Claims Specialist Jobs in Brookline, MA

Lead and oversee consumer benefits operations, ensuring high-quality service delivery and operational excellence. Drive process improvements and team performance within a collaborative environment foc...

Drive regulatory excellence by shaping strategies for innovative medical devices, ensuring compliance and product integrity on a global scale while collaborating with cross-functional teams to impact...

Lead the charge in strategic risk management by overseeing insurance operations and team development while driving impact for client satisfaction and organizational growth in a dynamic environment acr...

Contribute to strategic risk management by overseeing insurance programs and fostering team development. Lead project assessments and collaborate with diverse teams to drive continuous improvement in...

Elevate strategic contract analytics to enhance product access and reimbursement. Collaborate with cross-functional teams to lead pricing negotiations, analyze financial proposals, and drive process i...

Shape the future of healthcare by leading national account strategies and driving pivotal partnerships for product launch success, ensuring enhanced patient access and commercial viability in a dynami...

Lead strategic ADML initiatives for large clients, driving program design, management, and revenue growth. Develop vendor relationships and mentor teams while enhancing market presence through thought...

Manage daily pharmacy prior authorization requests, ensuring compliance and timely disposition while collaborating with medical directors. Support medication management for members, addressing complex...

Empower our team by conducting quality control reviews of CTRs and alerts, ensuring compliance with BSA procedures while identifying trends to enhance processes and training in the ever-evolving field...

Join a dynamic team to enhance Revenue Cycle operations, leveraging your expertise in patient access and Epic systems. Lead transformations that improve financial performance and operational efficienc...

Build and mentor a high-performing underwriting team to effectively manage and profitably grow our E&S portfolio, balancing risk and budget while fostering collaboration and promoting a culture of div...

Unlock potential by guiding engineering teams to embed security from the ground up. Leverage your expertise in secure architecture and platform development to define best practices, foster collaborati...

Lead analytics initiatives supporting key business decisions for AI/ML, product, and operational enhancements. Collaborate with cross-functional teams to deliver insights and establish best practices...

Lead the charge in delivering analytic solutions that empower strategic decision-making. Collaborate with cross-functional teams on AI initiatives and reporting, ensuring data accuracy and actionable...

Unlock potential by leading operational excellence and process optimization in Risk Financing. Drive innovation, enhance efficiency, and transform the reinsurance lifecycle through strong collaboratio...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Join a dynamic team to ensure coding accuracy and integrity in inpatient medical records, conducting audits, resolving disputes, and driving efficiency for improved hospital reimbursement processes...

Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...

Engage as an Executive Underwriter, driving tailored solutions for High Value accounts. Collaborate across teams to manage complex underwriting needs while cultivating strong agent relationships and m...

Lead the charge in optimizing Epic Professional Billing systems, driving technical precision and workflow enhancements. Collaborate with teams to ensure reliable billing outcomes and foster exceptiona...

Advance your career by driving sales strategy and client retention in the SLED Government sector. Build relationships and explore innovative solutions while achieving sales targets across the East Coa...

Help us ensure compliance and ethical integrity by managing Corporate Compliance strategies, promoting ethical culture, overseeing investigations, and developing training programs to enhance complianc...

Elevate our Workers’ Compensation product strategy through regulatory compliance, effective team management, and system alignment. Collaborate cross-functionally to implement state strategies and ensu...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...

Join a dynamic team to oversee nursing activities and ensure high-quality patient care. Lead clinical staff, manage operations, and address patient concerns while fostering teamwork and excellence in...