• Fidelity TalentSource LLC (Boston, MA)
    … and the entire organization regarding insurance and provides direction concerning risk management and available transfer solutions.The main functions of this ... and Skills You BringBachelor s degree required with 8+ year(s) in insurance and risk management . Work experience in financial institutions is a plus.Ability to… more
    JobGet (04/29/24)
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  • Risk Management Claims

    Randstad US (Framingham, MA)
    risk management claims and invoicing...At least one year of experience in customer service, administrative roles, risk management , or finance ... inboxes related to general liability and workers' compensation claims , addressing follow-ups or gathering additional required information. +...At least one year of experience in customer service, administrative roles, risk management , or… more
    Randstad US (05/03/24)
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  • Staff Professional- Risk Mgmt

    Marriott (Boston, MA)
    …as required by jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community ... outcomes. + Arrange provider interface with business units and claims administration as needed. Injured Workers +...Case Managers. Claims Services + Collaborate with Claims department regarding case management . + Collaborate… more
    Marriott (04/23/24)
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  • Director, LTD Claims

    Lincoln Financial Group (Boston, MA)
    …+ Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management . + Develops and executes claim ... leadership and direction to ensure group results for LTD Risk . You will oversee and ensure the fair, ethical...will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be… more
    Lincoln Financial Group (04/26/24)
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  • CRM Program Lead, Retirement & Private Wealth

    HUB International (Boston, MA)
    …center of a vast network of experts who will help you reach your goals through risk services, claims management , and compliance support. And this gives you ... 5th largest global insurance broker, providing a broad array of property, casualty, risk management , life and health, employee benefits, investment and wealth … more
    HUB International (04/18/24)
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  • FinPath Director of Business Development - RPW

    HUB International (Boston, MA)
    …center of a vast network of experts who will help you reach your goals through risk services, claims management , and compliance support. And this gives you ... providing property and casualty, life and health, employee benefits, investment and risk management products and services. From offices located throughout North… more
    HUB International (04/25/24)
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  • Director, Risk Management

    IGT (Providence, RI)
    Director, Risk Management Location: Providence, RI, US, 02903 Requisition ID: 14996 IGT (NYSE:IGT) is a global leader in gaming. We deliver entertaining and ... to join our fast-paced global team. As Director of Risk Management , you will play an important...Treasury and Accounting leadership + Provide oversight of P&C claims administration that is being provided by… more
    IGT (05/03/24)
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  • Senior Data Analyst - Risk Adjustment

    Point32Health (Canton, MA)
    …data analytics to support ongoing and upcoming risk adjustment initiatives ** Administration ** + Support the creation and management of business policies and ... escalate risks appropriately **Analytics** + Conduct ad hoc analyses specific to risk score trends, data/ claims submissions and program performance to support… more
    Point32Health (03/20/24)
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  • Senior Project Solution Manager (Utilization…

    Prime Therapeutics (Boston, MA)
    …experience in a medium to large-scale corporation. + Bachelor's degree in Business Administration , Business Management , or any other related field required or an ... experience in a medium to large-scale corporation. + Bachelor's degree in Business Administration , Business Management , or any other related field required or an… more
    Prime Therapeutics (05/03/24)
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  • Category Manager (Intermediate or Senior)

    PPL Corporation (Providence, RI)
    …on claims and disputes and subsequently consult with senior management to resolve/negotiate claims and disputes associated with complex procurements. ... on claims and disputes and subsequently consult with senior management to resolve/negotiate claims and disputes associated with complex procurements.… more
    PPL Corporation (03/10/24)
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  • Claim Associate

    Staples (Framingham, MA)
    …designation **What's needed- Basic Qualifications:** + Associate's/Bachelor's degree in Insurance, Risk Management or Business or equivalent work experience + ... of experience in customer service/insurance industry experience + Experience working in a Risk Management System (RMIS) or claim system + Prior customer service… more
    Staples (04/19/24)
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  • Pharmacist Account Executive - Remote Louisiana

    Prime Therapeutics (Boston, MA)
    …in Care Management Centers and Shared Services, assurance of claims accuracy payment/ administrative policies, rate maximization through ongoing benefit ... with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service Level Agreement… more
    Prime Therapeutics (04/12/24)
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  • Senior Investigator, AOI FY 2024.017

    State of Massachusetts (Boston, MA)
    …and demonstrated ability in accounting, auditing, financial analysis, law, management analysis, public administration , investigation or criminal justice ... agencies, municipalities, law enforcement and public prosecutors. AOI may be investigating claims of public corruption or other wrongdoing in a number of public… more
    State of Massachusetts (04/24/24)
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  • Senior Client Solution Architect / Client Solution…

    Mathematica (Boston, MA)
    …analytics involving large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide ... and budgets, in an Agile methodology. * Conceptual and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and… more
    Mathematica (05/01/24)
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  • Director of Digital Governance and Policy

    State of Massachusetts (Boston, MA)
    …professional, administrative , supervisory, or managerial experience in business administration , business management , public administration , public ... managers, UX and service designers, engineers, architects, legal, privacy, risk management and security staff and business...management , clinical administration or clinical management of which (B) at least two (2) years… more
    State of Massachusetts (02/12/24)
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  • Director, Compliance Investigations - Remote…

    Option Care Health (Boston, MA)
    …compliance risks, including but not limited to Legal, Human Resources, Quality & Risk Management , Finance and Operations. Consults with Legal department on ... + At minimum 8-10 years of progressive experience in healthcare compliance or comparable risk management capacity, including at least 3-5 years in a leadership… more
    Option Care Health (05/03/24)
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  • Director, Appeals & Grievances

    Point32Health (Canton, MA)
    …direction of the VP, the Appeals and Grievances Director is responsible for management and oversight of the Enterprise Member Appeals and Grievances Department. The ... Health Care Services, Operations, Marketing, Network Contracting, Legal, Servicing, Claims , Corporate Communications, and Medical Policy. The Director leads staff… more
    Point32Health (04/11/24)
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  • Sr. Contracts Director

    Amentum (Boston, MA)
    …company. The Senior Director will be responsible for overseeing full-cycle contract administration , including the management of complex contracts performed in ... Senior Director will provide strategic direction and functional expertise to ensure effective contract management across the organization and maximize value for the… more
    Amentum (04/05/24)
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  • Corporate Insurance Manager

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …individual will also prepare, complete, and submit required insurance renewal administration such as applications and questionnaires to carriers; manages renewals of ... renewal summaries, document quote proposals, etc. Handle all aspects of insurance claims , responsible for follow-up with Legal, claim adjusters, etc., handles all… more
    Blue Cross Blue Shield of Massachusetts (03/19/24)
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  • Psychiatrist

    East Boston Neighborhood Health Center (East Boston, MA)
    …with experience. Demonstrates excellent clinical judgement in assessing changes in risk , enlisting the Administrative and/or Medical Directors and initiating ... to the medical and behavioral health staff in the management of psychiatric disorders in primary care. In certain...that time frame. The position affords the opportunity for administrative growth for the interested candidate. EBNHC is regarded… more
    East Boston Neighborhood Health Center (04/17/24)
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