255 Results for

Claims Processor Jobs in Burlington, MA

Jobs

Third Party Reviewer Mass General Brigham

Somerville, Massachusetts

Remote

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission.

11 days ago

RCM Training and Quality Analyst Deloitte Touche Tohmatsu Ltd

Boston, MA

$57,300–$76,400 / year

As an RCM Training and Quality Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

30+ days ago

Medical Front Desk Rep - Quincy, MA Gather Health Primary Care Inc

Quincy, MA

$18–$25 / hour

Gather's model achieves superior care by individualizing care and is reinforced by a three-prong approach: a unique care model quarterbacked by PCPs and supported by multi-disciplinary care teams, tailored Social Care Plans that are led by Gather Guides and facilitated by deeply rooted community partners, and a proprietary "Tech Enabled Home Model.". To address the needs of these clinically and socially complex patients, Gather Health's Social Primary Care solution is comprehensive and wholistic in nature, encompassing care and community within the four walls of Gather Health Centers and in the homes of its patients.

16 days ago

Gene Therapy Account Management, Associate Director Vertex Pharmaceuticals Inc

Boston, MA

$160,000–$240,000 / year

Own account planning and lead field team coordination to internally drive future account success; facilitates and provides appropriate and timely feedback to Vertex cross functional partners, management and key stakeholders regarding account level business trends, changes in the therapeutic landscape, business issues and opportunities. Build and maintain strong relationships with key stakeholders (e.g., HCPs, C-Suite level personnel, administrators, pharmacists, and care coordinators involved in Gene Therapy delivery key decision makers) at sites of care and referring sites, with the goal of building awareness for Casgevy.

30+ days ago

Gene Therapy Account Management, Associate Director - Southeast Territory Which Includes FL, GA And AL Vertex Pharmaceuticals, Inc

Boston, MA

$160,000–$240,000 / year

30+ days ago

Gene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and AL Vertex Pharmaceuticals

Boston, Massachusetts

30+ days ago

Principal Machine Learning Engineer, Foundation Models Cambridge Mobile Telematics

Cambridge, MA

$198,300–$247,900 / year

Pioneer advanced self-supervised learning techniques, including the design and implementation of innovative tasks tailored to multi-modal telematics sensor data to learn rich representations of movement and driver behavior. Experience building and maintaining large-scale data processing pipelines and machine learning infrastructure using tools like Spark, Airflow, Docker, and cloud platforms (e.g., AWS, GCP, Azure).

30+ days ago

Lead Enterprise Architect - Enterprise Architecture Activation Humana Inc

Boston, MA

$142,300–$195,700 / year

You will be an integral part of the delivery of critical business outcomes, as well as the creation of technology strategies to leverage the IT portfolio to improve member experience and health outcomes, create competitive advantages, reduce operational risk, and total cost of operations. As the business's advocate in IT, you will bring business leadership, business operations, project management, IT leadership, IT architecture and engineering together to a common understanding of what it takes to deliver the business vision.

12 days ago

Compliance Specialist - Temporary 6 months Sophia Genetics SA

Boston, MA

In this role you will play a critical role in supporting our compliance operations by managing administrative and regulatory activities that ensure SOPHiA GENETICS operates with integrity and compliance across all markets where we operate. If this sounds like you, join the SOPHiA GENETICS Legal & Compliance Team as a Compliance Specialist, and enable us to make a positive impact on the outcomes for cancer and rare disease patients worldwide.

30+ days ago

Payment Integrity Project Manager BlueCross and BlueShield of Massachusetts

Hingham, MA

$94,410–$115,390 / year

The Role: The Payment Integrity Project Manager will report to the Program Manager, Payment Integrity and will lead the implementation of critical projects focused on improving how Blue Cross ensures that health care claims are paid correctly. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

28 days ago

Patient Account Associate Harbor Health Services Inc

Remote

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton and a Woman, Infants and Children (WIC) Nutrition Program.

30+ days ago

Director, Enterprise Architecture BlueCross and BlueShield of Massachusetts

Boston, MA

$202,050–$246,950 / year

About the Role: The Director of Enterprise Architecture is a senior technology leader responsible for defining and driving the overall technology strategy and architectural vision for Blue Cross Blue Shield of Massachusetts, with a focus on healthcare-specific systems, data, and regulatory requirements. An employee's pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.

30+ days ago

Manager, Enterprise Sales - Hcls Anthropic

Boston, MA

$450,000–$550,000 / year

Design and oversee sales strategies tailored to each sub-segment's distinct procurement cycles - R&D and commercial budgeting in biopharma, value-based care initiatives and Star Ratings priorities for payors, clinical and administrative budgeting for providers - translating market and trend analysis into account plans and campaigns that meet and exceed team revenue targets. Identify and prioritize high-potential opportunities across clinical departments, care management teams, claims processing units, drug discovery and commercial functions, and administrative offices, partnering cross-functionally to differentiate Anthropic's offering for healthcare delivery, payor, and life sciences use cases.

25 days ago

Senior Software Engineer, Billing Workflows - Athenacollector Athenahealth inc.

Boston, MA

$119,000–$203,000 / year

We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Use AI coding assistants and agentic tools (e.g., Claude Code, Codex or similar) throughout the SDLC for scaffolding, code generation, test authoring, and first-pass code review while retaining full ownership of correctness, security, and maintainability of everything that ships.

30+ days ago

Insurance/Authorization Review Brigham and Women's Hospital

Newton, MA

$21–$25.28 / hour

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

9 days ago

Remote Psychiatric Mental Health Nurse Practitioner (Pmhnp) Seasoned Recruitment

Boston, MA

Remote

Benefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.

30+ days ago

Software Engineer - (RPA/Computer Vision) Curotec

Boston, Massachusetts

In this mid-level role, you will own discrete features and automation modules end-to-end, applying strong Python skills with a heavy emphasis on OpenCV, image-based desktop automation (e.g., PyAutoGUI), and OCR workflows. We are seeking a Software Engineer to independently build and maintain intelligent automation solutions focused on Revenue Cycle Management (RCM) in the healthcare industry, with a specialization in computer vision-driven RPA.

4 days ago

Senior Software Engineer - (RPA/Computer Vision) Curotec

Boston, Massachusetts

In this senior role, you will drive technical direction for CV-heavy automation, architect scalable solutions for desktop, document, and portal workflows, and serve as a subject matter expert in Python, OpenCV, image-based desktop automation (e.g., PyAutoGUI), Selenium, and healthcare compliance. Desktop & Image-Based RPA Architecture: Architect robust automations for legacy desktop, thick-client, and virtualized (e.g., Citrix/RDP) environments using image-based control (e.g., PyAutoGUI), with resilience to UI drift, resolution changes, and visual variability.

4 days ago

Audit Manager - Insurance and Banking Weaver And Tidwell LLP

Boston, MA

$120,000–$160,000 / year

You will be responsible for managing the day-to-day execution of complex financial services audits, mentoring and developing Associates, Senior Associates, and Supervisors, and collaborating closely with Partners on client service, project management, and business development. Working knowledge of U.S. GAAP and Statutory Accounting Principles (SAP) as they apply to property & casualty and/or life insurance companies, including familiarity with statutory financial reporting, the Model Audit Rule, and state insurance department regulatory requirements.

30+ days ago

People & Culture Coordinator LPM Restaurant & Bar

Boston, MA

$55,000–$65,000 / year

LPM Restaurant & Bar is bringing our world-renowned French Mediterranean experience to Boston, and we are looking for a passionate HR & People Culture Coordinator to help us build and support our team. Proactive & Solutions-Oriented: You have a natural ability to identify bottlenecks, suggest improvements, and handle fast-paced changes with a positive attitude.

4 days ago

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Claims Processor Jobs in Burlington, MA

Third Party Reviewer Mass General Brigham

RCM Training and Quality Analyst Deloitte Touche Tohmatsu Ltd

Medical Front Desk Rep - Quincy, MA Gather Health Primary Care Inc

Gene Therapy Account Management, Associate Director Vertex Pharmaceuticals Inc

Gene Therapy Account Management, Associate Director - Southeast Territory Which Includes FL, GA And AL Vertex Pharmaceuticals, Inc

Gene Therapy Account Management, Associate Director - Southeast territory which includes FL, GA and AL Vertex Pharmaceuticals

Principal Machine Learning Engineer, Foundation Models Cambridge Mobile Telematics

Lead Enterprise Architect - Enterprise Architecture Activation Humana Inc

Compliance Specialist - Temporary 6 months Sophia Genetics SA

Payment Integrity Project Manager BlueCross and BlueShield of Massachusetts

Patient Account Associate Harbor Health Services Inc

Director, Enterprise Architecture BlueCross and BlueShield of Massachusetts

Manager, Enterprise Sales - Hcls Anthropic

Senior Software Engineer, Billing Workflows - Athenacollector Athenahealth inc.

Insurance/Authorization Review Brigham and Women's Hospital

Remote Psychiatric Mental Health Nurse Practitioner (Pmhnp) Seasoned Recruitment

Software Engineer - (RPA/Computer Vision) Curotec

Senior Software Engineer - (RPA/Computer Vision) Curotec

Audit Manager - Insurance and Banking Weaver And Tidwell LLP

People & Culture Coordinator LPM Restaurant & Bar

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