Hybrid Claims & Program Integrity Supervisor
$65.07k - $91.77kCommonwealth of Massachusetts
The Commonwealth of Massachusetts is hiring a Job Service Rep II in Boston, MA. This role involves supervising a team and ensuring the integrity of the Department of Family Medical Leave’s claims. Ideal candidates will have experience in claims adjudication and possess strong analytical skills. The position follows a hybrid work model, requiring in-office attendance once a week. The salary ranges from $65,066.56 to $91,770.38 yearly, and candidates are encouraged to apply if they meet the qualifications. #J-18808-Ljbffr Commonwealth of Massachusetts
- ...USA is seeking an Administrator for Risk Management to support claims and insurance activities. This role requires a high school diploma... ...maintaining financial records. The position offers a flexible hybrid work schedule requiring attendance onsite three days a week. Ideal...ClaimsWork at officeFlexible hours3 days per week
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- ...OSHA and ESG reporting requirements. This position is integral in maintaining accurate injury claims reporting and developing reporting tools using Microsoft... ...strong analytical skills. The role offers a flexible/hybrid work schedule with a requirement of 3 in-person days...ClaimsWork at officeFlexible hours
$65.07k - $91.77k
...term seasonal position involves overseeing a team and ensuring claims integrity within the Department of Family Medical Leave. The ideal... ...strong analytical and communication skills. The role offers a hybrid working environment, requiring in-office attendance one day per...ClaimsSeasonal workWork at office1 day per week- .... This role focuses on building scalable data pipelines, integrating clinical and claims data, and developing data models to support population health... ...Epic systems, and possess strong SQL skills. Remote and hybrid work options are available. #J-18808-Ljbffr Software...ClaimsRemote job
- ...Job Description Job Description Claims Supervisor - Injury Management Group Cabot Risk Strategies, LLC is a dynamic and highly... ...insurance industry or management courses desired. This is a hybrid role and requires 2-3 days in office per week. Cabot...ClaimsWork experience placementWork at office2 days per week3 days per week
$61k - $113k
...Salary Range: USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration,... ...the communities we serve. We value your hard work, integrity and commitment to make things better, and we put...ClaimsFull timeWork experience placementWork at officeLocal areaRemote work$85.6k - $141.2k
...technical point of contact to ensure claims excellence and accurate... ...practices. Maintain reserve integrity by tracking increases of $25K... ...in the company’s bonus program. Participation in 401(k) plan... ...and volunteer opportunities. Hybrid working model. Office space....ClaimsTemporary workWork at office$120k - $225k
...Overview Chemistry Patent Agent (HYBRID) $120,000 $225,000 Job Openings Chemistry Patent Agent (HYBRID) $120,000 $225,000 About... ...Investigate technical areas of the patent Amend claims to expand the scope of an invention Negotiate license agreements...ClaimsWork at officeRemote work$129k - $183k
...targeted risk control and claims services. Our... ...opportunity for an Actuarial Supervisor to join our Corporate... ..., MN offices on a hybrid schedule. This job is... ...background requiring modeling, programming, or quantitative... ...our five core values: integrity, respect, customer driven...ClaimsFull timeWork at officeFlexible hours$101k - $143k
...Senior Software Developer (Hybrid or Remote) Job Category: IT -... ...period Competitive paid time off programs 401(k) savings and annual... ...through our five core values: integrity, respect, customer driven, excellence... ...by targeted risk control and claims services. Our employees are...ClaimsFull timeWork at officeRemote workFlexible hours$54k - $103k
...CNA Insurance in Boston, MA seeks a Claims Manager to handle moderate to high complexity commercial claims. The role involves investigating... ...of four years in claim handling. This position allows for a hybrid work schedule with competitive pay ranging from $54,000 to $103,...Claims- ...depression and pain. Our Phase 3 azetukalner program represents the most advanced, clinically... ...plans, we continue to build a fully integrated, premier neuroscience company with... ...be provided, if required. This role is a hybrid position, requiring a minimum of 2 days...Temporary workWork at officeRelocation package2 days per week
$68k - $96k
Technical Training Specialist (Hybrid) Our employees are at the... ...by targeted risk control and claims services. Our employees are passionate... .... Builds and delivers programs/curriculum utilizing a variety... ...our five core values: integrity, respect, customer driven, excellence...ClaimsFull timeWork at officeFlexible hours- ...approved diabetes prevention program. Brook has an intentional... ...— workflow design, EHR integration, payer credentialing, and go-... ...eligibility, authorization, coding, claims submission, denial management... ...from the office. This is a hybrid role, onsite in the office required...ClaimsFull timeTemporary workPart timeWork at officeRemote workRelocationFlexible hours
$113k - $132k
Cognizant is seeking a Senior Facets Integration Analyst with hands-on expertise in Facets configuration for healthcare claims. This remote role involves supporting the configuration and validation of the Facets claims platform, collaborating with various teams to ensure...ClaimsRemote job- ...oversight of NeighborHealth’s 340B pharmacy program. This entails a focus on contract... ...tracking/verification to ensure sound integrity of the organization’s 340B Drug Pricing... ...ongoing compliance monitoring. Validate claims data submitted through TPAs and resolve...ClaimsContract workFixed term contractWork experience placement
- ...regulatory compliance. Role Summary We are seeking an experienced Epic Integration Analyst with deep expertise in Epic Bridges and FHIR . This... ...and support teams. Support Epic Resolute Billing workflows (claims, remittance, denial management) and Epic Cheers CRM...Claims
$66k - $93k
...by targeted risk control and claims services. Our employees are passionate... ...CT or Salem, VA offices on a hybrid schedule. The Instructional... ...technical systems training programs that enable successful... ...LMS compatibility, and content integrity Maintain process documentation...ClaimsFull timeWork at officeFlexible hours$225k - $263k
...by targeted risk control and claims services. Our employees are passionate... ...or Raleigh, NC offices on a hybrid schedule. This role is... ..., API/event-driven integration, platform design patterns, AI... ...~ Competitive paid time off programs ~401(k) savings and annual...ClaimsFull timeWork at officeFlexible hours$174.51k - $213.29k
## Integration Solution ArchitectApplylocations: Bostontime type: Full... ...across cloud, on-premises, and hybrid environments. Partner with... ...of healthcare domains such as Claims, Enrollment, Eligibility, Referrals... ...benefits, retirement programs, paid time off, and flexible...ClaimsLocal areaFlexible hoursShift work- ...Analyst III responsible for managing complex Workers' Compensation claims. This senior role will serve as a technical expert and mentor,... ...support to the Team Manager. The position offers a flexible hybrid schedule, requiring one in-person day per week, with remote work...ClaimsFull timeRemote workFlexible hours1 day per week
- ...Compensation Administrator to manage employee leave programs for their Boston office. This vital role... ..., overseeing workers’ compensation claims, and providing clear communication to... ...of related experience. The job follows a hybrid work model and offers competitive salary...ClaimsWork at office
$142k - $263k
...software that keeps everyone in the claims conversation informed and... ...automation, and technology integration can reimagine the experience... ...employees A 4% matching 401(k) program Medical, dental, vision,... ...s voice matters Flexible, hybrid work environment that values...ClaimsTemporary workWork at officeFlexible hours2 days per week3 days per week$162k - $195k
...by targeted risk control and claims services. Our employees are passionate... ...or Raleigh, NC offices on a hybrid schedule. This position is... ...reporting systems, data integrity, access, change management, and... ...regulatory expectations, and program objectives. Evaluate risk...ClaimsFull timeWork at officeFlexible hours$195.42k - $370.53k
...Director Insurance IT M&A - Due Diligence, Integration and Separation to join our KPMG... ...leadership across corepolicy administration, claims, billing, underwriting, digital distribution... ...transformation Establish and manage program governance frameworks,ensuring...ClaimsFull timeH1bLocal area$151.2k - $226.8k
ViziRecruiter,LLC. is seeking a Tech Program Manager II in Quincy, MA to lead complex programs and ensure alignment to strategic business... ..., and financial reporting. The position offers a flexible/hybrid schedule with three in-person days per week and a competitive salary...Flexible hours3 days per week- ...Solutions LLC is seeking a Senior MMIS Business Analyst in New Hampshire. This hybrid role requires at least 5 years of business analysis experience along with expertise in healthcare EDI claims and data management. The ideal candidate will work on multiple projects,...ClaimsLocal area
- Epic Integration Analyst - Showroom Location: Remote (US-Based) Employment Type: Contract - Part Time Key Responsibilities Lead Epic... ...teams. (Nice-to-Have) Support Epic Resolute Billing workflows (claims, remittance, denial management) and Epic Cheers CRM...ClaimsContract workPart timeRemote work
- ...opportunities with HPE. Job Description Technical Program Manager (TPM) is a customer‑facing, cross... ...delivery Familiarity with Agile or hybrid delivery models Experience working... ...The credentials of any hiring agency that claims to be working with HPE for recruitment of...ClaimsWork experience placementRemote workWork from home
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