- Commonwealth Care Alliance (Boston, MA)
- …provider groups, resolving escalated and complex issues with a focus on long - term satisfaction and retention. - Lead ongoing communication efforts, working ... team. Cross-Functional Collaboration - Work closely with network contracting, credentialing, claims , IT, customer service, compliance, and quality teams to address… more
- CSL Behring (Waltham, MA)
- …will contribute to the therapeutic area (TA) strategy and execution to maximize long - term asset value, optimize portfolio balance, and identify opportunities for ... Execution:** Lead the development and execution of the Product Strategy to drive long - term asset value and optimize product profile + **Inorganic Growth:** Lead… more
- Commonwealth Care Alliance (Boston, MA)
- …HHs to discuss IET and FUH performance and workshop improvement interventions** **with short term and long - term goals** + Understand barriers and challenges ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Guardian Life (Boston, MA)
- The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management ... assistance + Partner with the Short Term Disability team on large group claims for... are identified as having potential to transition to Long Term Disability in order… more
- Humana (Boston, MA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of … more
- Elevance Health (Boston, MA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... ** Claims Auditor I, II and Senior** **Location :**...employment without regard to age, citizenship status, color, creed, disability , ethnicity, genetic information, gender (including gender identity and… more
- Ryder System (Boston, MA)
- …The position may also be eligible to receive an annual bonus, commission, and/or long - term incentive plan based on the level and/or type. Compensation ranges for ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability… more
- Elevance Health (Woburn, MA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... **Director I, Digital Claims Operations (Dir I Digital Ops)** Location: This...employment without regard to age, citizenship status, color, creed, disability , ethnicity, genetic information, gender (including gender identity and… more
- Prime Therapeutics (Boston, MA)
- …High school diploma or GED required + 2 years of work experience in retail, long term care, specialty, home infusion, or mail order pharmacy or combined pharmacy ... career? Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor is… more
- Citizens (Westwood, MA)
- …automation, and the customer and colleague experience. The role requires balancing near- term execution with long - term transformation goals, ensuring ... Description Product Owner, Claims Management Platform & Transformation Lead We are...regard to age, ancestry, color, citizenship, physical or mental disability , perceived disability or history or record… more
- Elevance Health (Woburn, MA)
- …(unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, ... ** Claims Representative I** **Location:** Virtual in Woburn, MA...employment without regard to age, citizenship status, color, creed, disability , ethnicity, genetic information, gender (including gender identity and… more
- Humana (Boston, MA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the...to employ and to advance in employment individuals with disability or protected veteran status, and to base all… more
- Humana (Boston, MA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the...to employ and to advance in employment individuals with disability or protected veteran status, and to base all… more
- State of Massachusetts (Boston, MA)
- …for programs or services. **9.** **Performs related duties as assigned. **THIS IS A LONG - TERM SEASONAL POSITION WITH AN EXPECTED DURATION OF NINE MONTHS FROM ... **Department of Workforce Development* **Title:** *Job Service Rep I ( Long - Term Seasonal)* **Location:** *Massachusetts-Boston-100 Cambridge Street* **Requisition… more
- State of Massachusetts (Boston, MA)
- …responses to claimants and employers, among other required duties. *THIS IS A LONG - TERM SEASONAL POSITION WITH AN EXPECTED DURATION OF NINE MONTHS FROM ... **Organization:** **Department of Workforce Development* **Title:** *Job Specialist III ( Long - Term Seasonal)* **Location:** *Massachusetts-Boston-100 Cambridge Street* **Requisition… more
- Humana (Boston, MA)
- …off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short- term and long - term disability , life insurance and many ... a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims … more
- Ryder System (Boston, MA)
- …The position may also be eligible to receive an annual bonus, commission, and/or long - term incentive plan based on the level and/or type. Compensation ranges for ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Oracle (Boston, MA)
- …vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life ... this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical...three calendar days from the posting date or as long as the job remains posted. Career Level -… more
- Cardinal Health (Boston, MA)
- …before pay day with myFlexPay + Flexible spending accounts (FSAs) + Short- and long - term disability coverage + Work-Life resources + Paid parental leave ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- NTT America, Inc. (Boston, MA)
- …flexible spending or health savings account, life, and AD&D insurance, short-and long - term disability coverage, paid time off, employee assistance, ... Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long - term success. We invest over $3.6 billion each year in R&D to… more
