Top Tech Jobs & Startup Jobs in Boston, MA

The Claims Specialist processes Medicare insurance claims, ensuring compliance and quality, addressing customer inquiries, and collaborating across departments for efficient claims resolution.

The Enrollment Specialist processes Medicare and Medicaid enrollments, ensuring compliance with CMS regulations and maintaining member eligibility. Responsibilities include customer inquiries, eligibility determinations, and adherence to service level agreements.

The Configuration Analyst ensures health plan systems are configured for operational efficiency, regulatory compliance, and service delivery by maintaining software systems, implementing business rules, testing, and supporting stakeholders.

The SVP of Operations & Implementation leads the oversight of operational delivery and implementation, ensuring alignment with client expectations and financial goals. This role focuses on budget management, team performance, offshoring strategies, automation, and fostering a high-performing culture to enhance service quality.

The Utilization Management Auditor will audit UM processes, evaluate cross-departmental workflows, ensure compliance, and provide recommendations for process improvement. The role emphasizes collaboration, reporting, and continuous training in healthcare operations.

The role involves onboarding and supporting healthcare clients in using a SaaS platform, troubleshooting issues, and ensuring successful implementations.