EPL & D&O Liability Claim Counsel The Travelers CompaniesEPL & D&O Liability Claim CounselBraintree, MA$111,600–$184,200 / yearTravelers' Private/Non-Profit Team provides executive and organizational management liability coverage to privately held companies and non-profit entities of all types and sizes as well as certain governmental public entities. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.
Senior Analyst Claim Reporting and Special Services Qureos IncSenior Analyst Claim Reporting and Special ServicesWoonsocket$46,988–$112,200 / yearPosition Summary : We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
Claim Technical Assistant - Hybrid ArbellaClaim Technical Assistant - HybridQuincy, MassachusettsOur current reasonable and good faith estimate of the annual salary or hourly wage range for this position is approximately $41,470 ($22.00 an hour) - $44,014 ($23.35 an hour) based on a variety of factors including, but not limited to, relevant skills and experience, Please note: The advertised pay range is not a guarantee or promise of a specific wage. Keeps supervisor informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to supervisor for direction.
NewIntake Coordinator The Phia GroupIntake CoordinatorCanton, MA$50,000–$55,000 / yearMeanwhile, from a regional perspective, The Boston Globe, Courier Journal, and Louisville Business First annually recognize our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work. At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only exceptional benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026.
NewProduct Manager InterSystemsProduct ManagerBoston, MassachusettsWithin the HealthShare portfolio, InterSystems Health Insight is the analytics companion to the HealthShare Unified Care Record – a curated, patient-level healthcare data model purpose-built for analytics that combines clinical and claims data to power population health management, care gap and quality measure notifications, pre-built dashboards and reporting, and in-depth retrospective analysis for clinical, business, and population health use cases. We combine and unify data from thousands of sources including all major electronic health records, social determinants, claims processors, public health, IoT devices, patient self-care and outcomes measures, and many more onto a flexible and powerful data platform.
Senior Product Manager InterSystemsSenior Product ManagerBoston, MassachusettsWe combine and unify data from thousands of sources including all major electronic health records, social determinants, claims processors, public health, IoT devices, patient self-care and outcomes measures, and many more onto a flexible and powerful data platform. InterSystems HealthShare is the premier health interoperability and innovation platform, providing unique solutions for today’s widely distributed healthcare in which a single patient may connect to many providers at many locations using many different information systems.
Customer Deductions Specialist Kayem FoodsCustomer Deductions SpecialistChelsea, MA$29–$35 / hourFull timeWell over 100 years later, we are the largest meat processor in New England and still pushing our craft to the next level – tweaking recipes to have the perfect flavors and extending our expertise into delicious new areas and collaborations – such as Kayem’s Night Shift Brewing Small Batch Beer Brats. The Customer Deductions Specialist will be primarily responsible for managing and resolving customer deductions and short pays through detailed research, analysis, and cross-functional collaboration.
Director, Behavioral Health Operations Mass General BrighamDirector, Behavioral Health OperationsSomerville, MassachusettsRemoteThe role is accountable for supporting accurate and timely implementation of Behavioral Health operational requirements in vendor and internal systems, monitoring operational performance and issue resolution, coordinating cross-functional remediation of member, provider, and broker friction points, and ensuring business stakeholders have clear visibility into vendor-related operational risks, trends, and action plans. -Review operational outputs from delegated vendors, conduct ad hoc analysis to validate performance, identify trends or deficiencies, and oversee development, execution, and follow-through of corrective action plans, including review of claims processing adjustments to confirm accuracy, root cause, member or provider impact, and completion of remediation steps.
Director, Behavioral Health Operations Brigham and Women's HospitalDirector, Behavioral Health OperationsSomerville, MARemote$124,342.40–$180,897.60 / yearThe role is accountable for supporting accurate and timely implementation of Behavioral Health operational requirements in vendor and internal systems, monitoring operational performance and issue resolution, coordinating cross-functional remediation of member, provider, and broker friction points, and ensuring business stakeholders have clear visibility into vendor-related operational risks, trends, and action plans. Review operational outputs from delegated vendors, conduct ad hoc analysis to validate performance, identify trends or deficiencies, and oversee development, execution, and follow-through of corrective action plans, including review of claims processing adjustments to confirm accuracy, root cause, member or provider impact, and completion of remediation steps.
Senior Project Manager, Construction Administration Massachusetts School Building AuthoritySenior Project Manager, Construction AdministrationBoston, Massachusetts$104,383–$117,431 / yearOversee the review and approval of reimbursement applications through final audit, and the review and approval of final payment and construction close-out documents by project managers, while doing the same on projects assigned to Senior Project Manager. The Senior Project Manager manages the funding aspect of multiple building projects involving complex and varying technical problems through the stages of design development, construction, commissioning, and project close-out.
Commercial Insurance Producer GpacCommercial Insurance ProducerFramingham, MA90000–150000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. The agency is known for its strong employee tenure, collaborative culture, and commitment to supporting producers with the resources needed to succeed.
Business Analyst Marchon PartnersBusiness AnalystQuincy, MAExcellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel; as well as interact with representatives from external agencies and companies. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the program specifically projects to support the member community.
Patient Access Representative GTTPatient Access RepresentativeCharlestown, MAThe Patient Access Representative supports Behavioral Health Services by handling patient registration, claims processing, and scheduling activities. As a Native American-owned, economically disadvantaged corporation, we highly value diverse and inclusive workplaces.
NewSenior Revenue Analyst Mass General BrighamSenior Revenue AnalystSomerville, MassachusettsThe 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. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.
NewSenior Revenue Analyst Brigham and Women's HospitalSenior Revenue AnalystSomerville, MA$79,560–$115,720.80 / yearThe 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. Ensures accurate billing, identifies revenue enhancement opportunities, and collaborates with departments to streamline revenue cycle processes and reduce discrepancies in claims and reimbursements.
Epic Resolute HB Analyst ClinDCastEpic Resolute HB AnalystMassachusetts, AlabamaAs a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.
Senior Software Engineer, Rules - Athenacollector Athenahealth inc.Senior Software Engineer, Rules - AthenacollectorBoston, MA$119,000–$203,000 / yearWe 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. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
Managed Care Services Representative Mass General BrighamManaged Care Services RepresentativeSomerville, MassachusettsThe 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. Managed Care Services Insurance Verification Representative is vital for the team and you will be serving as a liaison between the hospital, insurance companies, and patients to ensure proper coordination and reimbursement for healthcare services.
MMIS Senior Business Analyst LancesoftMMIS Senior Business AnalystQUINCY, MA$60Excellent interpersonal skills necessary to interact effectively with project managers, developers, business analysts, systems analysts, SQA analysts, business users/stakeholders, and data processing personnel;as well as interact with representatives from external agencies and companies. The Business Analyst (BA) will work on our established Provider Reimbursement and Claims processing functional areas to support the development, testing and implementation of projects and enhancements to meet the business objectives of the MassHealth (Massachusetts Medicaid) program specifically projects to support the member community.
Customer Service Representative ServiceMaster RestoreCustomer Service RepresentativeWilmington, MAAs the hub of all claims, CSR is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.