Claims Specialist Jobs in Boston, MA

Make your mark at the forefront of global benefits administration. Drive day-to-day operations, strategic optimization, and compliance of employee benefits programs in diverse international markets, e...

Optimize insurance defense by representing commercial clients in complex cases. Collaborate effectively while working independently to manage litigation processes from investigation to trial, focusing...

Contribute to impactful actuarial projects, collaborating with analytics teams to apply statistical methods in reserving insurance business, ensuring quality data and effective communication to drive...

Elevate your career by driving client success as a Customer Program Manager. Use your healthcare expertise to deliver tactical project plans and enhance service quality for healthcare payer clients, o...

Unlock potential by engaging key oncology customers, driving sales, and fostering collaborations to enhance product visibility for Hematology treatments, while maintaining compliance and navigating co...

Unlock your potential by ensuring the effectiveness and consistency of morbidity underwriting decisions for Long Term Care and Individual Disability Insurance while driving analytical insights and qua...

Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...

Manage coordinated care for beneficiaries, guiding them through healthcare systems, and fostering connections among providers, patients, and interdisciplinary teams. Ensure optimal health outcomes via...

Drive exceptional claims management to enhance customer satisfaction and stakeholder collaboration. Grow relationships with partners while leading audits and overseeing program performance in a dynami...

Transform business operations through strategic governance and digital tools, enhancing workflows and stakeholder experiences in a collaborative, cross-functional environment. Drive initiatives that s...

Lead the charge in enhancing clinical operations and driving process improvements while empowering a skilled nursing team to improve claim outcomes and provide strategic support in insurance claims ma...

Empower accuracy in medical claims by collaborating on DRG validation. You will review claims, identify overpayments, and build relationships across teams to enhance compliance and operational efficie...

Join a dynamic team where you will oversee MDS assessments and care plan reviews to ensure compliance and optimize Medicare/Medicaid reimbursements, enhancing patient care within our nursing center...

Elevate your career as you ensure regulatory compliance in product development and manufacturing. Collaborate with project teams and guide submissions to domestic and international agencies while main...

Unlock success as you analyze international financial data, support forecasting cycles, and partner with teams to deliver insightful variance analysis and reporting. Drive process improvement across g...

Unlock potential by providing expert guidance to clients, understanding their business needs, and driving growth through strategic account management and solution alignment, ensuring maximum value fro...

Contribute to compliance excellence by analyzing contracts, managing post-closing distributions, and coordinating with teams to ensure the timely release of funds while maintaining exceptional client...

Deliver top-tier monitoring of clinical trials, ensuring strict adherence to protocols while managing site activities and data integrity. Mentor junior CRAs and navigate complex regulatory environment...

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Lead the charge in managing Medicare appeals, ensuring cost-effective care. Collaborate on clinical programs, offer guidance to clinicians, and develop medical policies that enhance patient outcomes a...

Engage as a strategic leader guiding clients in revenue integrity and operational transformations. Drive impactful change through analyzing data and implementing improvements, optimizing processes to...

Deliver expert underwriting solutions by managing complex accounts, mentoring team members, and driving growth in group ancillary lines for national customers, contributing to the overall profitabilit...

Join a team that's committed to enhancing global compliance operations and investigations. Lead a high-performing team, ensuring adherence to ethical practices and regulatory standards while managing...

Unlock potential by safeguarding sensitive information as a Security Operations Center Engineer. Manage security systems in a 24/7 environment, analyze threats, and enhance cybersecurity measures to p...

Champion compliance initiatives by conducting research, analyzing trends, and collaborating with teams to ensure accurate and effective regulatory responses. Leverage data-driven insights to support c...