- USAA (Worcester, MA)
- …Come be a part of what makes us so special! **The Opportunity** As a dedicated Manager , Claims Operations you will lead and be accountable for auto, ... property, and other claims operations member service employees who are...Physical Damage field experience. + 5+ years of APD Manager experience + Currently possess, or can acquire and… more
- FM (Waltham, MA)
- …, Runoff Operations in supervising and directing the Runoff Operations claims function and to assist the manager in the day-to-day operations ... of the Runoff claims function. It also supports the Runoff Operations manager by ensuring that the claims handling processes within Runoff Operations … more
- HomeSafe Alliance (Providence, RI)
- **Title:** Claims Manager (HHG/Military Move) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... Role** **HomeSafe Alliance** is seeking highly skilled and motivated ** Claims Manager ** to assist in all aspects...in this role. **Position Description/Job Responsibilities** + Manage the operations of the claims department to meet… more
- Amazon (Boston, MA)
- …a Senior Product Manager - Technical to spearhead our pivotal claims billing applications, foundational operations , and new feature development across ... from engineers, technical program managers and designers to compliance teams, vendors, operations and BizDev teams. Key job responsibilities * Lead the development… more
- State of Massachusetts (Boston, MA)
- …do:* Lead Claims Examiner/Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is based in Boston, MA, ... *Lead Claims Examiner/Job Service Representative II| Department of Family...regulations, policies and procedures as required to ensure effective operations and compliance with existing established procedures. Make determinations… more
- MAPFRE Insurance (Webster, MA)
- …opportunity employer._ **Nearest Major Market:** Worcester **Job Segment:** Call Center Manager , Call Center Supervisor, Claims , Call Center, Recruiting, ... Supervisor, Casualty Claims (Hybrid) Date: Dec 26, 2024 Location: Webster,...overall adequacy in meeting organizational objectives. **Leadership:** First level manager who typically manages exempt employees and or subordinate… more
- Point32Health (Canton, MA)
- …requirements and timelines. The Senior Manager works closely with claims , membership operations , clinical services, care management, customer relations, ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main… more
- Walgreens (Marlborough, MA)
- …with the Store Manager **Job ID:** 1531424BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations , administrative activities; Ensures efficient pharmacy workflow and a… more
- HealthEdge Software Inc (Providence, RI)
- …with the charter to deliverexceptionalvalue for their stakeholders. As aSenior Manager , Product Operations , you will implement andoptimizesystems and processes ... **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly...have divided our product teams into Value Streams (ie, Claims , Billing & Financials, Enrollment, BlueCard, Integration, and Platform).… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager , Operations (Remote) **Job Description** + Operations : Manages team ... + Collaborates between departmental business owners, end users, IT, Contact Center, Claims and Clinical departments to resolve issues, or develop small to large… more
- Point32Health (Canton, MA)
- …for the execution of multiple complex operational processes associated with Claims Disbursements, Provider Collections and Corporate Accounting Operations . The ... here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the direction of the Supervisor, Finance Operations , The Finance Operations Analyst is responsible… more
- PPL Corporation (Providence, RI)
- …**_This position may be hired at the Intermediate or Senior Category Manager level & will be determined based on the successful candidate's experience, ... varying responsibilities may be included for different levels of the Category Manager position._** + Develop negotiation strategies and company positions on complex… more
- Fallon Health (Worcester, MA)
- …Provide training to SIU staff related to clinical topics as neededFWA Manager will oversees the day-to-day operations over investigations and allegations ... Under the general direction of the Senior Internal Audit Manager , theAnalyze and interpret patient medical records pertaining to...to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of… more
- CVS Health (Woonsocket, RI)
- …effective solutions related to the adjudication and processing of pharmacy claims and newly expanded healthcare services. Create and ensure custom solutions ... data-driven strategic decision-making to identify new revenue opportunities. The Manager , Adjudication Vendor Solutions will work cross-functionally with both… more
- MAPFRE Insurance (Webster, MA)
- Manager , Actuarial (Pricing Team) Date: Jan 6, 2025 Location: Webster or Remote, MA, US Company: MAPFRE At MAPFRE, our commitment to care is not just our purpose; ... **Job Summary** We are looking for a strong Actuarial Manager on our Pricing team with large state experience....either SAS or SQL . Thorough knowledge of insurance operations , accounting, and regulation . Thorough knowledge of MAPFRE's… more
- Walgreens (Worcester, MA)
- …we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and answers questions regarding usage of ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- Pfizer (Boston, MA)
- …teams to ensure data is leveraged to support business-critical decisions. The Senior Manager will manage various data assets, including claims , sales, and ... **Role Summary:** The Senior Manager of Data Science & Analytics is responsible...Data Analysis** : Leverage multiple external data sources (eg, claims data, specialty pharmacy data, non-retail sales) to generate… more
- CVS Health (Boston, MA)
- …solutions to make health care more personal, convenient and affordable. **Sr Manager , Digital Strategy & Design** Company and Department Overview CVS Health is ... population identification based on multisource data integration - medical claims , pharmacy claims , lab data and member...outcomes. We are seeking a visionary and strategic **Senior Manager , Digital Strategy & Design** to join our Product… more
- Humana (Providence, RI)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...decisions often involve resource allocation, project approaches, and tactical operations within their department. The role requires cross-departmental collaboration,… more
- HomeSafe Alliance (Providence, RI)
- …of International Operations , for all shipments that may create inconvenience claims for HomeSafe. Formats and data requirements to be confirmed with DIOps. + ... **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe...**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per… more