- Harbor Health Services, Inc. (Mattapan, MA)
- …and much more! Role: Reporting to the Senior Director of Health Plan Operations , the Director of Utilization Management and Quality Programs is responsible for the ... activities to improve patient care and ensure efficient and cost-effective operations . The Director of Utilization Management and Quality Programs develops systems,… more
- Santander US (Quincy, MA)
- …the possibilities **We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of ... Specialist , Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial services… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Travelers Insurance Company (Providence, RI)
- …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have):** + Knowledge and experience of claim operations , health care reimbursement, public health care programs and ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- Zurich NA (Boston, MA)
- …service needs of prospective and current customers by developing and delivering claims services marketing presentations and Claim Service Proposal responses that ... retention by building lasting relationships with our customers' and brokers' claim contacts. + Business Travel, as required, will be...and 4 or more years of experience in the Claims or Operations area OR + High… more
- USAA (Providence, RI)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within defined guidelines and framework, investigate, evaluate,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …NH, VT, MA, RI, CT)** The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned portion of the accounts receivable, ... allocated based on alphabetical splits. Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and… more
- CVS Health (Woonsocket, RI)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... internal and external customers. + Performs regular quality audits for service operations for multiple products and platforms to drive full and consistent compliance… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Integrity Consultant uses industry knowledge, research skills, payment policy and business operations knowledge to become a trusted subject matter expert on facility ... impacts, inquiries and implementation efforts. + Assist in developing new facility claim editing logic and maintenance of existing facility rule logic to support… more
- Allied Universal (Boston, MA)
- …the communities and customers we serve. As a **Security Officer - Financial Dispatch Specialist ** in **Boston, MA** , you will serve and safeguard clients in a range ... build a schedule that works for you and explore new roles using our Claim a Shift platform. Learn more: aus.com/earnmore. As a Dispatch Officer with Allied Universal… more
- MAPFRE Insurance (Webster, MA)
- Data Procurement Specialist Date: Dec 4, 2025 Location: Webster, MA, US Company: MAPFRE **Data Procurement Specialist ** **Location: Webster MA | Full-Time | Data ... Strategy & Growth** Data Procurement Specialist As a Data Procurement Specialist , you...environment. **Bonus points for:** + Experience in insurance, underwriting, claims , or actuarial domains. + Strategic planning and market… more
- Walgreens (Norfolk, MA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Terumo Medical Corporation (Boston, MA)
- Field Clinical Specialist - EMBO, Boston Date: Nov 28, 2025 Req ID: 5130 Location: Boston, MA, US Company: Terumo Medical Corporation Department: TIS Sales - New ... device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- **Job Description Summary** The Senior Regulatory Affairs (RA) Specialist within the BD Interventional Surgical Devices Business unit will work on regulatory ... required to market medical devices in the US The Senior RA Specialist will also support related regulatory affairs activities, such as development, execution… more
- RTX Corporation (Marlborough, MA)
- …Heritage Raytheon programs Collins Aerospace is seeking a talented and driven Principal Specialist Material Program Manager (MPM) to join our Mission Systems team in ... vital role in delivering innovation, precision, and excellence across our supply chain operations . This position is open to candidates within 50 miles of our… more
- Cardinal Health (Providence, RI)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible… more
- CDM Smith (Pawtucket, RI)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Cardinal Health (Providence, RI)
- **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a ... authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances,… more
