- United Site Services (Westborough, MA)
- …teamwork, and excellence in every aspect of our business. **Primary Purpose** The Claims Administrator, Risk Management position maintains all auto/general ... to establish a complete investigation + Enter information into Claims Management System (CMS), and utilize CMS...maintain a record of all losses and assist all risk management and safety personnel to reduce… more
- WATTS (North Andover, MA)
- …public or property may be exposed. You Have: + Bachelor's Degree required in Risk Management , Insurance, Business Administration or related field. + 5+ ... claims handling process, management of third party administrator for claims handling, and assessing ( Risk Management Program) + Industry… more
- Commonwealth Care Alliance (Boston, MA)
- …process, including estimation of product costs, coordination between senior management and development teams, creation of production schedules, and setting ... Desired:** Master's degree in computer science, Healthcare, Data Science, Business Administration **Experience Required:** + 5+ years' experience that has served in… more
- CenterWell (Boston, MA)
- …part of our caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize ... risk . The Senior Risk Management ...management and senior leaders with federal, state, and/or administrative disclosure requirements. + Reviews data to determine instances… more
- Robert Half Finance & Accounting (Beverly, MA)
- …a liaison for all employee benefits issues. * Act as a liaison for all risk management vehicle/accident claims , headstone/storm damage claims . * Perform ... solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- Deloitte (Boston, MA)
- …or structural change management , technology and process transformations, or risk management services. The industry knowledge and experience which candidates ... broad spectrum of services to address the operational, technological, regulatory, and risk management challenges faced by financial services clients across… more
- Dana-Farber Cancer Institute (Boston, MA)
- …Mathematics, Accounting, Finance or related field; Master's degree in Health Care Administration , Health Care Policy and Management , Epidemiology or Statistics, ... Reporting to the Director of Population Health Management , the Senior Analyst, Population Health Management is responsible for assisting with guiding cost… more
- Stantec (Boston, MA)
- … team and Discipline Leads. + Proactive interface and communication with Corporate Risk Management , as appropriate. + Proactive interface and communication with ... be based on Project/Client needs as well as proactive Claims / Risk mitigation. + Oversee and approve development...Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound… more
- Commonwealth Care Alliance (Boston, MA)
- …and utilization, among other department activities. + Inform and advise the SVP, Fraud Risk Management & Quality Assurance and the Chief Risk , Compliance ... (internal and/or external), quality assurance/review, internal controls and assurance, risk management , corporate governance, compliance and/or related… more
- Sedgwick (Boston, MA)
- …equivalent combination of education and experience required to include five (5) years of claims management experience and three (3) years of litigation claims ... preferred. **Skills & Knowledge** + Bilingual a plus. + Thorough knowledge of claims management processes and procedures + Excellent oral and written… more
- State of Massachusetts (Boston, MA)
- …individuals served by DMH, including civil and forensic commitments, guardianships, risk management , and community support services. * Manage litigation ... Department, collaborating with the Attorney General's office, investigating and settling tort claims , and defending against administrative actions. * Assure the… more
- Commonwealth Care Alliance (Boston, MA)
- …(internal and/or external), quality assurance/review, internal controls and assurance, risk management , corporate governance, compliance and/or related ... partnership approach that strikes the optimal balance between meeting regulatory and risk management requirements, and understanding and supporting the broader… more
- Mathematica (Boston, MA)
- …applications. * Lead the design of data pipelines and perform analytics involving large administrative data sources such as state Medicaid claims and APCDs, as ... predictions with a large multiyear sample of Medicare beneficiaries with detailed claims data about millions of people. Mathematica's team reached the second round… more
- HealthEdge Software Inc (Boston, MA)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much, more more than just core … more
- East Boston Neighborhood Health Center (East Boston, MA)
- …with experience. Demonstrates excellent clinical judgement in assessing changes in risk , enlisting the Administrative and/or Medical Directors and initiating ... to the medical and behavioral health staff in the management of psychiatric disorders in primary care. In certain...that time frame. The position affords the opportunity for administrative growth for the interested candidate. EBNHC is regarded… more
- Commonwealth Care Alliance (Boston, MA)
- …programs which include Code of Conduct and corporate ethics administration ; corporate investigations; compliance and ethics training, communications, education and ... awareness initiatives; corporate policy and procedure administration ; conflict of interest administration ; gifts and...incidents and develop corrective action as needed. + Effective management and oversight of the CCA Corporate Compliance &… more
- Highmark Health (Boston, MA)
- …discipline **Substitutions** + None **Preferred** + Master's Degree in Business Administration / Management or Information Systems **EXPERIENCE** **Required** + 7 ... Medicaid Business Unit market served by Highmark. Performs configuration change management activities related to benefits, business rules, screen design and… more
- Dana-Farber Cancer Institute (Boston, MA)
- …backgrounds, and design programs to promote public health particularly among high- risk and underserved populations. We conduct groundbreaking research that advances ... fully onsite during the initial training period (approximately 60 days). + Provides administrative support and coordination for all aspects of patient care for both… more
- Trane Technologies (Wilmington, MA)
- …to join our team. In this role you will be responsible for the administration , implementation, and management of the contracting fulfillment processes in its ... inquiry, engineering, submittals, service operations, building automation operations, project management , technical support, warranties, claims , and resource… more
- Beth Israel Lahey Health (Charlestown, MA)
- …department. **Minimum Qualifications:** **_Education:_** Bachelor's degree in Health Care Management , Business Administration , Finance or equivalent education or ... care contract negotiations including but not limited to Hospital rates, Professional rates, risk terms and language. 2) Monitors financial performance on risk … more