- HUB International (Wilmington, MA)
- …their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist** . **Overview** : Responsible for servicing assigned ... of customer service. Responsibilities include work related to assigned specific specialty teams based on training, background, and expertise. Developing client… more
- HUB International (Acton, MA)
- …culture. We currently have an opportunity for a ** Senior Claim Technical Manager ** . Reporting to the Technical Claims Leader, this individual is responsible ... and is a highly skilled insurance professional who resolves complex, high exposure claims and acts as a technical resource for others within an organization, often… more
- RxBenefits (Boston, MA)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Takeda Pharmaceuticals (Boston, MA)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Senior Manager , Global Regulatory Labeling Strategy where you will be responsible ... alignment for other medium and/or high complexity products. Interface with Senior Management Cross-Functional Team (GLOC) + Coordinates the process to obtain… more
- Takeda Pharmaceuticals (Lexington, MA)
- …best of my knowledge. **Job Description** About the role: Join Takeda as a Senior Manager , US Medical Information and Review where you will deliver high-quality, ... and review and approval of clinical data on file to support promotional claims . * Drive innovation by integrating AI technologies to streamline medical information… more
- Walgreens (Rockland, MA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Methuen, MA)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Fallon Health (Plymouth, MA)
- …care needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required. **Responsibilities** **Note: Job Responsibilities ... when applicable; and/or Community Partners; and contracted primary and specialty care providers - this includes conducting face to...a culturally sensitive way, completing care plans, and reviewing claims and other data which may indicate a need… more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... improvements, and enhance provider satisfaction and performance. * Partner with senior leaders to communicate resolution and outcomes and drive cross-functional… more
- CenterWell (Boston, MA)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more