- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Boston, MA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring… more
- Zurich NA (Boston, MA)
- …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. ** Claims Handling & Investigation:** ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich...AM - Owings Mills, AM - Parsippany, AM - Remote Work (US), AM - Rocky Hill, AM -… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- United Therapeutics (Boston, MA)
- …compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and is ... leading the Department's risk management activities. The Senior Corporate Compliance Director will develop the auditing and monitoring strategy for the Department,… more
- Zurich NA (Boston, MA)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
- CenterWell (Boston, MA)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve...teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Zurich NA (Boston, MA)
- Executive Underwriter OR AVP, Underwriting Director - Contract Surety 124285 Zurich Insurance is currently looking for an **Executive Underwriter OR AVP, Underwriting ... Director - Core Contract Northeast Region Surety Division.** This is...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Apprentice… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more