- Prime Therapeutics (Boston, MA)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Pfizer (Cambridge, MA)
- …is leveraged to support business-critical decisions for Elrexfio. The Senior Manager will manage various data assets, including claims , sales, and specialty ... **Role Summary:** 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
- HUB International (Wilmington, MA)
- …their own unique, regional culture. We currently have an opportunity for a ** Senior ** **Client Relationship Manager - Employee Benefits** . **Overview** : ... Acquire a thorough understanding of client's business, insurance objectives, and benefit program . + Provide timely legislative updates to clients. + Technical and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Boston, MA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a Senior Account Manager - Large & Complex. **SUMMARY OF RESPONSIBILITIES** : ... + Complete loss/claim analysis and summaries + Handle renewals, service requests, claims , billing, certificates, and new policies + Prepare client proposals based on… more
- Takeda Pharmaceuticals (Lexington, MA)
- …is true to the best of my knowledge. **Job Description** Join Takeda as a Senior Manager , IBD Data Analytics out of our Lexington, MA office. Where you ... working with internal and secondary data (IQVIA / Komodo / Symphony claims , specialty pharmacy, 867, etc.) and integrating results into findings and recommendations… more
- Takeda Pharmaceuticals (Lexington, MA)
- …is true to the best of my knowledge. **Job Description** Join Takeda as a Senior Manager , IBD Data Analytics out of our Cambridge, MA office. Where you ... working with internal and secondary data (867, specialty pharmacy, IQVIA/Komodo/Symphony claims , etc.) and integrating results into findings and recommendations +… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …is true to the best of my knowledge. **Job Description** Join Takeda as a Senior Manager , Dermatology Data Analytics out of our Cambridge, MA office. Where you ... working with internal and secondary data (867, specialty pharmacy, IQVIA/Komodo/Symphony claims , etc.) and integrating results into findings and recommendations. +… more
- LogixHealth (Bedford, MA)
- …candidates + Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security + Review and approve time and ... and values + Facilitate meetings within department and make presentations to senior management as needed Qualifications: To perform this job successfully, an… more
- Omni Hotels (Boston, MA)
- …but we use these constraints to push, not limit, our creativity. TheHuman Resources Manager a ssists with the management of all functions of the Human Resources ... counseling and disciplinary procedures. + Maintains associate Personal Time Off Program within the hotel. + Coordinates salary administration and review process.… more
- Zurich NA (Boston, MA)
- …This role will be filled at either the AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level ... AVP, Underwriting Officer Or VP Senior Underwriting Officer 124285 What can go right...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- Zurich NA (Boston, MA)
- …This role will be filled at either the AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level ... AVP, Underwriting Officer Or VP Senior Underwriting Officer 118181 Zurich North America is...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- Walgreens (Woburn, MA)
- …of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . Strictly adheres to the Walgreen Co. policy regarding… more
- General Motors (Boston, MA)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- HUB International (Wilmington, MA)
- …own unique, regional culture. We currently have an opportunity for a ** Senior Client Relationship Executive -- Employee Benefits** . **Overview:** Responsible for ... assisting the Producer in concert with the Client Relationship Manager in maintaining client relations, providing service and consultation, monitoring compliance,… more
- Bank of America (Boston, MA)
- Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... client experience while managing fraud most effectively. As a Fraud Strategy Manager with the Client Protection organization, you will capitalize on technical… more
- WellSense (Boston, MA)
- Senior Provider Relations Consultant, BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... works for our members, no matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible for managing an assigned… more
- Elevance Health (Woburn, MA)
- **Business Information Consultant Senior - Provider Economics** The **Business Information Consultant Senior ** is responsible for value-based financial model ... to determine the best methods and approaches to calculate accurate estimates of program savings. _PLEASE NOTE: This position is not eligible for current or future… more