- Sedgwick (Springfield, MA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development ... opportunity to take on new challenges and help solve complex problems for the world's best brands. + Deliver...**Experience:** Ten (10) years of relationship building in the claims management or risk management area or equivalent combination… more
- Zurich NA (Boston, MA)
- AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability ... + Manage complex primary and excess high-exposure litigated general liability claims with an emphasis on litigated construction claims , from inception to… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. ... the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible… more
- MAPFRE Insurance (Webster, MA)
- …policies and industry best practices. + Provide expert guidance on complex claims , coverage interpretation, reserving, and resolution planning. **Transformation ... innovation and elevate customer experience. **About the Role** As Director , you will: + Lead high-volume, lower-complexity claims... Director , you will: + Lead high-volume, lower-complexity claims teams with a focus on speed, accuracy, and… 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
- Humana (Boston, MA)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Pfizer (Cambridge, MA)
- The ** Director , Patient Affordability Analytics** is responsible for leading and innovating data assets and strategies for the creation and measurement of Pfizer's ... patient affordability and copay programs. The Director will be integral in helping develop data and...Policies. + Show deep knowledge of how to use complex data modeling, aggregation and analytics (eg, data quality… more
- Ophthalmic Consultants of Boston (Waltham, MA)
- Join a Leader in Eye Care: Director of Revenue Cycle & Billing at Ophthalmic Consultants of Boston Are you a strategic, hands-on leader ready to take charge of ... a nationally recognized ophthalmology practice, is looking for a dynamic and experienced Director of Revenue Cycle & Billing to lead our talented team and optimize… more
- Sanofi Group (Cambridge, MA)
- **Job title** : Associate Director , Brand Analytics (Rhinology, Gastroenterology, Allergy) **Location** : Cambridge, MA **About the Job** Ready to push the limits of ... Sanofi hubs to optimize process excellence and efficiency The **Associate Director , Brand Analytics - Rhinology, Gastroenterology, Allergy** will be responsible for… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing ... forecasting, and modeling abilities + Proven ability to navigate complex customers + Ability to drive cross-functional collaboration and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more