Healthcare Payment Specialists Jobs in Boston

Accounts Payable Specialist at Acquia Boston, MA Acquia empowers the world’s most ambitious brands to create digital customer experiences that matter. With open source Drupal at its core, the Acquia Digital ..

Partner Operations Specialist at Acquia Boston, MA Acquia empowers the world’s most ambitious brands to create digital customer experiences that matter. With open source Drupal at its core, the Acquia Digital ..

... The Coordinator - EHR Incentive Payment Programs coordinates the IT and ... the main focus being EHR Payment Programs (i.e.; Meaningful Use, MACRA/MIPS, ... and requirements to achieve the..

Job Information Humana FP&A Lead, Medicaid Market in Boston Massachusetts Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Senior Integration Specialist - Cloud in Boston Massachusetts Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Boston Massachusetts Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Pharmacy Claims Specialist, Remote in Boston Massachusetts Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

GENERAL SUMMARY/ OVERVIEW STATEMENT: Summarize the nature and level of work performed. The Coordinator must be a highly energetic and professional individual with strong interpersonal skills. Following established departmental and hospital ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Boston Massachusetts Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Senior Contracts Specialist Accountabilities: Prepare and able to finalize in a client-ready format draft contract documents, including Start-up Agreements, Work Orders, and Change Orders, from PAREXEL or client templates per guidance ..

Senior Counsel, Pharmaceutical Diagnostics The candidate will support research, development, marketing, promotion, and commercialization of pharmaceutical products as the advocacy and government relations counsel for the Region. Lead and manage the ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

The Patient Business Representative (PBR) reports directly to the Manager of Patient Financial Services. The PBR functions as a financial counselor and registrar and is responsible for the in-depth evaluation of ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..