• Manager , Claims Research…

    Humana (Boston, MA)
    …first** Are you ready to lead and make a real impact? Join us as our Manager , Claims Research & Resolution-a key leadership role where you'll drive critical ... claims operations , oversee complex investigations, and ensure...claims management. **Key Responsibilities:** + Oversee the end-to-end claims research and resolution process, ensuring accuracy,… more
    Humana (08/09/25)
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  • Manager , Biostatistics

    Sumitomo Pharma (Cambridge, MA)
    …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For more… more
    Sumitomo Pharma (08/02/25)
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  • Manager , Field Reporting - Commercial

    Sumitomo Pharma (Boston, MA)
    …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For more… more
    Sumitomo Pharma (06/21/25)
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  • Provider Relations Representative

    Fallon Health (Worcester, MA)
    …and ancillary providers within an assigned territory. Monitor provider business operations to ensure compliance with FCHP's documented standards, policy and ... Fallon Health policies and procedures to include products, benefits, claims , referral and eligibility verification processes, utilization management guidelines, etc.… more
    Fallon Health (08/08/25)
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  • Product Analyst - Personal Lines Performance…

    American Family Insurance - Corporate (Boston, MA)
    …to interact with a variety of departments in the organization (Product, Finance, Claims , Reserving, Operations , etc.) and the broader American Family community. ... will report directly to the Personal Lines Performance Senior Manager . The Product Analyst is part of the Product...+ Understand premium and coverage/peril drivers as well as claims and sales performance. + Deliver operational insights to… more
    American Family Insurance - Corporate (07/29/25)
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  • Electronic Records Specialist, Cash Management

    LogixHealth (Bedford, MA)
    …client in Allscripts PM daily + Perform 835 transfer push/pull process as assigned by manager + Research / Enroll 835s for billing clients + Perform audits on ... and insurance style + Provide cross coverage or backup support as assigned by manager to ensure continuity of operations Qualifications: To perform this job… more
    LogixHealth (07/15/25)
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  • East Coast Lead, Insights and Analytics

    Blue Matter (Boston, MA)
    Blue Matter Consulting, LLC., seeks Principal (Market Research & Analytics) Duties: + Business Development: Drive business development activities via finding new ... such as forecasting, field engagement analytics, data architecture /management and field operations / reporting to help clients make smart business decisions by… more
    Blue Matter (06/24/25)
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  • Compliance and Retiree Benefits Specialist

    Manulife (Boston, MA)
    …Wellbeing Team, focused on work in the US, and reports to the Benefits Operations Manager . This role requires experience in benefits administration, knowledge of ... accounts. + Monitor executive supplemental life insurance policies to support claims processing. Complete required data updates for annual statements and tax… more
    Manulife (07/03/25)
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