Health Claims Jobs in Springfield (MA)
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Search Results - Health Claims Jobs in Springfield (MA)
UnitedHealth Group-Springfield (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...
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Baystate Health-Springfield (MA)-
Baystate Health is seeking an experienced Employment Attorney to join its Legal Department in Springfield, MA The Employment Attorney will provide strategic, practical legal guidance on a broad range of employment and labor relations...
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TEKsystems-Springfield (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...
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MassMutual-Springfield (MA)-
across the organization
• Collaborating within cross-functional teams that can include but is not limited to valuation, pricing, claims, operations, reinsurance, legal, compliance, and external partners
• Developing and maintaining clear step-by-step...
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UnitedHealth Group-Springfield (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...
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AMN Healthcare-Springfield (MA)-
Job Description & Requirements
Gastroenterology Physician - Hartford
StartDate: ASAP Pay Rate: $605235.00 - $605235.00
One of the largest Catholic health systems in the US seeks a BC/BE Advanced Gastroenterologist to join its growing employed...
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SCAN Health Plan-Springfield (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...
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Allied Universal-Springfield (MA)-
that contributes to a culture that positively impacts the communities and customers we serve. Job Description The Security Professional Branch Flex Officer will serve and safeguard clients across a wide range of industries, including healthcare, education, finance...
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TEKsystems-Springfield (MA)-
Overview
In this role, you will support a healthcare/PBM organization by researching, auditing, and remediating pharmacy claims affected by RxClaim system issues. You will work remotely with a cross-functional team to identify root causes...
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ProClinical-Springfield (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...
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UnitedHealth Group-Springfield (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...
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CorVel-Springfield (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...
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UnitedHealth Group-Springfield (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...
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Robert Half-Springfield (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...
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ADP - Automatic Data Processing-Springfield (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...
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