Claims jobs in waltham USA
40 claims jobs found in waltham: showing 1 - 40
Associate Director, Market Access Analytics
Company: Alkermes |
claims data) offered by external vendors (IQVIA, Symphony Health, DRG, Komodo, etc) and data generated by internal systemsLocation: Waltham, MA, USA
| Salary: US$160000 - 185000 per year | Date posted: 27 Jun 2026
Manager, Sales & Marketing Analytics
Company: Alkermes |
etc.). Familiarity with claims data preferred (e.g. LAAD, Komodo etc.) Experience with Snowflake, DBT, or other modern data warehouseLocation: Waltham, MA, USA
| Salary: US$120000 - 143000 per year | Date posted: 27 Jun 2026
Pharmacy Claims Adjudication Specialist
Company: Onco360 |
Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims..., review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordinationLocation: Waltham, MA, USA
| Salary: US$26 per hour | Date posted: 26 Jun 2026
Director, Benefits
Company: Rocket Software |
benefits harmonization for acquisitions and organizational changes. Manage benefits budgets and forecasts. Analyze claimsLocation: Waltham, MA, USA
| Salary: US$140000 - 196000 per year | Date posted: 25 Jun 2026
Associate Director, Medical Information And Review
Company: Deciphera |
Directors Ensure team is providing fact-checking of data points and verification that all claims and statements are adequatelyLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 24 Jun 2026
Local Contract Nurse Rn - Labor And Delivery - $61 Per Hour
Company: WCS Healthcare Partners |
Reception, Clerical, Call Center Claims Appeals/Denials/Reimbursement Insurance Pre-Authorizations Medical BillingLocation: Newton, MA, USA
| Salary: US$61 per hour | Date posted: 24 Jun 2026
Supervisor - Pharmacy Adjudication
Company: Onco360 |
; and short and long-term disability The Pharmacy Adjudication Supervisor is responsible for all aspects of pharmacy claims... adjudication, accuracy of pharmacy claims, resolution of third-party rejections, coordination of benefits, and patient outreachLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Claims Supervisor
Company: GPAC |
Claims Supervisor Hybrid - Middlesex County | $90,000 - $110,000 Join a growing, service-focused risk and claims... excellence in a supportive, forward-thinking environment. Overview The Claims Manager will lead a team handling workersLocation: Waltham, MA, USA
| Salary: US$110000 per year | Date posted: 22 Jun 2026
Partner
Company: New York Life |
delivery of claims to beneficiaries compassionately and efficiently upon the decease of pre-existing clients. ConductLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 22 Jun 2026
Claims Supervisor
Company: GPAC |
Join a growing, service-focused risk and claims organization known for its collaborative culture, client-centric.... Overview The Claims Manager will lead a team handling workers compensation and injury-related claims. This roleLocation: Waltham, MA, USA
| Salary: US$90000 - 110000 per year | Date posted: 22 Jun 2026
Claims Manager
Company: GPAC |
Claims Supervisor Hybrid - Middlesex County | $95,000 - $115,000 Join a growing, service-focused risk and claims... excellence in a supportive, forward-thinking environment. Overview The Claims Manager will lead a team handling workersLocation: Waltham, MA, USA
| Salary: US$110000 per year | Date posted: 17 Jun 2026
Medical Billing & Insurance Specialist
Company: Staffing Proxy |
authorizations, claims submission, payment posting, denial follow-up, and patient account support. This role works closely..., benefits, and authorization requirements Submit and track insurance claims accurately and efficiently Follow upLocation: Belmont, MA, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Risk And Compliance Specialist
Company: VHB |
the management of claims and litigation Assist with continuously furthering components of VHBs Compliance & EthicsLocation: Watertown, MA, USA
| Salary: US$95000 - 115000 per year | Date posted: 17 Jun 2026
Risk And Compliance Specialist
Company: Vanasse Hangen Brustlin |
the management of claims and litigation Assist with continuously furthering components of VHBs Compliance & EthicsLocation: Watertown, MA, USA
| Salary: US$95000 - 115000 per year | Date posted: 16 Jun 2026
Claims Manager
Company: GPAC |
Claims Manager Hybrid - Middlesex County | $95,000 - $115,000 Join a growing, service-focused risk and claims... excellence in a supportive, forward-thinking environment. Overview The Claims Manager will lead a team handling workersLocation: Waltham, MA, USA
| Salary: US$115000 per year | Date posted: 15 Jun 2026
Billing Specialist
Company: Springwell |
of consumer billing to private contracts. They will track insurance claim requirements, submit claims timely and with accuracy..., identify and correct denied and rejected claims. Our successful candidate will have strong interpersonal and analytical skillsLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 13 Jun 2026
Billing Specialist
Company: Springwell |
, submit claims timely and with accuracy, identify and correct denied and rejected claims. Our successful candidate... some time remotely is available but in-office time will be required. ESSENTIAL JOB FUNCTIONS: Ensure all claims are billedLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 13 Jun 2026
Pharmacy Benefits Verification Specialist
Company: Onco360 |
test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements... test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, thenLocation: Waltham, MA, USA
| Salary: US$25 per hour | Date posted: 13 Jun 2026
Claims Manager
Company: GPAC |
Claims Manager Hybrid - Middlesex County | $95,000 - $115,000 Join a growing, service-focused risk and claims... excellence in a supportive, forward-thinking environment. Overview The Claims Manager will lead a team handling workersLocation: Waltham, MA, USA
| Salary: US$115000 per year | Date posted: 10 Jun 2026
Associate Director, Legal Counsel
Company: Ardelyx |
understanding of relevant federal and state healthcare laws (Anti-Kickback Statute, False Claims Act, FDA Rules, Sunshine ActLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 09 Jun 2026
Certified Pharmacy Technician - Phone Support
Company: Onco360 |
and physician office staff to coordinate medication refill deliveries. Work with Insurance companies regarding rejected claimsLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 09 Jun 2026
Associate Director, Market Access Analytics
Company: Sobi |
. Strong knowledge of access-related datasets (e.g., MMIT, claims, specialty pharmacy, distribution, contracting data) DemonstratedLocation: Waltham, MA, USA
| Salary: US$150000 - 190000 per year | Date posted: 06 Jun 2026
Clerk Iv - Greater Waltham
Company: Massachusetts Trial Court |
Assist social workers with Mass Health insurance claims Manage personal needs accounts on the area office level of SocialLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 06 Jun 2026
Associate Director, Market Access Analytics
Company: Sobi |
. Strong knowledge of access-related datasets (e.g., MMIT, claims, specialty pharmacy, distribution, contracting data) DemonstratedLocation: Waltham, MA, USA
| Salary: US$150000 - 190000 per year | Date posted: 05 Jun 2026
Pharmacy Customer Service Associate
Company: Walgreens |
, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services... of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandiseLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 04 Jun 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 02 Jun 2026
Sr Manager, Distribution & Logistics
Company: Panera Bread |
and timelines. KPIs include OTIF, fill rate, damages, claims, and caf complaints. * Build and maintain strong supplierLocation: Newton, MA, USA
| Salary: US$136383 - 163660 per year | Date posted: 02 Jun 2026
Paralegal, Corporate
Company: Bright Horizons Family Solutions |
Certificate from an ABA approved program 3 years experience with claims management and litigation support ExcellentLocation: Newton, MA, USA
| Salary: US$61000 - 80000 per year | Date posted: 28 May 2026
Head Of Global Regulatory Advertising And Promotion
Company: Sobi |
landscape, product and therapeutic knowledge as well as evidentiary standards required to support product claims Apply advancedLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 27 May 2026
Pharmacy Technician / Pharm Tech Apprenticeship
Company: Walgreens |
(corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner... of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortagesLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 23 May 2026
Senior Construction Project Manager
Company: Global Partners |
forecasting, pay application review, risk/claims avoidance, and accurate project closeout documentation. Directs and performance... negotiation support, claims avoidance, and disciplined documentation practices. Strong understanding of project controlsLocation: Waltham, MA, USA
| Salary: US$118300 - 177400 per year | Date posted: 22 May 2026
Manager, Liability Program
Company: Panera Bread |
and day-to-day management of Panera's auto, general, and product liability claims program. This role partners with Panera...'s Third Party Administrator (TPA) to investigate, evaluate, reserve, and resolve claims within the company's deductible. TheLocation: Newton, MA, USA
| Salary: US$100038 - 111807 per year | Date posted: 21 May 2026
Certified Nurse Practitioner, Palliative Care
Company: Mass General Brigham Health Plan |
Human Resources department and the claims service company to ensure proper reporting of information to the MassachusettsLocation: Newton, MA, USA
| Salary: unspecified | Date posted: 21 May 2026
Resident Relocation Coordinator - (watertown, Ma)
Company: Housing Opportunities Unlimited |
resident claims of damage or loss. In the event of property damage or missing belongings, serve as a liaison between theLocation: Watertown, MA, USA
| Salary: US$58000 - 60000 per year | Date posted: 20 May 2026
Director, R&d Data Governance
Company: Alkermes |
in successfully achieving goals Proactive communication style Direct experience working with medical claims, EMR, -omics, patentLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 12 May 2026
Pharmacy Prior Authorization Specialist
Company: Onco360 |
by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests..., and adaptable to changing priorities Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, MedicaidLocation: Waltham, MA, USA
| Salary: US$23 per hour | Date posted: 25 Apr 2026
Pharmacy Operations Manager
Company: Walgreens |
claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medicalLocation: Newton, MA, USA
| Salary: US$22.5 - 31 per hour | Date posted: 21 Apr 2026
Director, Commercial Counsel
Company: Alkermes |
, such as the FDCA, false claims act, anti-kickback statute, and laws and regulations relating to the Medicaid, Medicare, 340B... commercialization of biotechnology/pharmaceutical products. Experience with FDA regulations, federal anti-kickback, and false claimsLocation: Waltham, MA, USA
| Salary: unspecified | Date posted: 16 Apr 2026
Manager, Network Management - Cigna Healthcare - Hybrid (newton, Ma)
Company: Cigna |
and value-based business opportunities. Coordinate closely with matrix partners (i.e., Claims, Medical ManagementLocation: Newton, MA, USA
| Salary: US$92000 - 153300 per year | Date posted: 07 Apr 2026
Manager, Network Management - Cigna Healthcare - Hybrid (newton, Ma)
Company: The Cigna Group |
and value-based business opportunities. Coordinate closely with matrix partners (i.e., Claims, Medical Management