- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …colors to blue. Reporting to the Payment Integrity Program Manager, the Payment Integrity Consultant uses industry knowledge, research skills, payment ... prioritizing development needs and requirements + Participate in facility reimbursement payment integrity activities that include developing new payment … more
- Humana (Boston, MA)
- …us put health first** Humana's Marketing organization is seeking an experienced Senior Associate , Campaign Strategy to join the team working remote. Are you a ... strategic thinker who thrives on turning insights into action? As the **Senior Associate , Campaign & Brand Strategy** _(internally known as a Senior Associate ,… more
- Lilly (Boston, MA)
- …and understanding of their unique challenges. + Familiarity with array of research services payment structures. **Additional Information** + Remote options may ... to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to… more
- CenterWell (Boston, MA)
- …Team. This position supports the operational infrastructure for virtual healthcare services, contributing to process improvement, business performance optimization, ... and scale of new services and partnerships through preliminary research and data analysis. + Assist in evaluating and...analytics, or a similar support role + Experience in healthcare , clinical operations, and/or virtual care + Strong analytical… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job ... Marketing, Creative / CRM / Digital agencies, Media, Market Research , Analytics, Otsuka Information Technology (OIT), Sales Operations, and Medical/Regulatory/Legal… more
- Highmark Health (Boston, MA)
- …service levels, metrics, and/or other performance guarantees are met. + Conduct research to ensure issue resolution. + Other duties as assigned or requested. ... business or a related field + Prior finance related experience + Prior healthcare industry experience + Prior Enrollment and Billing experience **SKILLS** + Strong… more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider engagement initiatives.… more
- Humana (Boston, MA)
- …health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims in accordance with TRICARE policy requirements. This ... role involves reviewing pre- payment , high dollar claims to assess payment ...detection through the DHA Duplicate Claims System (DCS). + Research and review claims for internal focus audits to… more
- Point32Health (Canton, MA)
- …health and well-being organization dedicated to delivering high-quality, affordable healthcare . Serving nearly 2 million members, Point32Health builds on the ... behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of… more
- Veterans Affairs, Veterans Health Administration (West Roxbury, MA)
- …of General Internal Medicine has a close relationship with the Center for Healthcare Organization and Implementation Research , a VA Health Services Research ... For more information, refer to Required Documents below. Responsibilities VA Boston Healthcare System (VABHS) seeks a full-time, innovative and experienced Chief of… more