Assoc Mgr Claims Jobs in Boston

Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Job Information Humana Manager, Pharmacy and Medical Trend in Boston Massachusetts Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and medical, ..

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Boston Massachusetts Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to ..

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..

Job Information Humana Manager, Operations, Release and Process in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Boston Massachusetts Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of ..

Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Boston Massachusetts Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Associate Director, Provider Data Interoperability in Boston Massachusetts Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Job Information Humana Associate Director, Retail Claims Technology Solutions in Boston Massachusetts Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The ..

... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..

We are Allegiance Trucks, the fastest growing commercial truck dealer in the Northeast with over 35 locations in 8 states, and we are changing the experience our customers have when it ..

Job Information Humana Lead Product Manager - Healthcare API in Boston Massachusetts Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is directly ..

Job Information Humana Medicaid Senior Project Manager (Remote) in Boston Massachusetts Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As the ..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Boston Massachusetts Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..

Job Information Humana Associate Director, Health Information Management in Boston Massachusetts Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate Director, ..

Job Information Humana Manager, Release Management, Remote in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The ..

Job Information Humana Manager of Release Engineering, Remote in Boston Massachusetts Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..

Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..

Job Description Location We're different. We are a Biopharma that keeps it personal. At Takeda, it's our people, our values and our culture that make us special. We share a sense ..