- Trustmark (Boston, MA)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... of claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions… more
- Deloitte (Boston, MA)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Position Summary: Reporting to the Director, Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr . Specialist II is ... CMS Medicare requirements. This role is housed within the Claims Operations & Quality Assurance team and...file sampling, and audit submission timelines. * Assist in training internal staff on audit protocols and documentation standards.… more
- The Hartford (Boston, MA)
- Sr Consultant Risk Engineering - KR08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... of multi-location accounts. Consultative Selling Skills: Must apply sales training techniques to uncover the business needs of the...submitted in a timely fashion and be of high quality . These reports must provide direction to the insured,… more
- Fresenius Medical Center (Lawrence, MA)
- **PURPOSE AND SCOPE:** The Senior Product Manager will develop and execute the strategic business plan and initiatives for current and future products used to treat ... plans that lead to the division's financial and growth objectives. The Senior Product Manager oversees all phases of the product development process from… more
- Intermountain Health (Boston, MA)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... hospital personnel as needed. + Acts as a mentor. As assigned, coordinates training , direction and review of those working with reimbursement functions. + Manages… more
- Guardian Life (Pittsfield, MA)
- …+ Remain a steward for risk management, claim investigation and talent development and training necessary to maintain quality claims solution delivery. + ... **You will** + Develop, communicate and drive strategy for IM Claims in partnership with Claims Senior leadership and key business partners. + Drive… more
- CenterWell (Boston, MA)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Boston, MA)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Boston, MA)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more