Top Tech Jobs & Startup Jobs in Boston, MA

Support plan document preparation and onboarding for employer-sponsored benefit plans. Review, draft, and maintain SPDs, SBCs, amendments, and related documents; collaborate cross-functionally and escalate issues as needed while ensuring compliance with ERISA, HIPAA, ACA, COBRA, MSP.

The Configuration Specialist Pricing maintains provider contract configurations, ensuring compliance with standards, and collaborates with various teams for accurate claims processing.

Lead and supervise end-to-end stop loss administration for self-funded clients, managing claim identification, carrier submissions, reporting, UAT for system changes, cross-functional coordination, staff training, and process improvements to ensure timely reimbursement and contractual compliance.

Own end-to-end stop loss policy administration for self-funded clients. Liaise with carriers, TPAs, brokers, and internal teams to manage specific and aggregate claims, analyze policies, deliver and automate monthly reports, generate financial data, identify high-cost claimants, and support renewals and implementation.

The Claims QA Auditor Lead oversees the daily operations of the Claims Quality Team, ensuring the quality review program is effective and reporting metrics accurately. They manage audits, mentor team members, and identify quality improvement opportunities.

The VP Product Management leads product strategy and development, oversees the entire product lifecycle, and collaborates cross-functionally to ensure alignment and meet business goals.

The Senior Claims Data Analyst enhances claims operations through advanced analytics, develops reports and dashboards, identifies process improvements, and ensures data integrity to drive strategic decisions.