being considered before adjudication. 5. Represent Dental Blue at professional meetings and maintain active involvement with organized dentistry. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties. We’re Looking for: Strong Clinical Foundation: A robust clinical background in dentistry is essential. This candidate would be a licensed dentist in Massachusetts, preferably with extensive experience in a clinical setting. This practical experience is vital for making credible assessments of the necessity and appropriateness of various dental treatments and procedures. Keen Analytical and Critical-Thinking Abilities: The position demands strong analytical skills to interpret and apply clinical guidelines to specific cases. A candidate must be proficient in evaluating dental records, treatment plans, and other clinical data to make objective, evidence-based decisions. Unyielding Ethical Standards: Given the nature of the role, which involves making determinations that impact patient care, a high degree of ethical integrity is necessary. The consultant must be capable of making judgments that are impartial and consistent with our policy of fair reviews. Exceptional Communication Skills: Effective communication skills are important for this role. The consultant will need to interact with dental providers to request additional information or to provide clarification on review decisions. The ability to engage in clear and professional dialogue is essential. Meticulous Attention to Detail: The review process is detail-oriented and requires a methodical approach. A candidate should be highly organized and thorough to ensure that all relevant information is considered and accurately documented and responded to in a timely manner. What You Bring: Education - Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD): A foundational requirement for this position is a degree from an accredited dental school and a current unrestricted dental license in Massachusetts. This ensures the candidate has the necessary clinical knowledge to understand and evaluate a wide range of dental procedures and treatments. - State Licensure: The candidate must hold a current, unrestricted license to practice dentistry in Massachusetts. This is a standard requirement for any practicing dentist and demonstrates that they have met the state's requirements for professional practice. - Clinical Practice: Significant experience in a clinical setting as a practicing dentist is crucial particularly as a general dentist. This hands-on experience provides the practical knowledge needed to assess the appropriateness and necessity of care in real-world situations. A number of years of clinical practice would be expected. - Utilization Review or Insurance Experience: While not mandatory, prior experience in utilization review, quality assurance, or a similar role within the dental industry would be highly advantageous. This experience would indicate familiarity with the principles of managed care, clinical guidelines, the review process and comparable computer skills applications in Outlook, Word, and Excel. - Knowledge of Dental Coding and Terminology: A strong understanding of dental coding systems (such as CDT) and terminology is essential for accurately reviewing claims and treatment plans. In summary, the ideal candidate would be a licensed dentist with substantial clinical experience, and preferably, a background in the dental insurance industry with excellent communication skills. What You’ll Gain: Supplementation to Clinical Practice - Work-Life Balance: These positions typically offer a supplementation to your private practice schedule and the ability to use your clinical knowledge from practice in an administrative role to enhance the value of care to our members. - Reduced Physical Strain: An office/home based review role eliminates or reduces the physical stress often found in clinical dentistry. - The role provides an opportunity to affect dental care on a much larger scale than is possible when treating individual patients. - System-Level Influencing ensures that care is delivered to thousands of members in an efficient, effective, and necessary manner. - Focus on Evidence-Based Dentistry: The position is deeply rooted in the analytical application of the latest clinical guidelines and evidence, which can be educational about the science of dentistry. - New Skill Acquisition: It allows a clinician to develop valuable new skills in areas like data analysis, health policy, communication, and working within a corporate structure. In essence, this position appeals to experienced dentists who are looking for a new challenge, a better work-life balance, and a chance to apply their clinical knowledge to improve the healthcare system from a different vantage point. Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above Location HinghamTime Type Part time Hourly Range: $120.32 - $147.06 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. 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. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.

United States
$120 - $147 / hour
Manager80 days ago
Full TimeRemoteLeadTeam 1,001-5,000H1B No Sponsor

Ready to help us transform healthcare? Bring your true colors to blue. The Role The Role The Clinical Care Manager is responsible for facilitating care for members and families of members who may have rising health risks or complex healthcare needs, to promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care based on the principles of care management. Facilitation is focused on assessing needs, identifying health care disparities, social determinants of health, and any barriers to care. The Team The Team The Clinical Care Manager is part of a highly dedicated and motivated team of professionals, including medical and behavioral health care managers, dieticians, pharmacist, clinicians, medical directors and more, who collaborate to facilitate care. Key Responsibilities: * Engage members in appropriate plans of care, coordinate care and services as appropriate, communicate effectively and provide members with education and resources as needed.Promote member compliance with treatment plan, encourage shared decision-making, and set appropriate goals to promote optimal member outcomes. * Interpret and apply case management criteria, processes, policies, and regulatory standards to create, follow and appropriately document comprehensive care management plans. * Review medication list and educate members with complex pharmacy needs, and counsel on side effects and mitigation strategies for specific treatment protocols. * Successfully connect, engage, and maintain member engagement to support seamless care transitions and optimized health outcomes. * Interact with treatment providers, PCPs, physicians, therapists, and facilities as needed to gather clinical information to support the plan of care. * Monitor clinical quality concerns, make referrals appropriately, identify and escalate quality of care issues. * Understand member insurance products and benefits, as well as regulatory and NCQA requirements. Key Qualifications: * Ability to identify and document member-driven, specific, measurable activities that address actionable behaviors and goals * Self-directed, independent, adaptive, flexible to change, and able to collaborate as a member of a team. * Proficient with multiple IT systems. * Demonstration of awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population. Education and Experience: * 3-5 years relevant experience in a variety of appropriate clinical health care settings (Inpatient, outpatient, or differing levels of care). * Utilization Management experience, preferred * Active licensure in Massachusetts is required, appropriate to position (RN/PT) o Licensure in additional states a plus. o Note: Any restrictions against a license must be disclosed and reviewed. #LI-REMOTE Minimum Education Requirements: High school degree or equivalent required unless otherwise noted above Location HinghamTime Type Full time Hourly Range: $44.12 - $53.93 The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability. This job is also eligible for variable pay. We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. WHY Blue Cross Blue Shield of MA? We understand that the confidence gap and imposter syndrome can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. 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. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL. As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue. At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.

United States
$44 - $54 / hour
Full TimeRemoteMid LevelTeam 1,001-5,000H1B No Sponsor

Role Description As a Medicare Member Advocate, you’ll hold one of the most important positions at Blue Cross Blue Shield of MA. You’ll be the attentive ear and friendly voice that guide members to the answers they need, and explain their medical and dental packages. You’ll reinforce our unwavering commitment to excellent service. - Work in a structured and supportive service center environment. - Enrolled in a new hire training program to teach you everything about the health insurance industry. - Develop skills and knowledge for a successful career with impact to the Medicare population. - Available to members when they need us most. - Scheduled for 37.5 hours/week. - Spend the majority of the week taking calls with members, with specific time for learning and development. - Supportive remote working opportunities. Qualifications - Committed to answering members’ questions and solving their problems. - Empowered to provide members with peace of mind. - Curious and committed to learning and gathering information. - Effective communicators able to translate complicated concepts into simple terms. - Emotionally intelligent and able to empathize with members’ needs. - Proactive, solution-oriented decision makers. - Planners, multi-taskers, and expert problem solvers. - Analytical and critical thinkers. - Able to multitask and thrive in a fast-paced, high-pressure environment. Requirements - High school diploma or equivalent required. - 1+ years customer service experience with frequent communication with customers by phone, email, and/or in person. - Strong familiarity and comfort with technology, including Microsoft Office applications. - Qualified candidates from the New England region - MA, CT, RI, NH, ME, and VT only. Benefits - Best in class health, wellness, tuition reimbursement, and 401(k) retirement benefits. - Paid holidays, vacation, personal, and wellness time. - Internal career pathing with individual mentorship, networking, and events. - Access to internal career growth opportunities. - Participation in Employee Resource Groups.

United States + 9 moreAll locations: United States | United Kingdom | Canada | Germany | France | India | Brazil | Australia | Estonia | Japan
$21 / hour
Job Closed

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