• Healthcare Medical Claims Coding Sr.…

    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
    Commonwealth Care Alliance (11/26/24)
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  • Medical Director - Southeast Region

    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 (02/07/25)
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  • Medicare Grievances and Appeals Corporate…

    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
    Humana (01/07/25)
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  • Assistant Program Director - BHCP

    Riverside Community Care (Dedham, MA)
    …complex environment. + Working knowledge of member eligibility verification, benefits/services, claims management , and quality management functions required. ... more
    Riverside Community Care (02/07/25)
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  • Director of Engineering

    State of Massachusetts (Boston, MA)
    …level information technology services and infrastructure, including network management and security; computer operations; application hosting; desktop provisioning ... more
    State of Massachusetts (11/21/24)
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  • Managing Director - Insurance Advisory…

    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
    EPAM Systems (02/06/25)
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  • CE Strategic SCM Director 1

    Celestica (Boston, MA)
    …**Functional Area:** Supply Chain Management (SCM) **Career Stream:** Supply Chain Management (SCM) **Role:** Director 1 (DR1) **Job Title:** Director , ... more
    Celestica (12/20/24)
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  • Executive Director , Claim Platform Quality…

    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
    CVS Health (01/24/25)
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  • Director , Global Labeling Strategy Lead

    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 (01/26/25)
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  • Associate Director , Global Labeling Lead…

    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
    Takeda Pharmaceuticals (01/15/25)
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  • Associate Director , Data Governance…

    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
    Blue Cross Blue Shield of Massachusetts (11/26/24)
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  • Director , Integrated Disease Area Strategy…

    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
    Takeda Pharmaceuticals (01/08/25)
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  • Risk Manager

    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
    Beth Israel Lahey Health (02/02/25)
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  • Sr. Data Analyst, Risk Adjustment

    Point32Health (Canton, MA)
    …/ management consultancy or auditing firm. + Understanding of claims systems, provider information, Medicaid/Medicare, and/or experience working with large data ... more
    Point32Health (01/03/25)
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  • Commercial Project Manager

    Stantec (Boston, MA)
    …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... more
    Stantec (12/13/24)
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  • Attending Physician

    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
    Genesis Healthcare (01/10/25)
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  • Senior Manager, Data Science & Analytics

    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
    Pfizer (02/08/25)
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  • Revenue Cycle Analyst

    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
    Family Service Association - Fall River (12/07/24)
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  • Biostatistician II- Smith Center

    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 (12/10/24)
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  • Biostatistician II

    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
    Beth Israel Lahey Health (12/10/24)
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