- Boston Mutual Life Insurance (Canton, MA)
- …courteous. + Leave our customers and associates "better than where we found them." The Director - Claim Services plays a pivotal role within Boston Mutual, ... for managing and overseeing of all aspects of the Claims Service team for Life and Accident...policies. + Stay informed about changes in regulations affecting Claim services . + Develop and implement risk… more
- Ryder System (Boston, MA)
- …liability, property, and cargo claim . This position reports to the Senior Director of Claims and requires little supervision and is considered a liability, ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Ankura (Boston, MA)
- …and extra expense losses, building financial models, and guiding clients through claim settlement processes, both in standard insurance claims and litigation ... Overview: Join our FAICC practice as a Senior Managing Director to develop business and lead first-party claims...executives + Oversee project teams and ensure exceptional client service delivery + Develop thought leade LI-MB1 * Ankura… more
- Humana (Boston, MA)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Boston, MA)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- State of Massachusetts (Boston, MA)
- …or other mission-based organizations * Experience interacting directly with individuals seeking services or assistance * Experience in claims processing and/or ... the Commonwealth are supported and empowered through access to high-quality services that are trauma-informed, culturally responsive, and reflective of diverse… more
- Evolent (Boston, MA)
- …health outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Dana-Farber Cancer Institute (Boston, MA)
- … to support and grow the Institute's research, clinical, and business missions. The Director of AI Operations and Services leads the development and delivery of ... solutions that support research, clinical, and operational goals. The Director serves as a subject matter expert in AI...a $3-5M budget and oversee AI and data-science core services , including service level agreements with Informatics… more
- Travelers Insurance Company (Boston, MA)
- …needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Commonwealth Care Alliance (Boston, MA)
- …team. Cross-Functional Collaboration * Work closely with network contracting, credentialing, claims , IT, customer service , compliance, and quality teams to ... 011230 CA-Provider Engagement & Performance Position Summary: The Director of Provider Relations leads the strategic vision and operational execution of provider… more
- Zurich NA (Boston, MA)
- AVP, Underwriting Director - Core Contract Surety 124285 Zurich Insurance is currently looking for an **Executive Underwriter OR AVP, Underwriting Director - Core ... role will be filled at either the Executive Underwriter OR AVP, Underwriting Director level. The hiring manager will determine the appropriate level based upon the… more
- CVS Health (Boston, MA)
- …we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- Cardinal Health (Boston, MA)
- …all billing, collections, and accounts receivable (AR) operations specific to oncology services . This role ensures timely and accurate claim submission, protects ... alliance co-created with oncologists and practice leaders that offers advanced support services and technology to help practices remain independent and thrive. True… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- The Executive Director , Field Enablement leads the strategy, execution, and continuous optimization of field systems, training and development, logistics, and HCP ... Leadership Capabilities, and Instructional Design & Learning Technology. The Executive Director partners closely with Field Strategy & Operations, Sales and Market… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible for overseeing the development, implementation, and optimization of customer ... Engagement platforms (PsychU, PsychUsim, ADPKDsim, and NephU). Reporting to the Sr. Director for Engagement and insights Excellence, the Director will manage… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- Director , Training Management Operations Lead The Director , Training Management Operations Lead, is a senior leader within the Learning Center of Excellence ... of training programs. + Oversee vendor relationships for training services and technology solutions. **Qualifications:** + Bachelor's degree required; advanced… more
- Veterans Affairs, Veterans Health Administration (Framingham, MA)
- …position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is provided to ... 49% administrative time. This person will be the Medical Director for the five VA Boston Community Based Outpatient...within a culture of continuous improvement. The Primary Care Service at VA Boston Healthcare System is leading the… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director , US Market Research - Dupixent **Location:** Cambridge, MA, Morristown, NJ **About the Job** Ready to push the limits of what's ... while helping to make an impact on millions around the world. The Associate Director , Market Research - Dermatology, will be a key member of the Insights and… more
- State of Massachusetts (Boston, MA)
- …systems to evaluate the medical necessity and appropriateness of requested health care services . The primary purpose of the Director of Pharmacy Benefit Manager ... necessary to thrive to apply for this role. **Job:** **Administrative Services * **Organization:** **Division of Insurance* **Title:** * Director of Pharmacy… more