Healthcare Claim Project Manager Jobs in Framingham, Massachusetts | HealthcareCrossing.com


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52

Healthcare Claim Project Manager Jobs in Framingham





Job info
 
Company
**********
Location
Boston, MA
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 08, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
Boston, MA
Posted Date
Aug 26, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Nov 17, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Lexington, MA
Posted Date
Dec 15, 2022
Info Source
Employer  - Full-Time  90  

... and consultants to meet expected project objectives and hold them accountable ... Takeda can offer you: Comprehensive Healthcare: Medical, Dental, and Vision Financial ... Sales and Marketing Territory Business..

 
Company
**********
Location
Boston, MA
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Applied Clinical Informatics team uses applied informatics knowledge and ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Apr 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Boston Massachusetts Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

 
Company
**********
Location
Boston, MA
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana UM Medical Director - Conviva in Boston Massachusetts Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Aug 17, 2022
Info Source
Employer  - Full-Time  90  

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, ..

 
Company
Humana Inc.
Location
Boston, MA
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Nov 03, 2022
Info Source
Employer  - Full-Time  90  

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

 
Company
**********
Location
Boston, MA
Posted Date
Sep 14, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

Description Job Description Summary 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 ..

 
Company
**********
Location
Boston, MA
Posted Date
Apr 24, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Boston, MA
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

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 ..

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