- 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
- Commonwealth Care Alliance (Boston, MA)
- …and retention. - Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational ... and grievances to identify root causes, recommend process improvements, and enhance provider satisfaction and performance. - Partner with senior leaders to… more
- Jobleads-US (Boston, MA)
- …Human Resources Director DEPARTMENT: Human Resources REPORTS TO: General Manager FLSA STATUS: Salaried/Exempt LEGENDS & ASM GLOBAL**Two powerhouse companies ... The Human Resources Director at View Boston p**artners with senior leaders and provides strategic advice on a wide...laws. He/she will proactively anticipate labor/employee relations issues and provide counsel to resolve them. The Director is also… more
- 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
- 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
- Commonwealth Care Alliance (Boston, MA)
- …and retention. * Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational ... and grievances to identify root causes, recommend process improvements, and enhance provider satisfaction and performance. * Partner with senior leaders to… more
- Takeda Pharmaceuticals (Lexington, MA)
- …best of my knowledge. **Job Description** About the role: Join Takeda as a Senior Manager , US Medical Information and Review where you will deliver high-quality, ... with Takeda will commence and that the information I provide in my application will be processed in line...approval of clinical data on file to support promotional claims . * Drive innovation by integrating AI technologies to… more
- Danaher Corporation (Boston, MA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- WSP USA (Boston, MA)
- This Opportunity WSP is currently recruiting a full time ** Senior Project Manager ** to join our Property & Buildings team in **Boston.** The ideal candidate will ... Management of client and subconsultant invoicing. + Review contract claims and advise senior management. + Grow...in a dynamic work environment. + Works independently to provide guidance and leadership to mid-level to senior… more
- Humana (Boston, MA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Takeda Pharmaceuticals (Boston, MA)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Senior Manager , Global Regulatory Labeling Strategy where you will be responsible ... with Takeda will commence and that the information I provide in my application will be processed in line...for other medium and/or high complexity products. Interface with Senior Management Cross-Functional Team (GLOC) + Coordinates the process… 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** : ... and decision-making based on industry knowledge and experience. Incumbent will provide guidance and service to clients, by developing professional and collaborative… more
- Fallon Health (Lawrence, MA)
- …health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program ... (depending upon product and circumstance) relationships with the member/caregiver(s) and provider partners to better ensure ongoing service provision and care… more
- Walgreens (Manchester, NH)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Methuen, MA)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
