Health Claims Jobs in Pittsfield (MA)
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Search Results - Health Claims Jobs in Pittsfield (MA)
UnitedHealth Group-Pittsfield (MA)
econometrics, predictive modeling, ROI analysis, simulation, and data visualization for policy development
• Query large healthcare claims databases and prepare data for internal/external use
• Write specifications and documentation of data processing...
General Dynamics Mission Systems-Pittsfield (MA)
and builds cybersecurity capability across teams.- Ability to produce precise, review-ready technical documentation and connect claims to objective implementation and test evidence.- Strong written, presentation, and interpersonal communication skills...
TEKsystems-Pittsfield (MA)
Overview
In this contract, remote CWCOT Claims Processor role supports mortgage claim processing for FHA-related files. You review, process and verify claims against guidelines, enter data, and resolve discrepancies to ensure accuracy within...
UnitedHealth Group-Pittsfield (MA)
and reduce rework
• Build stakeholder relationships and present updates with executive presence
Key requirements
• 5+ years in healthcare
• 3+ years in Payment Integrity, Revenue Integrity, claims operations, healthcare analytics, or related function
• 3...
SCAN Health Plan-Pittsfield (MA)
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
ProClinical-Pittsfield (MA)
Overview
As Product Owner, you will drive enhancements to a healthcare payments and reimbursement platform, working with cross-functional teams to deliver value for patients, providers, and businesses. You’ll shape product requirements, prioritise...
CorVel-Pittsfield (MA)
Overview
As Vice President of Claims, you will steer strategic claims operations to meet revenue and profit goals while developing staff and driving customer satisfaction and retention. You’ll lead cross-functional collaboration to enhance...
UnitedHealth Group-Pittsfield (MA)
Overview
In this Medical Director role within Optum’s Focus Claims Review team, you lead the medical services and oversight of the claims review program. You will shape policy and clinical criteria, coordinate with physicians, and support...
ADP - Automatic Data Processing-Pittsfield (MA)
Overview
As Outpatient Ancillary Coder, you will code outpatient encounters focusing on labs, radiology, and ancillary services to ensure accurate claims. You’ll contribute to a remote, US-based team that values consistency and reliability. You...
MWH Constructors-Pittsfield (MA)
disputes, support negotiations, and drive effective claims management within the organization. This is a mission-driven opportunity to contribute to essential public works and improve communities.
Compensation / Benefits
• Group health & welfare benefits...
Robert Half-Pittsfield (MA)
and claims processes in a fast-moving organization. You’ll negotiate and tailor business agreements, advise on federal and state healthcare requirements, and coordinate with outside counsel as needed. This position offers meaningful governance and regulatory...
Berkley Select-Pittsfield (MA)
and scale our professional liability services.
Compensation / Benefits
• Health
• Dental
• Vision
• Life
• Disability
• Wellness program
Responsibilities
• Manage complex investigations of D&O claims, including coverage, liability, and damages analysis...
CBT Nuggets-Pittsfield (MA)
Overview
In this role you own the health and growth of CBT Nuggets’ two production surfaces (website and Assessments). You steer AI coding agents rather than writing code, driving clear specifications and delivery within delegated autonomy. You...
UnitedHealth Group-Pittsfield (MA)
collaboration experience
• Bachelor’s degree in finance, Healthcare Administration, Economics, Statistics, Mathematics, Business Analytics, or related fields
• Experience with claims systems, contract modeling software, or reimbursement configuration platforms...
Lincoln Financial Group-Pittsfield (MA)
with clients and brokers, and drive outcomes across claims and client support. Your leadership will align with Lincoln’s mission to empower customers and enhance the client experience. This role offers strategic influence, team development, and cross-functional...
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