Financial Specialist

Blue Cross Blue Shield of Massachusetts
Boston, US

Job Description

Ready for your next chapter at Blue? Grow your career and deepen your impact

This position involves account management in a billing and receivables area. The Analyst II will be identifying and interpreting payment trends and making recommendations and decisions involving financial status for external accounts. They will represent the company externally to accounts, brokers, and third-party administrators via phone communication and occasional account visits. They will work collaboratively with internal constituents from various cross-functional departments. Customer Financial Management is responsible for the billing and collection of over $15 billion annually. This experienced analyst is responsible for interacting with key internal and external customers to ensure that financial strength is preserved.

Ready to help us transform healthcare? Bring your true colors to blue.

Your Day to Day:

  • Effectively manage a comprehensive book of business comprised of varying financial arrangements
  • Demonstrate accounting skills in completing periodic settlements, processing journal entries and providing billed versus paid audits as required.
  • Partner with internal areas (e.g., Executive’s Office, Member Services, Legal, Sales, IT) to quickly resolve escalated issues for members and accounts and identify solutions to avoid future issues
  • Perform all aspects of account management: maximize cash flow, minimize bad debt, negotiate payment plans, communication with internal and external customers and brokers
  • Ability to generate financial reconciliations and relay this information to accounts as appropriate.
  • Support Direct Pay business partners (if required), such as Member Services, through completing financial requests (BlueServe Connect, Blue View), responding to escalated member issues, and proactively managing Direct Pay AR (Cancelled Subs Database, Direct Pay CATB). These actions contribute directly to our corporate goal for First Call Resolution.
  • Ability to identify and take direction on process improvements and departmental projects. Use those tools to contribute to overall department success. Manage multiple priorities simultaneously
  • Identifying financial trends within their assigned book of accounts.
  • Drive adoption of the electronic bill presentment and payment tool through customer outreach using persuasive measures (using financial acumen and data analytics)
  • Provide excellent customer service related to financial matters for internal and external employer group customers
  • Negotiating payment plans with accounts to balance customers’ needs while balancing the needs of Blue Cross
  • Complete financial reports for leadership and senior leadership to review and understand account standings such as the Bad Debt Reserve Report and the Past Due Issues report

This role is eligible for our Flex 1m Persona. For candidates local to our Boston, MA and Hingham MA offices.

We’re Looking For:

  • Compliance with regulatory and contractual obligations (DOI regulations, performance guarantees, NACHA regulations, and banking regulatory practices etc.) within assigned book of accounts
  • Dealing with sensitive matters for high profile accounts, Third Party Administrators, and brokers
  • Managing complex financial scenarios (bankruptcies, receiverships, etc.) within their assigned book of accounts while engaging the Legal department to resolve and minimize bad debt
  • Ability to navigate multiple systems and software quickly to provide accurate and time sensitive financial information
  • Coordinating cross-functional activities

What You Bring:

  • Negotiate account payment installment plans to minimize the potential for account terminations
  • Assess unique account situations for possible reductions and/or increases in working capital or equalized deposits to ensure cash neutrality
  • Continuously review book of business to determine when interest assessment should be applied and/or waived
  • Make recommendations on bad debt reserve estimates and report on overall book of business status
  • Coordinate discussions with Underwriting to manage Run-out deposits. Influence outcomes based on account trends and established relationships with accounts and brokers
  • Initiate discussions and make recommendations regarding account cancellations due to non -payment and possible reinstatements
  • Ability to handle escalated issues and know when to move forward
  • De-escalating calls from brokers and account leaders including sales

Leadership Responsibilities:

  • Participate in process improvement/efficiency projects
  • Negotiate financial plans and influence payment remittance timing
  • Train and mentor new associates and peers
  • Educate internal areas on the available financial arrangements, payment options and business policies
  • Assist sales counterparts in providing recommendations on appropriateness of financial arrangements and bill presentment methodology for new and retention business

What You’ll Gain:

  • Experience with financial a

Level

mid

Posted

4/15/2026

Apply Now

You will be redirected to Blue Cross Blue Shield of Massachusetts's application portal.