• Claims Specialist , Audit

    LogixHealth (Bedford, MA)
    Location: On-Site in Bedford, MA This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
    LogixHealth (08/06/24)
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  • Medical and BH Reimbursement Policy Manager

    Commonwealth Care Alliance (Boston, MA)
    …managed healthcare environment is required + 7 or more years direct work in claims processing, payment policy, or contracting + Extensive background of ICD-9 and ... Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Medical/BH Reimbursement Policy Manager will have overall responsibility for… more
    Commonwealth Care Alliance (08/17/24)
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  • Benefits Manager

    SMX (Boston, MA)
    …of 10 years of experience in HR and/or benefits administration in government contracting + Certified Employee Benefits Specialist (CEBS) or related Human ... the liaison with vendors and brokers to resolve employee claims . + Provides coaching and responds to escalated 401(k)...amounts. + Administers 401(k) program and manages annual 401(k) audit . **Required Skills & Abilities** + Bachelor's degree in… more
    SMX (07/31/24)
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