- Commonwealth Care Alliance (Boston, MA)
- …team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service , compliance, and quality teams to ... 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... Harbor Health operates two Elder Service Plan Programs of All-Inclusive Care for the...management including UM/CM, Grievance and Appeals, inpatient and outpatient services , medical policy, and clinical claims review… more
- Commonwealth Care Alliance (Boston, MA)
- …+ **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services , Provider ... + Coordinate with other CCA departments, including Clinical Management, Member Services , Claims , Regulatory Affairs, Outreach and Marketing, to resolve… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and Performance, is responsible for advancing provider ... into other CCA contracts, health equity, Culturally and Linguistically Appropriate Services , Consumer Assessment of Healthcare Providers and Systems (CAHPS), and… more
- Thom Child and Family Services (Norwood, MA)
- …to transmission guidelines and dates. Bills, posts payments and follows up on claims for services to private health insurers, MassHealth, and the Massachusetts ... and at offsite locations. Works collaboratively with program staff including service providers Insurance Coordinator to complete weekly billing process. Demonstrates… more
- CSL Behring (Waltham, MA)
- We are currently recruiting for an experienced, dynamic and visionary Senior Director of Cardiovascular & Renal Global Commercial Development to join our team. This ... driving early product strategy, Target Product Profiles (TPPs), Target Product Claims (TPCs), Stage-Gate Preparation, and Life Cycle Management (LCM) Planning and… more
- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Ryder System (Boston, MA)
- …liability, property, and cargo claim . This position reports to the Senior Director of Claims and requires little supervision and is considered a liability, ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Ankura (Boston, MA)
- …and extra expense losses, building financial models, and guiding clients through claim settlement processes, both in standard insurance claims and litigation ... Overview: Join our FAICC practice as a Senior Managing Director to develop business and lead first-party claims...executives + Oversee project teams and ensure exceptional client service delivery + Develop thought leade LI-MB1 * Ankura… 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** will lead...plans and objectives. + Provides a broad range of services needed by operational & technology teams to satisfy… more
