• Manager, Provider Network Contracting - New

    The Cigna Group (Newton, MA)
    …Network Contracting** serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
    The Cigna Group (05/09/24)
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  • Workers' Compensation Return to Work Case Manager

    Baystate Health (Springfield, MA)
    …veteran status. **Ab** **out Baystate Health** Baystate Health (BH) is one of New England 's leading and largest integrated health care organizations, serving a ... to Work (RTW) Case Manager will manage workers' compensation claims across all Baystate Health entities. This role will...population of nearly one million people throughout western New England . With roots dating back to… more
    Baystate Health (05/04/24)
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  • Claim Technical Manager

    HUB International (Wilmington, MA)
    …and expertise. Serve as a resource to the other members of the HUB New England Claim staff and all other employees. **Responsibilities:** + Provides Claim ... **About HUB** **Join our Stevie Award Winning Team at HUB International!** When you join the.... The selected employee reporting to the Director of Claims is responsible for working as an advocate for… more
    HUB International (05/11/24)
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  • Third Party Liability Specialist (Remote)

    Martin's Point Health Care (Portland, ME)
    …Health Plan (TRICARE Prime(R) plan for active-duty and retired military families in northern New England , upstate New York, and western Pennsylvania). For ... Summary The Third-Party Liability Specialist is a crucial member of our team , focusing on managing and facilitating Martin's Point's third party liability operations… more
    Martin's Point Health Care (04/12/24)
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  • Utilization Review Nurse - Prepayment

    Martin's Point Health Care (Portland, ME)
    …Health Plan (TRICARE Prime(R) plan for active-duty and retired military families in northern New England , upstate New York, and western Pennsylvania). For ... Nurse works as a member of the Utilization Review Team and is responsible for reviewing claims ...care at the appropriate place and time. + Mentors new staff as assigned. + Maintains quality audit scores… more
    Martin's Point Health Care (05/15/24)
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  • Senior Client Relationship Executive - Employee…

    HUB International (East Longmeadow, MA)
    …with the assistance of the Account Manager, in the format approved by HUB New England . + Contributes to the enhancement of client services/sales, be well ... **About HUB** **About HUB** **Join our Stevie Award Winning Team at HUB International!** When you join the team at HUB International, you become part of the… more
    HUB International (05/22/24)
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  • Care Team Patient Services Representative

    Martin's Point Health Care (Portsmouth, NH)
    …Health Plan (TRICARE Prime(R) plan for active-duty and retired military families in northern New England , upstate New York, and western Pennsylvania). For ... Work" since 2015. Position Summary Job Description Position Summary: The Care Team Patient Services Representative works collaboratively with all members of the care… more
    Martin's Point Health Care (06/04/24)
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  • SAS Programmer/Analyst (HPI)

    Point32Health (Boston, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... primarily work with a very large national health insurance claims dataset to generate SAS programs across an expansive...+ Help develop SAS programming protocols for existing and new projects. + Assist with data quality control projects… more
    Point32Health (05/11/24)
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  • Research Fellow

    Point32Health (Boston, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... is seeking a qualified and motivated Research Fellow to join the team for our Post-doctoral Research Fellowship in Pharmacoepidemiology and Real-world Evidence. The… more
    Point32Health (04/20/24)
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  • Sr Data Analyst

    Point32Health (Canton, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... is currently seeking highly motivated individuals to join their Provider Reimbursement analytics team in the role of Senior Data Analyst. A key role in the… more
    Point32Health (05/04/24)
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  • Research Scientist II (Tide)

    Point32Health (Boston, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... participating in and leading TIDE studies using health data such as administrative claims data and electronic health records. The Research Scientist II is expected… more
    Point32Health (06/01/24)
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  • Research Scientist I (Tide)

    Point32Health (Boston, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... in and leading TIDE studies using health data such as administrative claims data and electronic health records. The Epidemiologist will support the Sentinel… more
    Point32Health (03/14/24)
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  • Compliance & Contract Administration Manager…

    World Travel Holdings, Inc. (Fort Lauderdale, FL)
    …in Wakefield, Mass.; Ft. Lauderdale, Fla.; and Chorley, England . For more information, visitWorldTravelHoldings.com (http://www.wth.com/) . Responsibilities + ... Lead and manage Contract Administration Team + Amend the annual Franchise Disclosure Document, coordinating...requirements + Review and submit franchise Errors & Omissions claims to insurance carrier + Manage state Seller of… more
    World Travel Holdings, Inc. (05/23/24)
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  • Sanitation Manager

    Florida Crystals Corporation (Crockett, CA)
    …America, ASR Group owns and operates six sugar refineries, located in Louisiana, New York, California, Maryland, Canada and Mexico. In the European Union, the ... company owns and operates sugar refineries in England , Portugal. ASR Group also owns and operates mills...in the supervision of employees, including training, coaching, and team building REQUIRED EDUCATION + Bachelor's degree in a… more
    Florida Crystals Corporation (05/10/24)
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  • Producer

    HUB International (Fall River, MA)
    new commercial accounts and while maintaining and enhancing HUB International New England 's image in the assigned trading communities. + Keep informed ... **About HUB** **Join our Stevie Award Winning Team at HUB International!** When you join the.... The selected employee will be responsible for producing new business and assist in ongoing service to clients… more
    HUB International (06/01/24)
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  • Senior Project Manager (Tide)

    Point32Health (Boston, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... agencies. The diversity of TIDE's portfolio affords opportunities for team members to work on a wide-range of public...Food and Drug Administration (FDA), uses real-world health care claims and electronic health record data to study medical… more
    Point32Health (04/27/24)
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  • Commercial Insurance Marketing Representative

    HUB International (Norwell, MA)
    …account liaison for the producer in dealing with other departments within Hub International New England for the quoting of specialized lines of coverage. Assist ... **About HUB** **Join our Stevie Award Winning Team at HUB International!** When you join the...and directly impacts revenue goals through the acquisition of new business and the retention of renewals. Underwrite commercial… more
    HUB International (04/16/24)
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  • Director, Appeals & Grievances

    Point32Health (Canton, MA)
    …and collaborative. They look for opportunities to grow and make a difference, and they help make us strive to be one of the Top Places to work in New England . ... 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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  • Commercial Insurance Marketing Representative

    HUB International (Wilmington, MA)
    …account liaison for the producer in dealing with other departments within Hub International New England for the quoting of specialized lines of coverage. + ... **About HUB** **Join our Stevie Award Winning Team at HUB International!** When you join the...and directly impacts revenue goals through the acquisition of new business and the retention of renewals. + Underwrite… more
    HUB International (05/23/24)
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  • Temporary Provider Services Representative

    Martin's Point Health Care (Portland, ME)
    …Health Plan (TRICARE Prime(R) plan for active-duty and retired military families in northern New England , upstate New York, and western Pennsylvania). For ... but not limited to benefits, eligibility, plan coverage, enrollment status, claims adjudication process, billing, and payments for Martin's Point USFHP Program… more
    Martin's Point Health Care (05/28/24)
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