Claims Specialist Jobs in Boston, MA

Champion patient independence by providing specialized PM&R services in a collaborative SNF setting, focusing on enhancing functional abilities and quality of life for the geriatric population, in a s...

Drive program excellence as a key owner of a patient support initiative, ensuring enhanced experiences through data-driven performance improvements, vendor management, and cross-functional collaborati...

Join a team that’s dedicated to optimizing financial operations within healthcare. In this role, you will oversee billing, accounts receivable, and staff training, ensuring efficient processes that su...

Champion operational excellence by leading a dynamic team focused on quality governance, process improvement, and stakeholder engagement, ensuring KPIs are not just met but exceeded through discipline...

Lead and innovate operations support across multiple manufacturing sites, ensuring compliance, quality, and efficiency. Collaborate with teams to drive improvement initiatives and deliver on strategic...

Champion innovative product strategies to enhance market presence and profitability in the optics industry. Collaborate with teams to manage product portfolios, strengthen customer relationships, and...

Oversee and manage clinical trial activities, ensuring adherence to protocols and regulatory standards. Lead monitoring tasks, support site staff, and collaborate across teams to deliver high-quality...

Join a team that's enhancing pharmacy compliance and monitoring processes. As a key player, you'll evaluate audits, mitigate fraud risks, and communicate findings to leadership, ensuring the integrity...

Unlock the potential of our Pharmacy Network Audit program to ensure compliance, identify fraud, and drive improvements. Collaborate with key stakeholders to enhance processes and deliver insightful r...

Help us redefine pharmacy pricing strategies by leading complex analyses and guiding senior leadership. Partner with cross-functional teams to deliver actionable insights and mentor junior actuaries w...

Lead the charge in technology disputes management, utilizing your coding expertise to review software, analyze evidence, and prepare comprehensive reports. Collaborate with clients on complex commerci...

Drive regulatory workflow effectiveness by managing filings, discovery, and docket duties. Combine execution and design to enhance operations using digital tools and automation, ensuring accurate, eff...

Lead the charge in optimizing document management standards across collaboration platforms, ensuring organization, adherence to policies, and providing user support to maintain a consistent, accessibl...

Reimagine project delivery in a dynamic role where you lead cross-functional teams, manage timelines, and ensure quality standards while driving improvements and fostering client relationships to achi...

Drive Clinical Excellence by reviewing coverage determinations and conducting Medication Therapy Management (MTM) for Medicare Advantage members, ensuring compliance with CMS regulations and enhancing...

Elevate your career by serving as the key liaison for investigational sites, conducting comprehensive site visits, ensuring compliance, and supporting patient safety in oncology trials, while collabor...

Drive enterprise-wide reporting solutions by independently designing, developing, and optimizing Microsoft Fabric-Power BI dashboards. Collaborate with teams to translate complex requirements into hig...

Optimize compliance programs across North America, ensuring regulatory adherence in financial services and debt collections, while driving performance improvements and fostering an ethical culture acr...

Optimize execution of Delivery Assurance activities in AMER, ensuring quality standards and engagement success. Collaborate with leaders to analyze performance, enhance partner capabilities, and deliv...

Unlock potential by leading strategic evidence generation and synthesis to inform market access and reimbursement strategies. Oversee cross-functional initiatives and translate complex data into actio...

Drive the verification strategy for medical device software, ensuring compliance and thorough testing. This hands-on leadership role requires collaboration with engineering and regulatory teams, guidi...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

Innovate product strategies and lead cross-functional teams to deliver impactful solutions across multiple business domains. Drive key initiatives from ideation to launch, ensuring alignment with cust...

Transform product strategy by leading cross-functional teams to drive multi-vertical platform initiatives, ensuring alignment with business goals and enhancing customer experiences for impactful and s...

Transform product vision into strategy by leading cross-functional teams, driving platform success across multiple business lines. Influence stakeholders, deliver impactful solutions, and ensure align...