- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... more
- Humana (Boston, MA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... more
- Humana (Boston, MA)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... more
- Riverside Community Care (Dedham, MA)
- …complex environment. + Working knowledge of member eligibility verification, benefits/services, claims management , and quality management functions required. ... more
- State of Massachusetts (Boston, MA)
- …level information technology services and infrastructure, including network management and security; computer operations; application hosting; desktop provisioning ... more
- EPAM Systems (Boston, MA)
- …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... more
- Celestica (Boston, MA)
- …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... more
- CVS Health (Boston, MA)
- …an Executive Director for Claim Platform Quality Assurance within the Claims Center of Excellence Automation team. This role involves owning the design and ... more
- Takeda Pharmaceuticals (Boston, MA)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... more
- Takeda Pharmaceuticals (Boston, MA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …us transform healthcare? Bring your true colors to blue. What We Need The Associate Director of Data Governance & Analytics Success will be a key leader in executing ... more
- Takeda Pharmaceuticals (Boston, MA)
- …and cross-functionally (Regional Marketing, Market Research, Business Intelligence, BD, Alliance Management , Patient Value and Access, Medical Affairs etc.), to ... more
- Beth Israel Lahey Health (Plymouth, MA)
- …Risk Management office for BID-P including all phases of actual and potential claims management . Identifies exposures to loss and analyzes the impact on the ... more
- Point32Health (Canton, MA)
- …/ management consultancy or auditing firm. + Understanding of claims systems, provider information, Medicaid/Medicare, and/or experience working with large data ... more
- Stantec (Boston, MA)
- …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... more
- Genesis Healthcare (Cumberland, RI)
- …or on call)! We are seeking a full-time (40 hours per week) Attending Physician/ Medical Director for our Grandview Center, located in Cumberland, RI. The annual ... more
- Pfizer (Boston, MA)
- …business-critical decisions. The Senior Manager will manage various data assets, including claims , sales, and specialty pharmacy data, and will work across oncology ... more
- Family Service Association - Fall River (Fall River, MA)
- …Friday from 8 am to 5 pm The Revenue Cycle Analyst, reporting to the Director of Financial Services, plays a critical role in managing the financial operations of ... more
- Beth Israel Lahey Health (Boston, MA)
- …analysis of diverse data sources, including large national registries, administrative claims data, survey-based data, and EHR data. The Biostatistician II will ... more
- Beth Israel Lahey Health (Boston, MA)
- …and rigorous analysis of data sources, including large national registries, administrative claims data, survey-based data, and EHR data. The Biostatistician II will ... more