- Iron Mountain (Boston, MA)
- …will welcome your unique contributions? If so, let's start the conversation. The Claims Manager is responsible for overseeing the day-to-day operations of ... workers' compensation and auto liability claims . A strategic thinker and self directed leader who...and self directed leader who can manage third party claims administrators, outside counsel and internal employees to ensure… more
- Wayfair (Boston, MA)
- …Boston office Monday- Thursday, with remote flexibility on Fridays. The Workers Compensation Claims Manager will oversee workers compensation claims from ... activity of the Third Party Administrators (TPA), internal stakeholders, litigated claims and overall claims performance. Responsible for day-to-day activities… more
- Beth Israel Lahey Health (Boston, MA)
- …and third-party vendors for EDI including analysis, design, mapping, testing, training. The Manager of EDI Claims , Remittance and Enrollment is responsible for ... responsible for planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard Medical… more
- Sedgwick (Boston, MA)
- …telemarketing, social media, local marketing events, and direct contact with property claims adjusters and manager level professionals. To engage potential ... Best Workplaces in Financial Services & Insurance Regional Account Manager As a Regional Account Manager at...and local marketing events. + Calling on residential/commercial insurance claims adjusters & managers, attending various claims … more
- Travelers Insurance Company (Boston, MA)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- Datavant (Boston, MA)
- …clinical data to supplement traditional sources of de-identified real world data (eg, claims ). As the Retrieval Solutions Delivery Manager , you will be ... responsible for the successful execution of projects and ensuring that our life sciences customers are realizing value. Through your deep understanding of our customers and products, you will meaningfully contribute to updates that need to occur to ensure that… more
- Western Digital (Boston, MA)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Beth Israel Lahey Health (Burlington, MA)
- …compensation program, has knowledge of BILH policy regarding program. In absence of manager , files appropriate claims reports and works as liaison with physician ... policies and procedures, and in collaboration with the Employee Health Manager and/or Director, provides occupational health care services to employees. **Job… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- HUB International (Wilmington, MA)
- …regional culture. We currently have an opportunity for a **Client Relationship Manager - Employee Benefits** . **Overview** : Responsible for assisting the Producer ... to clients. + Technical and daily management of client accounts including claims questions, administrative issues, client requests and keep Producer/CRA informed of… more
- Sedgwick (Boston, MA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Chiesi (Boston, MA)
- …division currently has an opening for a newly created role of Data Science Manager , reporting to the Head of Commercial and Operational Excellence - Rare Disease. ... is responsible for the application of advanced analytics to claims datasets and the synthesis of insights. This role...to solve unmet medical needs; support the analysis of claims data to generate market insights + Identify and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of investigational ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Central Clin Ops Leadership **Position Summary:** The Medical Policy Program Manager is primarily responsible to research, analyze, develop, and disseminate ... services are in compliance with regulatory, accreditation, and contractual requirements. The program manager is a subject matter expert in the area of medical policy… more
- Commonwealth Care Alliance (Boston, MA)
- 011200 CCA-Central Clin Ops Leadership **Position Summary:** The Manager , Medical Policy reports to the Director of UM, and manages the personnel and work of the ... in compliance with regulatory, accreditation, and contractual requirements. The manager is a subject matter expert in the area...prior authorization program. + Support the payment policy and claims teams in the development of payment policies, and… more
- Harvard University (Cambridge, MA)
- … Manager will be responsible for providing consultation on claims of discrimination raised under Harvard University's Non-Discrimination and Anti-Bullying ... closely with Local Designated Resources to manage and resolve cases raising claims of discrimination raised under the NDAB Policies, including via informal… more