- Lincoln Financial (Boston, MA)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end… more
- Tufts Medicine (Boston, MA)
- …2. Two (2) years of more progressively responsible experience processing claims . **Preferred Qualifications:** 1. Associate 's degree. 2. Insurance experience. ... related to Tufts Medicine's Legal Department. Activities include the processing of claims inquiries, invoices, generation of system and excel based reports related… more
- Carrington (Boston, MA)
- …processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines ... and changing priorities. **What you'll need:** + High School diploma required; Associate /Bachelor Degree in accounting or other related field preferred. + Two (2)… more
- Commonwealth Care Alliance (Boston, MA)
- …Proficient comprehension of healthcare data and analytical approaches + Strong knowledge of health care claims data + Minimum of ten (10) years of experience in ... 011050 CCA-BI & Analytics **Position Summary:** The Sr. Associate II will lead Medical Economics data, reporting, and analytics. He/She will lead the activites on… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected...solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and… more
- Evolent (Boston, MA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Intermountain Health (Boston, MA)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- Travelers Insurance Company (Boston, MA)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Sanofi Group (Cambridge, MA)
- **Job title:** Associate Director, Brand Analytics - Rhinology, Gastro, and Allergy **Location:** Cambridge, MA **About the Job** Ready to push the limits of what's ... teams from Sanofi hubs to optimize process excellence and efficiency The ** Associate Director, Brand Analytics - Rhinology, Gastro, and Allergy** will be responsible… more
- Walgreens (Hingham, MA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director, DUPIXENT Payer Analytics and Insights Lead - US **Location:** Cambridge, MA **About the Job** Associate Director, Dupixent ... with IQVIA, MMIT, EMR, and/or other types of insurance claims databases + Strong project management capabilities including time...your contribution and amplifies your impact. + Take good care of yourself and your family, with a wide… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director, Market Research - Oncology **Location:** Cambridge, MA **About the Job** Ready to push the limits of what's possible? Join Sanofi ... teams from Sanofi hubs to optimize process excellence and efficiency The ** Associate Director, Market Research, Oncology** is responsible for providing market and… more
- WTW (Boston, MA)
- **Description** As an Absence, Disability Management and Life Insurance Senior Associate , you will be at the forefront of managing projects for large, complex ... + Strong financial skills; prior experience in group disability underwriting or claims management strongly preferred + Proven experience creating project plans and… more
- Takeda Pharmaceuticals (Boston, MA)
- …Global HTA and reimbursement landscape and the evidentiary needs of health care decision-makers to guide HE strategies Communication/Publication: + Ensure the drug's ... at LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global… more
- JPMorgan Chase (Boston, MA)
- …then explore the opportunities at JPMorgan Chase. As a Client Operations Associate within the Investment Middle Office team, your key responsibility will be ... lifecycle events, ensuring timely settlement of trades and cash, management of claims and overdrafts, client/regulatory reporting and input into the production of… more
- Intermountain Health (Boston, MA)
- **Job Description:** Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account ... + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)...hourly rate dependent upon experience. $18.81 - $26.65 We care about your well-being - mind, body, and spirit… more
- Highmark Health (Boston, MA)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Humana (Boston, MA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Commonwealth Care Alliance (Boston, MA)
- 023430 Clin Alli-Clin Assessment & CP **Position Summary:** Commonwealth Care Alliance's (CCA) Assessment unit conducts initial and ongoing face-to-face assessments ... and unmet needs. This individual works collaboratively with other members of the care team and staff in other departments as needed to support timely interventions… more