- Humana Inc (Boston, MA)
- …(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart ... healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal… more
- Vertex Pharmaceuticals (Boston, MA)
- **Job Description Associate Director, Compliance Business Partner (Hybrid)**Vertex is a transformative biotechnology company that creates new possibilities in ... its Office of Business Integrity & Ethics (OBIE) as Associate Director, Compliance Business Partner providing support to our...the Food, Drug, and Cosmetic Act, Anti-Kickback Statute, False Claims Act, and the Foreign Corrupt Practices Act and… more
- Charles River Community Health (Boston, MA)
- Associate Director of Risk and Compliance Associate Director of Risk and Compliance CLASSIFICATION/STATUS: Full time (would consider part time hours for right ... integrated, and equitable primary healthcare that matters most to them. The Associate Director of Risk and Compliance will lead compliance related functions and… more
- Vertex Pharmaceuticals (Boston, MA)
- **Job Description General Summary:**Vertex is seeking to hire an Associate Director, NA Pain Market Research to join the North America Forecasting, Analytics and ... Insights team. The Associate Director will be responsible for overseeing and delivering...knowledge real-world data (large scale open or closed insurance claims , EHR), and/or other related data sources from providers… more
- Manulife Financial (Boston, MA)
- Overview We are seeking a highly analytical and creative Associate Data Scientist to join our advanced analytics team focused on fraud detection and digital risk ... organization and policyholders from fraudulent activities while ensuring legitimate claims are processed efficiently. Position Responsibilities Model Development &… more
- Takeda (Boston, MA)
- …true to the best of my knowledge. Job Description About the role: The Associate Director/Lead, US Solid Tumor Forecasting will lead US forecasting activities for the ... decisions as a business partner Knowledge of secondary data sets including claims , EMR, specialty pharmacy data required Advanced Excel modeling experience required;… more
- Zurich 56 Company Ltd (Boston, MA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Insurance...Support area OR Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience… more
- Zurich 56 Company Ltd (Boston, MA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR Zurich Certified Apprenticeprogram including an associate ... or Banking area OR Zurich Certified Apprenticeprogram including an associate degree and 8 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support area AND Knowledge of Microsoft… more
- Zurich 56 Company Ltd (Boston, MA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area Zurich Certified Apprenticeprogram including an associate ... Accounting, or Banking area Zurich Certified Apprenticeprogram including an associate degree and 8 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support area Knowledge of Microsoft Office… more
- Humana Inc (Boston, MA)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- Blue Cross and Blue Shield of Massachusetts Inc. (Boston, MA)
- …expert in cutting edge data science techniques; experience with healthcare data, and especially claims , is a major plus. We are looking for someone to work closely ... development and delivery of data solutions* Direct experience with claims data a major plus* BA/BS required; MS, MPH,...and that work/life balance is a key part of associate wellbeing. For more information on how we work… more
- Humana Inc (Boston, MA)
- …They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Simpson Gumpertz & Heger Inc. (Boston, MA)
- …contributions to medical insurance premiums and SGH's Profit Sharing & 401(k) Plan. Associate Project Consultant: $75,920 - $89,440 USD SGH is an Equal Opportunity ... application, resume, or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives, for… more
- Philips Iberica SAU (Cambridge, MA)
- …counsel on privacy and data protection frameworks, including Business Associate Agreements and data-use agreements. Champion legal innovation and operational ... solutions in the US, including compliance with the Anti-Kickback Statute, False Claims Act, HIPAA, and FDA regulations. You bring meaningful experience applying… more
- Advantage Solutions (Boston, MA)
- …Advantage Solutions associates such as Customer Managers and order entry, claims , category management, schematics and retail associates to increase sales volume ... (manufacturers that do not currently have distribution in the customers the associate is responsible for), Regional clients (manufacturers not represented through a… more
- Philips International (Cambridge, MA)
- …counsel on privacy and data protection frameworks, including Business Associate Agreements and data-use agreements.* Champion legal innovation and operational ... solutions in the US, including compliance with the Anti-Kickback Statute, False Claims Act, HIPAA, and FDA regulations. You bring meaningful experience applying… more
- Madrigalpharma (Waltham, MA)
- Associate Director, Regulatory Affairs, Advertising and Promotion page is loaded ** Associate Director, Regulatory Affairs, Advertising and Promotion**locationsMA ... Phase 3 trial for the treatment of NASH with compensated cirrhosis.The Associate Director, Regulatory Affairs, Advertising and Promotion is responsible for providing… more
- Staples (Framingham, MA)
- …together.** **What you will be doing:** Join our dynamic Legal division as a Claim Associate , where you will become a vital part of an integrated strategic claims ... will triage new incidents, support claim investigations, and evaluate and resolve claims , primarily focusing on workers' compensation but also supporting other claim… more
- USAA (Boston, MA)
- …AINS ( Associate in General Insurance), CPCU (Chartered Property Casualty Underwriter), AIC ( Associate in Claims ), or SCLA (Senior Claims Law Associate ... framework, investigate, evaluate, negotiate, and settle complex property insurance claims . You will confirm/analyze coverage, recognize liability exposure and… more
- Humana (Boston, MA)
- …a part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve customer ... contact, investigation, and resolution of claims or claims -related financial issues. The position...with a great culture and outstanding benefits. Humana values associate engagement and well-being. We also provide excellent professional… more
