- Takeda Pharmaceuticals (Lexington, MA)
- …true to the best of my knowledge. **Job Description** **Job Title** : 3PL Operations Management Specialist **Location** : Lexington, MA **About the role:** As a ... 3PL Operations Management Specialist , you will provide support...including Inventory management activities at 3PLs DCs (stock counts, claims , etc.) to meet financial and quality guidelines. +… more
- Evolent (Boston, MA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass ... auditing. This position reports to the Associate Director, Credentialing Operations . **Collaboration Opportunities:** The Specialist , Credentialing Operations… more
- Beth Israel Lahey Health (Burlington, MA)
- …functions that cover an enterprise-wide scope, the PFS Revenue Billing Specialist role is responsible for identifying, researching and resolving various Professional ... issues for all commercial and government payors. The Revenue Billing Specialist 's duties primarily involve registration error, coverage and eligibility related… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Travelers Insurance Company (Boston, MA)
- …complete service transition can be achieved. + Assist the Operations Account Specialist and BDD in securing the executed Claim Service Agreement/Contract. + ... partnerships with the company. Operational Support * Supporting the Operations Account Specialist (OAS): the CSEO works...process in concert with internal resources (eg Risk Control, Claim , RMIS, Operations , etc.). + Conduct/attend account… more
- Crawford & Company (Boston, MA)
- …which focuses primarily in the following four key areas of edjuster's content claims handling operations : + Acting/operating as a third party, intermediary ... Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's...detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …state guidelines, and policies. 4. Provide instructions to the claims operations department prepayment reviews to initiate claim adjustments 5. Provide ... health care fraud, waste, and abuse and to facilitate accurate claim payments. The coding specialist will conduct pre-payment reviews of claims submitted by… more
- Point32Health (Canton, MA)
- …Billing Services and, internally, provides Customer Service and direction to Claims Operations , Provider Relations, Allied Health Services, Credentialing and ... direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components of the...forms, and many other supporting documents, as well as claims payment and claims forms and is… more
- Travelers Insurance Company (Boston, MA)
- …growth in our National Property business for a Sr. Risk Control Property Specialist . The position will support our field risk control staff and underwriting business ... and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff. This job serves as...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
- Drug Enforcement Administration (Boston, MA)
- …analog, and digital telecommunications. Responsibilities As a Telecommunications Specialist (Surveillance), your typical work assignments may include: Coverting ... external to the agency, and across the DEA world-wide with investigative operations by integrating the use of electronic communications equipment. System designing,… more
- Walgreens (Boston, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Molina Healthcare (Boston, MA)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Integra LifeSciences (Braintree, MA)
- …and making headway to help improve outcomes. The Regulatory Affairs Specialist is an intermediate level role responsible for implementing regulatory strategies ... regulations in the US, EU, Canada and globally. The Regulatory Affairs Specialist is responsible for providing regulatory input for regulatory documentation and… more
- Assistant Secretary for Fair Housing and Equal Opportunity (Boston, MA)
- …training to help you grow in this position. As a/an Supervisory Equal Opportunity Specialist , you will: Serve as the principal advisor to the Regional Director with ... all aspects of the intake and assess processes for inquiries, claims and complaints ensuring that jurisdictional complaints are assigned for… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Payor Portal (Web) Specialist at LogixHealth, you will work with internal teams to provide services that will ... directly improve business operations . You'll contribute to our fast-paced, collaborative environment and...offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Senior Enrollment Specialist **Job Description** + Effectively supports Magellan's SBU program operations ... and point of sale edits from providers. + Proficient use of enrollment and claims point of sale for research and problem resolution. + Assists in data collection… more
- City of Somerville (Somerville, MA)
- Statement of Duties The Safety and Training Specialist is responsible for the overall management of the Water and Sewer Department's safety, health, and associated ... including current or proposed regulations and their potential impact upon operations . + Investigates incidents and accidents, to include responding to accident… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA This Role: As a Refund Specialist at LogixHealth, you will work independently to provide cutting-edge solutions that will directly ... improve business operations . You'll contribute to our fast-paced, collaborative environment and...offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards… more
- LogixHealth (Bedford, MA)
- …MA; Hybrid in MA $400 Signing Bonus This Role: As a Deficient Chart Specialist at LogixHealth, you will work with internal teams to provide solutions that will ... directly improve business operations . You'll contribute to our fast-paced, collaborative environment and...offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards… more
- Integra LifeSciences (Boston, MA)
- …regulations in product development and life cycle activities, product/clinical/marketing claims , labeling content, and promotional materials; and helps to define ... + Reviews promotional and advertising material for adherence to approved product claims and regulatory compliance. + Works in partnership with cross functional… more