- Lincoln Financial Group (Boston, MA)
- …**Requisition #:** 72954 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special ... and other CCA departments related to review processes and results. Sr Associate , FWA Investigator Coder utilizes claim analysis, document review, coding knowledge… more
- Takeda Pharmaceuticals (Boston, MA)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- Commonwealth Care Alliance (Boston, MA)
- …Commonwealth Care Alliance (CCA) pharmacy program. Operational functions include: claims oversight and resolution, monthly EOB reviews and monthly formulary and ... adapt to a dynamic environment. **What You'll Be Doing:** ** CLAIMS OVERSIGHT** + Daily reject and paid claims...the department. **What We're Looking For:** **Required Education:** + Associate degree in Healthcare, Nursing, Pharmacy or a related… more
- Commonwealth Care Alliance (Boston, MA)
- …across the enterprise including Clinical Analytics, Utilization Management, Clinical Automation, Claims and Encounters Processing and driving our strategic Model of ... Care . **Supervision Exercised:** + No, this position does not...monitoring, and maintenance of AI-driven systems. **Working Conditions:** + Remote + Preferred ability to commute distance to Boston,… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Senior Physician Billing Associate (Shared Service Center - Westwood)Department:Shared Service CenterAutoReqId:75985BRStatus:Full-TimeStandard ... Hours per Week:40 Job Posting Category:FinanceJob Posting Description:Hybrid/ Remote - 1 day a week in office at...in office at Westwood location The Senior Physician Billing Associate shall be responsible for: + Reviewing and verifying… more
- Firefly Health (Watertown, MA)
- …members with questions regarding the Firefly Health Plan; Provider network, claims , benefits, medications, prior authorizations, Care -Key requirements, & ... is building a revolutionary new type of comprehensive health " care and coverage," powered by a relationship-driven care...members throughout the referral process + Review and compare claims and data in order to resolve member and… more
- RTX Corporation (Andover, MA)
- …BBN team: Brief Department Description We have an opening for an Associate Director, Risk Management & Insurance in Raytheon Technologies (RTX) Treasury department ... role can be Hybrid based in either Boston Area or NYC area or full remote based on the eastern seaboard and is responsible for partnering with RTX business segments… more
- Takeda Pharmaceuticals (Lexington, MA)
- …true to the best of my knowledge. **Job Description** Join Takeda as an Associate Director, US Advertising & Promotion Regulatory Review out of our Lexington, MA or ... + Provide product development and label development strategies to ensure promotional claims can be supported. + May provide management of individuals including… more
- J&J Family of Companies (Boston, MA)
- Associate Director, Signal Detection Scientist - 2406212640W **Description** Johnson and Johnson is currently seeking an ** Associate Director, Signal Detection ... NJ; Raritan, NJ; Horsham, PA; OR High Wycombe, UK. Remote work options in the US or UK may...international regulatory safety databases, and other data sources, eg, claims and electronic medical records. This position develops and… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Physician Billing Associate (Westwood, Mon-Fri, 10a-2p, Onsite)Department:Shared Service CenterAutoReqId:75467BRStatus:Part-TimeStandard Hours ... Monday - Friday, 10:00a - 2:00p Location: Westwood, MA This Physician Billing Associate will be responsible for: + Deliver an exceptional experience to every… more
- Surgery Care Affiliates (Waltham, MA)
- Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of ... patient care . Together, our teammates create value in specialty ...growing career opportunities for YOU. ** This is a REMOTE position. ** Responsibilities Specifically, you will work in… more
- Humana (Boston, MA)
- …Science, finance, Statistics, Economics or related field + Experience working with Claims , Billing and Reconciliation or related healthcare data + Expertise in ... and Root Cause Analysis (RCA) experience **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this… more
- Humana (Boston, MA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more