- Elevance Health (Boston, MA)
- …corresponding regulatory requirements preferred. + Comprehensive knowledge of the health insurance industry , including, but not limited to: claim adjudication ... **Rating/ Claims System Senior Advisor** **Location:** This...procedures; insurance law; benefit design; plan document provisions and compliance… more
- Concord Group Insurance (Bedford, NH)
- …Our 12-week program is structured to provide you with a well-rounded education in the insurance industry and an opportunity to explore the many career paths our ... to give you exposure to many aspects of the insurance industry + Critical thinking and problem...businesses that help communities thrive. + How to utilize industry specific programs such as Claims Pro… more
- HealthEdge Software Inc (Boston, MA)
- …+ Proven business acumen and **in-depth business domain knowledge** inthe healthcare industry in general and **in the Payor/ insurance market segment** in ... **Overview** **Position** **Overview:** As a Senior Product Manager, within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system… more
- HUB International (Wilmington, MA)
- …assisting Specialty Senior Claim Specialists, Claim Specialists, and Director, Specialty Claims , with the servicing of Hub client accounts in accordance with the ... and purpose. + Other responsibilities as assigned by Director, Specialty Claims . **Qualifications:** + College degree preferred, insurance designations, and/or… more
- Deloitte (Boston, MA)
- Senior Consultant, Operations and Technology Transformation, Insurance , Tech/Functional What we do Operations and Technology Transformation delivers market ... real estate companies. Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Deloitte (Boston, MA)
- …include: + Provide tax advisory services to clients in the insurance industry across business functions such as underwriting, claims , IT, finance and ... Are you a senior tax professional who wants to specialize in...Tax, JD, and/or LLM + Experience in the life insurance , property insurance or casualties' industry… more
- Deloitte (Boston, MA)
- …this role ends on June 30, 2024 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring considerable technical expertise to deliver ... Operations & Technology Transformation Senior Consultant, Guidewire Data Migration - ETL Developer...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Zurich NA (Boston, MA)
- …people feel a sense of belonging. Be a part of the next evolution of the insurance industry . Join us in building a brighter future for our colleagues, our ... Senior Design/Construction Management Consulting Specialist 113183 Zurich is...prospect/existing customer base. + Providing periodic support to the Claims Department with technical assessment of complex claims… more
- Elevance Health (Newton, MA)
- **Researcher Senior - Safety and Epidemiology Research** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Louis, MO, Wallingford, CT or Louisville, KY. The **Researcher Senior - Safety and Epidemiology Research** is responsible for...to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior… more
- MDD Forensic Accountants (Boston, MA)
- …assets for recovery + Prepare preliminary draft of report narrative and schedules + Evaluate insurance claims and economic damage + Work closely with senior ... claims or disputes. MDD is looking for a Senior Accountant to serve as an essential supporting function...property, business valuations + Represent the firm at local industry functions alongside senior leaders + Ensures… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. Senior Business Analyst - Cost Estimation As a member of the Care Navigation Delivery team, ... the Senior Business Analyst is responsible for the documentation of...of these systems rely on core business functions (ex. claims processing, provider contracting, network management) and a complex… more
- LogixHealth (Bedford, MA)
- $1,000 Signing Bonus Location: On-Site in Bedford, MA This Role: As a Senior Healthcare Contract Negotiator at LogixHealth, you will work closely with the Contract ... to provide cutting edge solutions that will directly improve the healthcare industry . You'll contribute to our fast-paced, collaborative environment and bring your… more
- Elevance Health (Newton, MA)
- **Researcher Senior - Health Services Research** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... ME, St. Louis, MO, Wallingford, CT or Louisville, KY. The **Researcher Senior - Health Services Research** is responsible for prospective and retrospective health… 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
- Wolters Kluwer (Boston, MA)
- …departments to increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end ... Software | ELM Solutions | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/enterprise-legal-management) The ** Senior Account & Relationship Executive** activities include: gaining expertise… more
- Highmark Health (Boston, MA)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- WTW (Boston, MA)
- …targets related to revenue growth, mix of business and penetration into industry specific targets. Sales Process: + Prepare proposals and presentations using ... phone and face to face with clients + Champion the proper advocacy of claims + Participate in stewardship meetings + Support Client Management team in identifying… more
- Elevance Health (Woburn, MA)
- …process. The **Group Underwriter, Sr** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... complex group cases based on thorough analysis of the group's experience, industry , location, size, and demographic nature. + Coordinates with other departments to… more
- Highmark Health (Boston, MA)
- …+ Other duties as assigned. **Preferred** + 3 - 5 years in the Health Insurance Industry + Agile methodology / exposure and knowledge of DevOps + Previous ... role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -...**Preferred** + 3 - 5 years in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** +… more
- Leonardo DRS, Inc. (Fitchburg, MA)
- …internal and external customers + Support negotiations with the government, industry prime contractors and foreign customers + Conduct difficult analytical studies, ... IT utilization through electronic commerce and ERP/Oracle implementation + Provide claims and litigation support involving ASBCA and USCFC + General business… more