Claims Specialist Jobs in Boston, MA

Explore opportunities as a Clinical & Regulatory Information Management SME, supporting client delivery across VeevaRIM and Clinical initiatives. Engage with stakeholders, optimize processes, and enha...

Oversee the end-to-end management of account agreements, ensure compliance with health insurance laws, collaborate with cross-functional teams, and drive project implementation to support corporate go...

Optimize revenue recovery strategies and enhance member experience by leading cross-functional initiatives that tackle payment issues, device loss, and fraud prevention using data-driven decision maki...

Shape impactful revenue cycle initiatives by leading data-driven solutions and quantitative analyses. Drive client engagement and growth through strategic insights while mentoring junior team members...

Help us understand and address clinical needs in your territory while partnering with sales teams to demonstrate products, enhance customer adoption, and maintain strong relationships to drive sales a...

Transform the Risk Adjustment Accuracy Management department by leading strategic initiatives, executing analytical frameworks, and providing recommendations to senior leadership while driving project...

Champion profitable coverage access with key government accounts and regional plans. Collaborate across teams to support Market Access objectives and enhance patient and provider experiences in this s...

Empower pricing strategy through data analysis and actuarial insights to enhance insurance product profitability and support growth initiatives. Collaborate with teams and cultivate best practices wit...

Champion the analysis and underwriting of complex excess casualty risks, collaborating with brokers and teams to achieve production and loss goals in a dynamic, fast-paced environment. Utilize your ex...

Shape the future of consulting by guiding clients through government contract disputes and litigation challenges in Financial Services, leveraging your expertise in cost analysis and expert testimonie...

Champion billing operations by leading a team of 8, managing complex revenue processes, and ensuring integration success during mergers while driving efficiency and scalability in a dynamic financial...

Accelerate project success by managing complex credits and incentives initiatives. Collaborate with clients and teams across various industries while developing junior talent and ensuring timely deliv...

Drive support initiatives in patient reimbursement, collaborating with healthcare providers to enhance service delivery and education on complex benefit structures and processes. Manage on-site traini...

Shape the future of incentive compensation by leading innovative programs that enhance productivity and engagement. Collaborate cross-functionally to design and administer competitive incentive struct...

Unlock potential by driving sales and launching novel cardiac solutions in a dynamic territory. Collaborate with internal teams and engage key stakeholders to meet strategic goals, enhancing patient o...

Inspire a talented Commercial Lines team, driving success through collaboration, innovation, and hands-on leadership. Influence strategic growth while enhancing processes and nurturing professional de...

Optimize Total Rewards strategy by analyzing compensation and benefits programs. Collaborate with stakeholders to ensure equity, compliance, and alignment with business goals, while supporting data-dr...

Lead regulatory strategies for US promotional materials, ensuring compliance with FDA standards while collaborating across departments. Provide expertise for complex products, navigating regulatory la...

Discover a leadership role where you will drive risk management projects, collaborate with diverse teams, and ensure compliance across healthcare regulations, all while enhancing organizational strate...

Join our team as a detail-oriented Accounts Payable Specialist to process vendor invoices, manage expenses, and ensure financial accuracy. Collaborate with internal teams and vendors while maintaining...

Join a team that's committed to enhancing executive efficiency by providing top-notch administrative support and coordinating complex schedules, communications, and projects in a dynamic workplace env...

Join a team that's dedicated to ensuring client success through strategic partnership and proactive solution adoption. Collaborate cross-functionally and guide clients to achieve measurable business o...

Join a team that's dedicated to analyzing medical claims to detect and prevent fraud, waste, and abuse. Utilize clinical judgment and strong investigative skills to support medical reviews and collabo...

Join a team that transforms SAP Finance projects into impactful business solutions, leveraging your expertise to lead innovative initiatives and drive client success across industries. Develop and imp...

Join a dynamic utilization management team as you leverage your clinical expertise to independently assess complex service requests, ensuring timely and accurate coverage decisions while collaborating...