Claims Specialist Jobs in Boston, MA

Lead a dedicated team to drive client success across diverse delivery modes, ensuring effective governance and coordination. Drive business development within a portfolio, nurturing critical client re...

Champion compliance initiatives by overseeing regulatory adherence, training teams, and advising on investment guidelines across US and global jurisdictions. Collaborate with key stakeholders to enhan...

Lead oversight of pharmacovigilance operations, ensuring compliance with regulations and managing vendor deliverables. Drive ICSR quality and CAPA processes while mentoring staff and monitoring perfor...

Serve as a strategic leader in managing conflict resolution processes, ensuring timely responses, training staff, and collaborating with internal teams to uphold ethical standards while enhancing oper...

Champion effective conflict resolution as the Director of Conflicts, collaborating with risk management and legal teams to develop streamlined processes, training programs, and innovative solutions th...

Take ownership of establishing effective processes for managing conflicts, enhancing risk mitigation strategies, and fostering operational efficiency. Collaborate with leadership to drive compliance...

Lead the development and management of strategic relationships with influential healthcare organizations, focusing on enterprise-level initiatives to enhance patient access and optimize treatment path...

Lead the charge in optimizing vendor authorization processes to enhance collaboration between Utilization Management and vendors, ensuring compliance with UM criteria and resolving authorization chall...

Accelerate vendor authorization processes by collaborating with Utilization Management and vendors, ensuring compliance and operational consistency while resolving issues effectively in a dynamic heal...

Drive compliance initiatives by analyzing healthcare quality data, ensuring adherence to regulatory standards, and improving clinical reporting. Lead audits and collaborate with stakeholders to enhanc...

Optimize pharmaceutical supply chain operations to ensure medication availability, manage costs, and enhance vendor relationships. Collaborate with teams to implement data-driven strategies for effici...

Transform customer experiences by guiding them in their journey to better hearing using innovative technology solutions. Leverage strong consultative sales skills to connect clients with appropriate s...

Join a team that's shaping multi-state tax solutions for investment firms. Drive compliance and planning while mentoring junior staff and engaging with clients in a fast-paced environment, enhancing y...

Champion impactful patient engagement through scientific dialogue and strategic sales in dermatology. Drive product sales and relationship building with healthcare providers within your assigned terri...

Shape the future of supply chain operations by tackling short-term supply constraints, enhancing collaboration across functions, and driving decision-making to optimize outcomes for customers and pati...

Unlock client potential by leading integration implementations, managing projects from initiation to go-live, and ensuring successful client acceptance while collaborating with legal and technical tea...

Partner with us to drive analytical insights that guide strategic decisions across core business areas, ensuring impactful outcomes through rigorous data analysis and clear communication with stakehol...

Empower employee experiences by managing benefits administration, enhancing communication, and overseeing process improvements for health, retirement, and wellness programs with a focus on maximizing...

Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...

Champion the successful execution of cross-functional programs, driving product launches and overseeing clinical studies. Focus on risk mitigation and value delivery to ensure compliance and excellenc...

Invent and operationalize a COHERE strategy to enhance patient access to clinical research, leveraging data and insights to promote informed participation across the clinical trial lifecycle, collabor...

Transform the recovery landscape by driving analytics and strategy for collections operations, creating impactful frameworks, enhancing performance metrics, and fostering cross-functional collaboratio...

Lead the charge in operational excellence and strategic oversight for radiopharmaceutical manufacturing, ensuring compliance, continuous improvement, and optimal site performance to support clinical d...

Transform legal education by leading the CALI strategy, developing innovative programming, and engaging clients with practical, technology-driven resources to navigate the evolving legal landscape and...

Drive the development and management of an Enterprise Risk Management program, establishing a governance framework, risk assessments, and reporting standards to effectively monitor and mitigate enterp...