- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. - Understanding of claims operations , utilization management, and quality programs as they ... network operations , education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Boston, MA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Boston, MA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Elevance Health (Woburn, MA)
- ** Director I, Digital Claims Operations (Dir I Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director I, Digital Claims Operations **...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Ryder System (Boston, MA)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Boston, MA)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be ... experience, specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
