- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and ... a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health… more
- Commonwealth Care Alliance (Boston, MA)
- …with organizational priorities. - Foster a culture of continuous improvement, professional development , and high performance within the provider relations ... Collaborate with Provider Communications, Provider Engagement and Delegation in the development and execution of a comprehensive provider education strategy. -… more
- Commonwealth Care Alliance (Boston, MA)
- …sessions with key providers; orient providers on CCA's policies related to: Claims and service recovery; Program benefits; Clinical initiatives; Referral and ... and processes. + Special projects as assigned or directed. + Maintain professional growth and development . **Working Conditions** : Standard office conditions.… more
- Commonwealth Care Alliance (Boston, MA)
- …Duties & Responsibilities:** + **Relationship Management** + Develop strong professional relationships with providers across all specialties -, physician, hospital, ... Facilitate and lead communication sessions, educating on CCA's policies, program benefits, billing, referral and authorizations regulatory compliance, and… more
- Commonwealth Care Alliance (Boston, MA)
- …the effective utilization of healthcare services, case / disease management, program development /management/evaluation and quality improvement. - Minimum five ... all applicable accreditation standards in improvement to promote the development of a high quality team.collaboration with the broader...CMO and VPMA to develop and advance the UM program and leads and organizes the ongoing evaluation of… more
- Terumo Medical Corporation (Boston, MA)
- …(QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are ... good clinical practices and Design Control when participating in new product development and clinical activities. Fully adhere to all applicable FDA regulations,… more
- Travelers Insurance Company (West Bridgewater, MA)
- …apply and helping our customers through the process. + Observe the work of the Claim Professional through desk and ride alongs with experienced employees. + Work ... you to apply as soon as possible. The Travelers Claim Intern program provides qualified candidates an...and protocols. + Exposure to Personal and Business Insurance claims of basic to moderate complexity. + Learn and… more
- Travelers Insurance Company (Boston, MA)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations...goals and caregiving needs. In addition, our mental health program provides access to free professional counseling… more
- Travelers Insurance Company (Boston, MA)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...goals and caregiving needs. In addition, our mental health program provides access to free professional counseling… more
- Sedgwick (Boston, MA)
- …learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your ... OF YOU** + Flexible work schedule. + Referral incentive program . + Career development and promotional growth...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Boston, MA)
- …claims as determined by client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client ... as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in… more
- Sedgwick (Boston, MA)
- …learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...OF YOU** + Flexible work schedule. + Referral incentive program . + Career development and promotional growth… more
- Sedgwick (Boston, MA)
- …learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your ... to take care of your mental, physical, financial, and professional needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (Boston, MA)
- …learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...OF YOU** + Flexible work schedule. + Referral incentive program . + Career development and promotional growth… more
- Sedgwick (Boston, MA)
- …learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your ... to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** We are...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (Boston, MA)
- …of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you...to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** We are… more
- State of Massachusetts (Boston, MA)
- …Examiner/Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative II is responsible ... while serving as a partner to employers to deliver program integrity. *What you'd do:* Lead Claims ...**Job:** **Community and Social Services* **Organization:** **Department of Workforce Development * **Title:** *Lead Claims Examiner - Job… more
- State of Massachusetts (Boston, MA)
- …Examiner/Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative I is responsible ... significant life events while serving as a partner to employers to deliver program integrity. *What you'd do:* Claims Examiner/Job Service Representative I, who… more
- State of Massachusetts (Boston, MA)
- …join our Victim Compensation team. Reporting to theDirector of Victim Compensation,the Claims Manager provides management and oversight of MOVA's Claims ... a team that reviews and processes expenses under MOVA's crime victim compensation program in accordance with Massachusetts statute and regulations. The Claims … more
- Cognizant (Boston, MA)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... you will make an impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a valued member of the delivery… more
