- Molina Healthcare (Worcester, MA)
- **JOB DESCRIPTION** **JOB SUMMARY:** Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. ... table on the claims transactional system and COB tracking database. + Review of claims identified for overpayment recovery. **REQUIRED QUALIFICATIONS** + At least… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Lead Claims Processor , Government Programs **Job Description** Adjudicate or submit claims and adjustments ... $21.15 - $31.73 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our...of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That… more
- Molina Healthcare (MA)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...for the Case Management team. + Responsible for initial review of assigned case levels to assist in Case… more
- Datavant (Boston, MA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... of information related telephone calls and inquiries accurately and timely. + Review , research, resolve and respond to inquiries that are received via telephone,… more
- Datavant (Boston, MA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Datavant (Boston, MA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your… more
- Kayem Foods, Inc. (Chelsea, MA)
- …Work with the shipping office clerk to assign dock doors when required + Review purchase orders for special instructions and compare them to vendor paperwork to ... over 100 years later, we are the largest meat processor in New England and still pushing our craft...of employment) + Flexible Spending Account (FSA) Plan (Health Care Reimbursement and Dependent Care (effective 1st… more
- Kayem Foods, Inc. (Chelsea, MA)
- …cross-train and support other positions or departments as needed. RESPONSIBILITIES: + Review and verify the schedule/cards for the production day. This includes ... over 100 years later, we are the largest meat processor in New England and still pushing our craft...of employment) + Flexible Spending Account (FSA) Plan (Health Care Reimbursement and Dependent Care (effective 1st… more
- Kayem Foods, Inc. (Chelsea, MA)
- …protective equipment (PPE) requirements. + Conducts regular team meetings to review sanitation goals, performance metrics, and safety updates. Continuous Improvement ... over 100 years later, we are the largest meat processor in New England and still pushing our craft...of employment) + Flexible Spending Account (FSA) Plan (Health Care Reimbursement and Dependent Care (effective 1st… more
- Datavant (Boston, MA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... quality portion of the new-hire DHISC training program, and site- and processor -level feedback. By centralizing responsibility under an experienced leader, this role… more