Health Claims Jobs in Cambridge

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Search Results - Health Claims Jobs in Cambridge

Health PBM Operations Manager (Specialty Pharma, PBM)

Accenture-Cambridge-yesterday

Overview As Health PBM Operations Manager, you drive optimization of pharmacy benefit management operations for healthcare clients. You work with cross-functional teams to align PBM processes with client goals using data-driven strategies. You...

Business Analyst – Healthcare / Medicaid Systems - 26-14431

Compu-Vision Consulting Inc.-Cambridge-talentnest.com-4 days ago

Analyst to support a Medicaid Management Information System (MMIS), with a focus on provider reimbursement and claims processing. The ideal candidate will have a strong understanding of healthcare operations, health plan management, claims and payment...

Global Marketing Leader, Claims, Value & Pricing

Philips-Cambridge-1 week ago

or healthcare tech • Ability to turn clinical, operational and economic insights into value messages and business cases • Strong strategic pricing experience including value-based pricing and portfolio pricing • Understanding of healthcare evidence, claims...

Senior Counsel - Labor & Employment Law (Cambridge, MA)

Philips-Cambridge-appcast.io-3 days ago

bargaining agreements, supporting grievance processes and related records, preparing for and conducting arbitrations, and developing and interpreting policies and programs for represented employees. Defend, supervise, and manage employment‑related claims...

Alternative Dispute Resolution (ADR) Consultants

TD Bank-Cambridge-6 days ago

You will handle high-exposure claims, including catastrophic injuries, with a focus on efficient investigations and client recovery. This position offers a path within TD Insurance to influence claims outcomes and develop professionally within...

Vice President, Compliance

Beam Therapeutics-Cambridge-appcast.io-3 days ago

Key Responsibilities • Develop, execute, and evolve a comprehensive compliance strategy and program focusing on healthcare compliance and aligning with business objectives and legal requirements that meets the unique needs of cell and gene therapy...

Provider Educator

Community Care Cooperative-Cambridge-yesterday

to identify improvement opportunities • Analyze coding, claims, RAF, quality, utilization, and population health data to spot trends and educational needs • Partner with health centers to improve documentation and coding outcomes under value-based arrangements...

Senior Director, Oncology Forecasting

USA - 3310 Takeda Pharmaceuticals U.S.A., Inc.-Cambridge-appcast.io-3 days ago

governance, and industry best practices, including emerging approaches within and outside the pharmaceutical industry. Lead the integration of key insights, patient journey, epidemiology, patient flow analytics, healthcare claims, market research, competitive...

Data Engineer

Definitive Healthcare-Cambridge-2 days ago

Overview In this Data Engineer role, you will design and maintain reliable data pipelines powering Definitive Healthcare’s healthcare data products. You’ll work with engineers and domain experts to ensure timely, high-quality data changes across...

Senior Director, Head of Care Pathway Optimization

Ipsen-Cambridge-appcast.io-4 days ago

of healthcare data (claims, SP/SD. etc.)* Expertise in developing and executing strategic partnerships with IDNs/ provider groups* Demonstrated ability to work cross functionally and effectively anticipate customer needs* Strong understanding of patient journey...

Insurance Sales and Client Success Specialist

Todd O'Donnell - Desjardins Insurance Agent-Cambridge-talentnest.com-3 weeks ago

on policies, claims, and billing with a friendly, solutions-oriented approach. • Collaborate with the Agent and team to execute marketing strategies and achieve ambitious sales goals. What We’re Looking For: We’re seeking self-driven, goal-oriented...

Patent Counsel, Biologics - Global Intellectual Property

Sanofi-Aventis Deutschland GmbH-Cambridge-sanofi.com-2 weeks ago

Leverage AI tools strategically across the full patent lifecycle including AI-assisted drafting, claim analysis, prior art searching, office action response preparation, and portfolio analytics while maintaining critical oversight, professional judgment...

Assistant Director of Employee Relations

Cambridge-icims.com-1 month ago

and salary levels. • Manages the relationship with Vinfen’s unemployment services vendor to assure the most favorable unemployment claims experience and proper representation at unemployment favorable unemployment claims experience and proper representation...

FL113 | Cambridge, MA Vice President, AI Research and Real-World Evidence

Flagship Pioneering-Cambridge-appcast.io-3 days ago

Fluency with modern research and machine learning tools, including Python, PyTorch, scikit‑learn, and AI‑enabled development workflows. • Strong working knowledge of health data sources, including electronic health records, claims, omics, wearables...

Manager - BCG Vantage - BCG's Health Care Practice Area

The Boston Consulting Group-Cambridge-2 weeks ago

manage junior colleagues and support their career development Key requirements • 3+ years in Biopharma Commercial consulting or AI/digital product development and management (preferred) • Bachelor's Degree required • Experience in healthcare claims data...