Project Manager

Company: Blue Cross Blue Shield of Massachusetts, Inc.
Location: Boston
Posted on: June 2, 2025

Job Description:

Ready to help us transform healthcare? Bring your true colors to blue.Credentialing & Peer Review's Project Manager is responsible for staff support, administrative and project management, quality improvement, and overseeing continuing medical education in a dynamic business environment. This position leverages strategic project management skills, interpersonal communication, independent problem-solving, and organizational skills to develop and coordinate projects related to credentialing, peer review, continuing medical education, and other HMM operational priorities. Additional responsibilities include policy manual development, Credentials & Peer Review Committee preparation and scheduling, and serving as Blue Cross' CME Coordinator. The role also involves supporting efforts to improve data capabilities, including file audits and departmental analysis and reporting using Credentialing and Peer Review systems.This position is eligible for the Flex persona, with in-office expectations for local candidates 2 days per week, subject to change based on business needs.Your Day to DayAs part of the Credentialing & Peer Review (CPR) Team, the Project Manager works closely with the CPR Director, Senior Credentialing Manager, and other team members. This role is cross-functional, collaborating with Network Management, Legal Counsel, and other HMM teams to achieve operational success. Key responsibilities include:

• Managing projects and initiatives through all phases of the project lifecycle, developing deliverables, and tracking action items to completion;
• Planning and overseeing meetings, using effective communication and presentation skills to support team goals;
• Managing Blue Cross Grand & Schwartz Rounds for over 1,200 attendees annually, ensuring impactful programming and synthesizing continuing education for internal MDs;
• Developing and maintaining CPR's policy manual, workflows, job aids, and process improvements to enhance operational efficiency;
• Leading regulatory responsibilities, including coordinating documentation for NCQA surveys, creating delegation policy reviews, updating Provider Central, and preparing quarterly dashboards.We are Looking for
  • Experience delivering successful projects and optimizing healthcare workflows;
  • Fast, meticulous learner with excellent analytical, organizational, and research skills;
  • Ability to collaborate with diverse stakeholders to achieve results and meet deadlines;
  • Proficiency in Microsoft Office (additional project management software skills a plus);
  • Strong organizational skills with the ability to work independently under pressure and manage multiple tasks efficiently.What You Bring
    • Bachelor's degree in healthcare administration or a related field (required);
    • Master's degree or equivalent preferred;
    • Three to five years' experience in managed care or healthcare delivery (preferred);
    • Familiarity with state and federal regulations and NCQA standards.What You Will Gain
      • Contribute to high-quality, cost-effective healthcare delivery by supporting credentialing and peer review standards;
      • Work in an inclusive, rewarding environment that promotes excellence and career growth;
      • Recognition as a subject matter expert in credentialing and peer review;
      • Potential for advancement in healthcare settings.#LI-HYBRIDMinimum Education Requirements:High school degree or equivalent required unless otherwise noted.LocationBoston, HinghamTime TypeFull timeSalary Range: $81,450.00 - $99,550.00The posted salary range reflects our good-faith estimate at the time of posting. Final pay will depend on relevant factors such as education, experience, skills, and organizational needs. This role is eligible for variable pay and a comprehensive benefits package including paid time off, insurance, 401(k), and well-being benefits.Note: Compensation amounts are considered earned, vested, and determinable only upon actual payment. Variations may occur at the company's discretion.Why Blue Cross Blue Shield of MA?We recognize that confidence gaps and imposter syndrome can hinder talented candidates. We encourage you to apply and bring your true colors, perspectives, and experiences. Diversity fuels our innovation and commitment to transforming healthcare for all.We are dedicated to your development and offer resources to support your success. Learn more about our culture and opportunities by visiting our page. Join our to stay informed about new opportunities.At Blue Cross Blue Shield of Massachusetts, we value wellness and work/life balance. For more information, visit our page.
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Keywords: Blue Cross Blue Shield of Massachusetts, Inc., Lowell , Project Manager, Executive , Boston, Massachusetts