Engineering Director and Value Stream Lead

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

We are seeking a Director-level Engineering and Value Stream Lead for our Payment Integrity and Fraud Waste and Abuse (FWA) Value Stream to drive exceptional business outcomes through expert collaboration and a deep understanding of both technical and business domains. This role demands a strategic thinker with a strong focus on continuous improvement, capable of leading cross‑functional teams to enhance efficiency and effectiveness in our value delivery processes.

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

The ideal candidate will be able to demonstrate a proven track record in harnessing technology and innovation to deliver tangible outcomes. Join us to play a key role in achieving the Blue Cross Blue Shield of Massachusetts mission – affordable, accessible, high quality healthcare for all.

• Lead large and complex value streams, aligning activities across teams toward common business outcomes.
• Build and foster collaborative relationships across other Value Streams, business areas, and key partners, influencing executive-level leadership.
• Establish and support a technology ecosystem for your Value Streams, staying ahead of disruptive forces and bringing innovative solutions.
• Define a vision and strategy for your Value Streams, continuously identifying opportunities to adapt and improve.
• Partner with Senior Business Leaders to define, plan, and deliver technical solutions that support business outcomes.
• Manage the definition and execution of a portfolio of projects and drive executive-level communication.
• Drive ‘speed to value’ by identifying and deploying agile processes in partnership with business owners.
• Support prioritization backlogs, addressing risks and dependencies to align with technology and business strategy.
• Make key trade‑off decisions to balance quality, cost, and timelines to maximize value, utilizing and adhering to technology standards.

• Strong knowledge of the Health Plan and/or Payor industry, specifically in the Payment Integrity space.
• Ability to develop and leverage business and vendor partnerships, consult on business priorities, and optimize value through solution identification aligned with business objectives.
• Experience in an Agile/execution leadership role delivering technology solutions on a demanding schedule.
• Six years of people leadership and management experience.
• Strong technical skills and a strategic mindset; able to assess commercial AI solutions and recommend build opportunities for the Payment Integrity and Fraud Waste and Abuse Value Stream.
• Proven analytical skills and experience making decisions based on hard and soft data.

We offer a comprehensive package of benefits including paid time off, medical, dental and vision insurance, 401(k), and a suite of well‑being benefits. For more information on our benefit offerings, visit (Use the "Apply for this Job" box below)./benefits

High school degree or equivalent required unless otherwise noted above.

Boston

Full time

Salary Range: $ – $. 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.

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 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.