- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. ... Specialist II is responsible for ensuring CCA's operational compliance...CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and… more
- State of Massachusetts (Haverhill, MA)
- …insurance brokers, carriers, and internal stakeholders to assess coverage needs and resolve claims * Monitor and evaluate risk exposure across contracts and ... of student success. **Job Description:** *POSITION: Full-Time Senior Contract Specialist (Staff Associate):*Administration and Finance; Haverhill Campus; 37.5 hours...institutional operations * Collaborate with legal counsel and risk management… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …work from one of the New England states (ME, NH, VT, MA, RI, CT) + Monitor and resolve charging issues within Account, Claim Edit, Router, and Interface work ... The Data Integrity / Clinical Trials Billing Specialist performs charge validation through account review in...well as investigate root cause of any issues. + Monitor and resolve requests received through departmental e-mail boxes.… more
- LogixHealth (Bedford, MA)
- …NC, NH, OH, OK, TN, TX, UT, WI, and WV This Role: Manage and monitor projects and operations to support interdepartmental goals. Key Responsibilities: + Assist ... production, other specialties and consistently meet LogixHealth coding industry standards + Monitor and track use of operational production tools to determine root… more
- LogixHealth (MA)
- …+ Assist in creating and/or modify existing interfaces in Integrator + Monitor existing interfaces and support troubleshooting and addressing any problems identified ... and testing interfaces in a Healthcare domain. + Overall experience in healthcare operations , medical billing and coding + Good communication skills to interact with… more
- Boston Public Schools (Boston, MA)
- …Nutrition Services [BASAS 4B] Status: Full-time, year-round Reports to: Assistant Director Operations Overview: Founded in 1647, Boston Public Schools (BPS) is the ... by ensuring edit checks are accurate and complete for timely submission of monthly claims . + Monitors supply and labor costs by management through use of site-based… more
- State of Massachusetts (Roxbury, MA)
- …and skill assessments, child care, and transportation when appropriate. . Monitor sanction process and employ reengagement strategies to promote client participation ... and mitigate challenges. . Evaluate and monitor client cases to ensure compliance with applicable rules,...all Domestic Violence issues to the appropriate Domestic violence specialist immediately. . Ensure all clients are made aware… more