- Humana (Boston, MA)
- …level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a pivotal role in ... and take the lead on building solutions that make a difference! The Senior Pharmacy Claims Professional analyzes and answers inquiries regarding… more
- Humana (Boston, MA)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and ... process pharmacy claims for payment. The Senior Pharmacy Claims Professional work assignments involve moderately complex to complex issues where… more
- Elevance Health (Woburn, MA)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . **How will you make an impact:** + Claim… more
- Humana (Boston, MA)
- …informaticists to define various clinical concepts and extract clinical information from medical, pharmacy , and lab claims for analytics and modeling purposes + ... + Healthcare or managed care working experience + Experience working with medical, pharmacy , lab claims + Experience working with big data and using… more
- Unilever (Boston, MA)
- …to apply. Professional Qualifications + BS/MS in Chemistry, Chemical Engineering, Pharmacy , or related science. + Minimum of eight years of personal care ... Senior Product Development Chemist Boston, MA (http://maps.google.com/maps?q=One+Design+Center+Place+Boston+MA+USA+02210) Description Diversity is a core value at… more
- Deloitte (Boston, MA)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... + Lead team in development of quantitative and/or qualitative analysis (eg, claims data analysis, market research data) to drive meaningful insights for our… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …with an inclusive & supportive team to analyze data, including complicated medical claims and pharmacy prescription datasets, while partnering closely with key ... and/or Databricks. Knowledgeable mentors will provide guidance as you gain professional hands-on experience. You will develop critical thinking and problem solving… more
- Elevance Health (Woburn, MA)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for identifying and ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding,… more