• Director Claims

    Ryder System (Boston, MA)
    …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... third-party provider relationships (including consultants, legal counsel, insurers, and external claims administrators). The Director manages and oversees the… more
    Ryder System (11/22/25)
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  • Business Development Director - Casualty…

    Sedgwick (Boston, MA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (Northeast Region) As a Business Development ... not required. **Experience:** Ten (10) years of relationship building in the claims management or risk management area or equivalent combination of education and… more
    Sedgwick (09/11/25)
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  • Medical Director - Claims Mgmt…

    Humana (Boston, MA)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (11/01/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. ... of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
    Commonwealth Care Alliance (08/31/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... 011250 CCA- Claims Hiring for One Year Term **_This position...Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and… more
    Commonwealth Care Alliance (08/26/25)
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  • PCO Medical Director - UM - Full Time

    CenterWell (Boston, MA)
    Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where the… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N. Central

    Humana (Boston, MA)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • Medical Director - Nat'l UM IP (4x10 hr)

    Humana (Boston, MA)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (11/07/25)
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  • Medical Director , Medicare Grievances

    Humana (Boston, MA)
    …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (11/19/25)
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  • Senior Professional Liability Claims

    Zurich NA (Boston, MA)
    Senior Professional Liability Claims (Attorney), Claims Construction 128423 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- DIRECTOR #LI-HYBRID EOE Disability /… more
    Zurich NA (11/22/25)
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  • Victim Compensation Claims Manager

    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 ... compensation program in accordance with Massachusetts statute and regulations. The Claims Manager implements trauma informed, victim and survivor centered systems… more
    State of Massachusetts (10/03/25)
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  • Senior Claims Specialist

    HUB International (Wilmington, MA)
    …own unique, regional culture. We currently have an opportunity for a **Senior Claims Specialist** . **Overview** : Responsible for servicing assigned accounts on a ... for small, middle market, and high-profile clients by reporting claims . + Participate in the claim after hours program...mentor team associates and training as assigned by Manager/ Director + Attend claim reviews/ meetings with the client… more
    HUB International (10/30/25)
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  • Director - Claim Services

    Boston Mutual Life Insurance (Canton, MA)
    …+ Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, responsible for ... managing and overseeing of all aspects of the Claims Service team for Life and Accident Claims . This includes setting strategic direction, managing claims more
    Boston Mutual Life Insurance (11/06/25)
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  • Executive Underwriter OR AVP, Underwriting…

    Zurich NA (Boston, MA)
    …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
    Zurich NA (10/30/25)
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  • Director , Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider ... network performance, and ensuring compliance with regulatory standards. The Director drives initiatives that enhance operational engagement, member access, provider… more
    Commonwealth Care Alliance (10/18/25)
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  • Executive Underwriter OR AVP, Underwriting…

    Zurich NA (Boston, MA)
    Executive Underwriter OR AVP, Underwriting Director - Contract Surety 124285 Zurich Insurance is currently looking for an **Executive Underwriter OR AVP, Underwriting ... Director - Core Contract Northeast Region Surety Division.** This is...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Apprentice… more
    Zurich NA (09/09/25)
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  • Senior Director , Translational Medicine…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    The Senior Director Translational Medicine will be responsible for design, execution and reporting of First in Human (FIH), Translational Medicine (TM) and Proof of ... scientific capabilities in support of Otsuka's pipeline. The Senior Director TM works closely with Head of TM as...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (11/19/25)
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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of Medical ... with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Associate Director , Scientific…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    The Associate Director , Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area ... and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities Include:**… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Associate Director , Federal Government…

    Otsuka America Pharmaceutical Inc. (Boston, MA)
    **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... and Rare Disease. This role reports directly to the Director , Federal Government Affairs and located in the Washington,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (11/06/25)
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