We have other current jobs related to this field that you can find below
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Claims Team Lead
3 days ago
Somerville, United States Mass General Brigham Health Plan Full timeDescription Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access...
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Claims Team Lead
9 hours ago
Somerville, Massachusetts, United States Mass General Brigham Health Plan Full timeJob SummaryMass General Brigham Health Plan is seeking a highly skilled Claims Team Lead to join our team. As a Claims Team Lead, you will be responsible for researching and resolving disputes for providers, members, and internal customers, as well as coaching and mentoring claims resolution coordinators.Key ResponsibilitiesManage and distribute work as...
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Field Auto Claims Adjuster
5 days ago
Somerville, Massachusetts, United States National Guard Employment Network Full timeJob Overview ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization collaborates with partner companies to identify qualified talent for their open positions. This opportunity is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you possess the necessary...
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PreVisit Clinical Review Specialist
2 months ago
Somerville, United States Mass General Brigham Full timePreVisit Clinical Review Specialist-(3293627) Description As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a...
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PreVisit Clinical Review Specialist
2 months ago
Somerville, United States Partners HealthCare Full timeDescription As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including...
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VITA Program Site Supervisor
5 days ago
Somerville, Massachusetts, United States Community Action Agency of Somerville Full timeJob OverviewPosition Title: VITA Program Site SupervisorReporting To: Director of FinanceWork Schedule: 10-15 hours per week, primarily during evenings and weekendsEmployment Status: Part-time, temporaryCompensation: $37.83 per hourPROGRAM SUMMARYThe Volunteer Income Tax Assistance (VITA) initiative offers complimentary income tax preparation services for...
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Early Head Start
4 days ago
Somerville, United States Riverside Community Care, Inc. Full timeRiverside Community Care Love what you do! Home Visitor Supervisor - Early Head Start Exciting opportunity to join Riverside Community Care as a Home Visitor Supervisor! In this vital role, the Early Head Start Home Visitor Supervisor will supervise Home Visitors (HV), engages them in reflective supervision, professional development, conducts...
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Production Technician Supervisor
24 hours ago
Somerville, United States Commonwealth Fusion Systems Full timeCommonwealth Fusion Systems (CFS) has the fastest, lowest cost path to commercial fusion energy.CFS collaborates with MIT to leverage decades of research combined with groundbreaking new high-temperature superconducting (HTS) magnet technology. HTS magnets will enable compact fusion power plants that can be constructed faster and at lower cost. Our mission...
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Early Head Start Home Visitor Supervisor
3 weeks ago
Somerville, United States Riverside Community Care Full timeRiverside Community Care Love what you do! Home Visitor Supervisor - Early Head Start Exciting opportunity to join Riverside Community Care as a Home Visitor Supervisor! In this vital role, the Early Head Start Home Visitor Supervisor will supervise Home Visitors (HV), engages them in reflective supervision, professional development, conducts administrative...
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Lead Electric Operations Supervisor
6 days ago
Somerville, Massachusetts, United States Eversource Full timePosition Overview:The Lead Electric Operations Supervisor is responsible for guiding the team to ensure the safe, efficient, and timely execution of tasks related to the construction, operation, maintenance, and emergency restoration of electric distribution and transmission systems. This role emphasizes effective collaboration among team members and...
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Site Supervisor
3 months ago
Somerville, United States Securitas Full timeJOB SPECIFICATION: Position: Overnight Supervisor Schedule: Saturday-Wednesday (11pm-7am) Salary: $ Location: Cambridge, MA (Free On-Site Parking) Environment: Corporate / Pharmaceutical Client ESSENTIAL FUNCTIONS Functions as a supervisor of Security Officers, Lead Officers, and other company personnel assigned to one or more...
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Security Supervisor
3 months ago
Somerville, United States Securitas Full timeSecuritas is hiring a Security Supervisor in Cambridge MA ESSENTIAL FUNCTIONS Functions as a supervisor of Security Officers, Lead Officers, and other company personnel assigned to one or more posts at client site(s); acts to ensure that all post orders are followed, that established rounds are completed, and that required reports are filed;...
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Project Scheduler
3 months ago
Somerville, United States Vanguard Energy Partners, LLC Full timeJob DescriptionJob DescriptionGeneral DescriptionThe Project Scheduler is responsible for creating, updating and coordinating project schedules. They will create resource usage models and predictions and work closely with project teams to build and then optimize project schedules. The Project Scheduler will work with internal development, preconstruction,...
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Packaging Operations Supervisor
5 days ago
Somerville, Tennessee, United States Job&Talent Full timePosition Overview: The Production Team Lead oversees the daily activities of the packaging and assembly operations, ensuring that products are packaged in compliance with established specifications.Key Responsibilities:Ensure safety, quality, and production standards are maintained according to current guidelines.Review production schedules to confirm the...
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Lead MRI Technologist
1 week ago
Somerville, United States Massachusetts General Hospital(MGH) Full timeUnder the general supervision of the Unit Operations Manager of MRI, the incumbent establishes, manages, and monitors standards and processes; communicates and trains on systems to ensure department guidelines are adhered to and upheld to the MGH Imaging Department standards. Collaborates with radiologists, departmental leadership, and staff to ensure that...
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Customer Care Coordinator
2 months ago
Somerville, United States Dynamix Physical Therapy LLC Full timeJob DescriptionJob DescriptionJob Position:Customer Care Coordinator (CCC)Reports to:Operational Support DirectorFull-time or Part-time:Full-time Job Description:Create a “wow” experience for every customer daily. The goal of this position is to provide an exceptional customer experience through elite customer service with professionalism and...
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MRI Technologist
5 days ago
Somerville, United States Mass General Brigham Full timeDescription: $15,000 sign on bonus - We're offering a generous sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process Mass General Imaging has opened a new state of the art outpatient MRI facility in Assembly Row (Somerville, MA)! As an MRI...
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MRI Technologist
6 days ago
Somerville, United States Massachusetts General Hospital(MGH) Full time$15,000 sign on bonus - We're offering a generous sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview proce Mass General Imaging has opened a new state of the art outpatient MRI facility in Assembly Row (Somerville, MA)! As an MRI Tech at MGH...
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MRI Technologist
3 months ago
Somerville, United States Massachusetts General Hospital(MGH) Full time$15,000 sign on bonus - We're offering a generous sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview proce Mass General Imaging has opened a new state of the art outpatient MRI facility in Assembly Row (Somerville, MA)! As an MRI Tech at MGH...
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MRI Technologist
1 week ago
Somerville, United States Massachusetts General Hospital Full timeDescription $15,000 sign on bonus - We're offering a generous sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process Mass General Imaging has opened a new state of the art outpatient MRI facility in Assembly Row (Somerville, MA)! As an MRI...
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Supervisor Claims Reviewer
2 months ago
DescriptionAs a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step.Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.The Claims Review Supervisor plans, directs, and coordinate the work of the Claims Review Team. Supervises staff, ensuring performance standards are met through monitoring of productivity and quality reports.Primary Responsibilities:Select, train, motivate, develop and evaluate staff in compliance with established policies, practices and procedures.Set and approve work schedules, time off requests, overtime and approve time cards.Schedule staff for needed training and developmentMentor and coach the claims staff regarding policies, procedures, processing techniques and performance.Discipline employees in compliance with company policy up to and including termination.Plan and facilitate regular bi-weekly team and one on one meetings; keeping employees up to date and well informed of company and departmental activities/ happenings.Supervise and provide guidance to the work of the review team ensuring service, quality and productivity standards are met.Run and analyze reports to manage the inventory of claims and correspondence.Distribute work taking into account department metrics. Review aging and inventory of work and maintain at acceptable levels; prioritize the type of work based on the inventory and where necessary escalate before back log gets out of hand.Research and find solutions for issues escalated or delegated from team members, internal customers, or Manager.Ensure daily productivity reports are produced, maintained and distributed to direct reports.Provide routine and special reports on claims identifying patterns and trends. Analyze those trends for provider education, desktop update or other appropriate actionsPerforms check run validation procedures and make necessary corrections to ensure a successful claims check run.Recommend changes in claims operations policies and procedures and give input to desktop procedures.Identify/request as needed clarification and or updates to policies and proceduresRecommends and participates in development and implementation of departmental work standards, policies and proceduresAssist in testing new processes, system updates and upgradesAssist with centralized trainingIdentify and provide claim scenariosCo-facilitate training sessions as neededIdentify systemic issues and trends and work with issue owners to find resolutionHold self and others accountable to meet commitments.Build strong customer relationships and deliver solutions that meet customer expectations; establish and maintain effective customer relationships – both internal as well as external.QualificationsBasic Requirements:Bachelor’s Degree or the equivalent combination of training and experiencePlus five or more years of health care claim processing experience of which 2 should have been in a lead/supervisory rolePreferred Qualifications:Strong supervisory skillsAbility to coach, mentor, train, develop and motivate employees in a team environmentHighly organized with the ability to prioritize and multi-taskStrong analytic, critical thinking and problem solving skillsMedicare Advantage experienceStrong learning skills and mental agilityExcellent verbal and written communication skillsExercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedbackStrong interpersonal skills with the ability to work well with people, building solid interdepartmental relationshipsExcellent customer service skillsMaintains confidentiality Demonstrate MGBHP Core Values of Accountability, Service Excellence, Quality Care, Diversity,and forging strong RelationshipsRespect the talent and unique contribution of every individual, culture and ethnic group and treat all people in a fair and equitable mannerExercise self-awareness; monitor impact on others; is receptive to and seek out feedback; use self-discipline to adjust to feedbackAccountable for delivering high quality work. Act with a clear sense of ownershipQXNT experienceCertified Professional Coder experienceJob Field: Professional/ManagerialOrganization: Mass General Brigham Health PlanSchedule: Full-timeShift: Day JobEmployee Status: Regular