- CVS Health (Boston, MA)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Boston, MA)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Boston, MA)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… more
- HUB International (Wilmington, MA)
- …their own unique, regional culture. We currently have an opportunity for a ** Senior Claims Specialist** . **Overview** : Responsible for servicing assigned ... for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program...hours program as part of the servicing team. + Provide follow-up with claim acknowledgments and adjuster assignments. +… more
- Children's Hospital Boston (Boston, MA)
- 82448BRJob Posting Title:IT Epic Manager (Hospital Billing and Claims )Department:IT MOSAIC ProjectAutoReqId:82448BRStatus:Full-TimeStandard Hours per Week:40 Job ... platform consolidating two systems into Epic. The IT Epic Manager for Hospital Billing and Claims will...and assignments of team members to meet business needs. Provide input into department goals. Ensure the team has… more
- CVS Health (Boston, MA)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will ... on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around… more
- State of Massachusetts (Boston, MA)
- …do:* Lead Claims Examiner/Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, ... *Lead Claims Examiner/Job Service Representative II| Department of Family...process to ensure that appropriate internal procedures were followed. Provide technical assistance and guidance to Job Service-Representative I's… more
- Pfizer (Cambridge, MA)
- …to support business-critical decisions for Adcetris and Elrexfio. The Senior Manager will manage various data assets, including claims , sales, and specialty ... The Senior Manager of Data Science &...Data Analysis** : Leverage multiple external data sources (eg, claims data, specialty pharmacy data, non-retail sales) to generate… more
- Commonwealth Care Alliance (Boston, MA)
- …access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider ... organizational performance. By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital… more