- St. George Tanaq Corporation (Boston, MA)
- Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- St. George Tanaq Corporation (Boston, MA)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- State of Massachusetts (Everett, MA)
- …work effectively under pressure and stress. Professional experience, training or education in dispute resolution or conflict resolution is preferred; and * ... education program requirements. * The primary duties of Problem Resolution Team Specialists are: * * Review ...Problem Resolution Team Specialists are: * * Review and analysis of allegations of non-compliance filed in… more
- State of Massachusetts (Everett, MA)
- …but not limited to teaching and/or education administration. Experience with dispute resolution processes involving public school districts, local education ... Everett, MA as needed. The Assistant Director of Problem Resolution Systems (PRS) works closely with the Director to...including in the areas of: * Personnel-related concerns; * Review , analysis, and response to allegations of non-compliance; and… more
- Cardinal Health (Boston, MA)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** The Senior Representative, Customer Service ... by acting as a liaison in problem-solving, research and problem/ dispute resolution . + Collects and reviews customer...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Boston, MA)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Boston, MA)
- …and/or other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** This position is a customer care ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Harvard University (Cambridge, MA)
- …Qualifications and Skills: + Mediation or other similar forms of alternative dispute resolution training and experience required. + Strong analytical, ... investigative, and conflict- resolution skills. + Ability to efficiently manage a caseload...Additional Information: This position has a 3-month orientation and review period. Harvard University does not provide visa sponsorship.… more
- Cardinal Health (Boston, MA)
- …services by acting as a liaison in problem-solving, research and problem/ dispute resolution **Responsibilities:** + Conducts in-depth insurance verifications for ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Harvard University (Cambridge, MA)
- …or distinct religious identity. + Mediation or other similar forms of alternative dispute resolution training and experience, or an eagerness to develop this ... Additional Information: This position has a 3-month orientation and review period. Harvard University does not provide visa sponsorship. Department:OGEPre-Employment… more
- Boston Public Schools (Boston, MA)
- …and other required reports + older transfer and maintenance + Participate in dispute resolution meetings, hearings, and mediation settlement meetings as needed + ... 14; secure parent signatures for these plans; chair annual review meetings until such time as the Boston School...Education Teachers and Related Service Providers chair the annual review meetings, and provide teachers and other service providers… more
- Boston Public Schools (Boston, MA)
- …and other required reports + older transfer and maintenance + Participate in dispute resolution meetings, hearings, and mediation settlement meetings as needed + ... 14; secure parent signatures for these plans; chair annual review meetings until such time as the Boston School...Education Teachers and Related Service Providers chair the annual review meetings, and provide teachers and other service providers… more
- Atlas (Woburn, MA)
- …and certain personal injury/auto/property damage litigation and claims, including early dispute resolution , discovery, motions, trial preparation, and post-trial ... counsel, managing legal budgets, and driving case strategy. + Draft, review , and negotiate pleadings, motions, settlement agreements, and other case documents.… more
- ARCO (Framingham, MA)
- …is preferred + Experience leading negotiations of construction contracts or dispute resolution with sophisticated counterparties and ability to understand ... with and advise members of the safety, finance, IT, and HR teams + Review , draft, and negotiate construction and other contracts with minimal supervision + Manage,… more
- Fujifilm (Boston, MA)
- …requirements. + Support antitrust, trade, and environmental compliance, pre-litigation, dispute resolution , government inquiries, and investigation, settlement ... chemicals and ink subsidiaries, ensuring operational and regulatory compliance. + Draft, review , revise, and negotiate a large volume of strategic and complex… more
- Iron Mountain (Boston, MA)
- …settlement agreements, plans of reorganization, and other related legal documents.** ** Dispute Resolution & Negotiation:** + **Assist with negotiating ... case progress, and ensuring all deadlines are met.** + **Prepare and review bankruptcy petitions, schedules, and other related documents in accordance with… more
- CVS Health (Boston, MA)
- …internal operation requirements, policies, and procedures. **Key Responsibilities:** + Review provider dispute resolutions according to organizational ... heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate...Analyst will be responsible for the accurate analysis and resolution of provider participation and pricing disputes. This will… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Operations and Quality Assurance, this role is responsible for the end-to-end review , analysis, and resolution of complex reimbursement issues - including ... + Conduct retrospective audits to identify systemic payment issues and recommend resolution pathways. + Interpret and apply MassHealth fee schedules, All-Payer Rate… more
- Commonwealth Care Alliance (Boston, MA)
- …of risk or non-compliance. * Track internal audit findings and facilitate resolution through Corrective Action Plans (CAPs). Audit Readiness & Execution * Serve ... regarding benefit design, denial logic, or claims workflows. * Assist in the review of policy and procedure documents to ensure compliance language is current.… more
- State of Massachusetts (Boston, MA)
- …basis vendor's request for payment within required timelines. . Conducts annual desk review to monitor contract compliance and placement goals as well as to provide ... technical assistance when necessary. . Conducts annual site visits to review facilities for compliance with health & safety codes and licensing requirements. .… more