- Elevance Health (Woburn, MA)
- …a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The ** Manager l Claims ** is responsible for providing oversight for claims ... which they are employed. **Preferred Skills, Capabilities and Experiences:** + FACETS claims experience is preferred + Strong Microsoft Excel skills preferred +… more
- HealthEdge Software Inc (Boston, MA)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- FM (Norwood, MA)
- … Claims Operations geographical area, or as otherwise directed by the Operations Claims Manager . + Consults with the insureds and offers FM assistance in ... for identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of attorneys where subrogation is involved. +… more
- FM (Norwood, MA)
- …support assistance to experienced adjusters on larger losses as assigned by the Operations Claims Manager . The Senior Claims Examiner will handle all ... countries, in a variety of challenging roles. The Senior Claims Examiner will handle losses directly and will also...on losses up to $500,000 gross ensuring all FM claims requirements are met. They will also provide … more
- Deloitte (Boston, MA)
- Manager , Operations and Technology Transformation, Insurance Transformation, Advise What we do Operations and Technology Transformation delivers market leading ... real estate companies. Work you'll do As an OTT Insurance Transformation Manager , you will bring industry expertise and project leadership capabilities to deliver… more
- Iron Mountain (Boston, MA)
- …captive at appropriate time** + **Work with captive consultant and captive manager ** + **Provide claims strategy and oversight** **M&A** + **Participate ... but are not limited to directing the purchase/renewal of insurance policies, claims management as well as the management of third-party service providers including… more
- HomeSafe Alliance (Boston, MA)
- …is better than the last. We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to ... Systems Analyst **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM… more
- Zurich NA (Boston, MA)
- …filled at either the_ Senior Litigated Claims Specialist IV or Litigated Claims Specialist II. _The hiring manager will determine the appropriate level based ... Senior Claims Specialist or Claims Specialist 117405 Zurich North America is seeking an experienced Senior Claims Specialist or Claims Specialist in… more
- Elevance Health (Hingham, MA)
- **NGS SME Lead - Claims Processing** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one ... + Identifies issues and or potential provider education on claims and works with other departments to research/test solutions....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst ... is responsible for serving as the claims analysis resource for assigned operations teams. This role...**Reporting Structure** + Reports to a Supervisor or a Manager in PBM Operations Potential pay for this position… more
- Elevance Health (Woburn, MA)
- …Understand the Pharmacy benefit setup & validating the configuration using test claims /query testing. + Validation of Formulary, Utilization Management & Drug List ... setup using Test Claims /Query testing. + Review & provide the testing timelines...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- HUB International (Wilmington, MA)
- …own unique, regional culture. We currently have an opportunity for a **Claim Technical Manager ** . The selected employee reporting to the Director of Claims is ... as an advocate for HUB's clients on significant Property and Casualty (P&C) claims . Also responsible for servicing assigned accounts, including T-200 customers, on a… more
- Robert Half Finance & Accounting (Burlington, MA)
- Description We are offering an exciting opportunity for an Office Manager in Burlington, Massachusetts. The individual will be responsible for maintaining an ... operations. * Assist in the review of quality control for cleaning manager client presentations and reports. * Coordinate correspondence with various insurance… more
- Unilever (Boston, MA)
- Brand Manager Boston, MA (http://maps.google.com/maps?q=One+Design+Center+Place+Boston+MA+USA+02210) Description Diversity is a core value at Living Proof. We are ... deliver solutions. Equal Opportunity/Employer/Veterans/Disabled. Living Proof is seeking a Brand Manager . This position is responsible for working with the team on… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and appeals, clinical review, member correspondence and reconsiderations, enrollment, claims processing, audits, compliance, quality assurance, documentation and a ... Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, is responsible...by the FEP Association to ensure compliance and accurate case/ claims processing This leader must demonstrate the attributes and… more
- American Heart Association (Boston, MA)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- Stantec (Boston, MA)
- Commercial Project Manager - ( 240002FH ) **Description** We create great places and the connections that get people and goods moving-whether by car, bus, train, ... of everything we create. **Your Opportunity** Stantec is seeking a Project Commercial Manager who will be responsible for all matters pertaining to the contractual… more
- HealthEdge Software Inc (Boston, MA)
- **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- Transdev (Dorchester, MA)
- Hiring Immediately - Senior Safety Manager - Health and Compliance Transdev Services, Inc. is seeking a Senior Safety Manager - Health and Compliance for its ... Boston Public Schools (BPS) transportation contract. The Senior Safety Manager - Health and Compliance is responsible for providing operational oversight, safety,… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Reporting & Analytics - REMOTE **Job Description** The ** Manager Reporting ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more