- AIG (Boston, MA)
- Join us as a Complex Claims Director , Lexington to grow your experience in Claims . Make your mark in Claims Our Claims teams are the proven ... efficiency. How you will create an impact As a Complex Claims Director , you will...to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace… more
- Iron Mountain (Boston, MA)
- …provide organization direction related to settlement negotiations on litigated or complex claims ** + **Manage and provide direction and claim authority to ... record keeping and loss forecasting purposes, and estimating the financial value of claims .** + **Responsible for... activity to include loss/payments** + **Manage litigated and complex claims and is entrusted with significant… more
- Travelers Insurance Company (Boston, MA)
- …to develop and deliver a financial management and control strategy to limit financial risk associated with claim costs. + Serves as a contact and technical ... role requires leveraging economic and industry insights to address complex regulatory challenges. It involves strategizing in a multifaceted...or GED required. + A minimum of five years claim , insurance or financial services related experience… more
- State of Massachusetts (Boston, MA)
- …is seeking dynamic and solution-oriented applicants for the position of*Deputy Director of Accounting*. This role is responsible for overseeing the collection ... of verified client overpayments, associated state and federal financial reporting functions, and a variety of other functions related to the accounting requirements… more
- Evolent Health (Boston, MA)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is provided to ... 50% administrative time. This person will be the Medical Director for the five VA Boston Community Based Outpatient...Based Outpatient Clinics. VA Primary Care Physicians manage a complex panel of patients in collaborative teams. Panel sizes… more
- RELX INC (Cambridge, MA)
- Director of Data Content and Strategy About the business: LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Healthcare ... to help healthcare organizations make confident decisions and solve complex challenges. You can learn more about LexisNexis Risk...and experienced professional to join our team as the Director of Data Content and Strategy. This critical role… more
- Cardinal Health (Boston, MA)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …responsible for the unit's finances including both setting and managing business and financial goals. This attorney will act as an interface between BCBSMA and ... state courts and in administrative hearings concerning a wide variety of legal claims . The attorney will also interact with other business areas to effectuate… more
- Commonwealth Care Alliance (Boston, MA)
- …Important to Us:** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, the Payment Integrity (PI) ... a comprehensive claim accuracy program. The individual will optimize pre/post claims auditing and claim recovery programs that will drive incremental value… more
- Prime Therapeutics (Boston, MA)
- …conducting complex analysis on enterprise level data sets of pharmacy, claims , medical, and/or financial data + Extensive experience with analytic tools ... our passion and drives every decision we make. **Job Posting Title** Financial Consultant Principal **Job Description** The Principal Financial Consultant… more
- Prime Therapeutics (Boston, MA)
- … Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create new business ... vision for financial pricing analyses and reporting. Will also provide complex consultation and analytic insight to internal and external stakeholders and is a… more
- Beth Israel Lahey Health (Charlestown, MA)
- …40 **Work Shift:** Day (United States of America) **Job Description:** The Senior Financial Analyst reports directly to the Executive Director of Contracting ... performance and risk/shared savings models). 3. Developed and used financial models that are moderate to complex ...complex in nature 4. Worked with large medical claims databases (both Hospital and Professional) **_Skills, Knowledge &… more
- Stantec (Boston, MA)
- …with Earned Value management and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. ... System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve development and management of the Project… more
- Harvard University (Cambridge, MA)
- …Description: The Program Assistant will support CAUSALab by conducting complex administrative, programmatic, and research support duties. Reporting to Joanna ... Michalski, Assistant Director of Projects & Operations at CAUSALab, and working...CAUSALab. The Program Assistant will also provide administrative and financial support for two Center faculty members, including the… more
- Cambridge Savings Bank (Waltham, MA)
- …Senior Fraud Investigator is an experienced professional responsible for managing complex investigations into financial crimes, suspicious activity and ... is to have a positive impact on our customers, employees, and community's financial well-being. We are committed to exceeding expectations and having a strong… more
- Point32Health (Canton, MA)
- …**- what you will be doing** + Manages analysts in design and execution of complex analyses to measure the financial impact of provider contracts and payment ... Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Working with the Director , Network & Provider Analytics and other members of the Network… more
- Prime Therapeutics (Boston, MA)
- …**Job Posting Title** Dir Account Operations - Louisiana **Job Description** The Director Account Operations - Louisiana is accountable for the overall success of ... to build strong relationships and drive partnership on operational efficiency, financial success, and customer satisfaction for the account. **Responsibilities** +… more
- JPMorgan Chase (Boston, MA)
- …line with the department's activities and goals. **Job responsibilities** + Maintain complex and detailed calendars + Screen incoming calls and determine the level ... external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are… more
- Takeda Pharmaceuticals (Lexington, MA)
- …You will also provide regulatory strategic oversight for at least one complex product or therapeutic area/multiple products to help ensure regulatory compliance of ... the US Medical team, you will report to the Director , Ad/Promo Regulatory Review. You will be based in...(hybrid). How you will contribute: + Understand and interpret complex issues in relation to regulatory requirements and promotional… more