At Nixon Peabody, our priority is to attract, retain, and promote talented individuals from a wide range of racial, ethnic, social, economic, religious, and personal backgrounds, genders, and sexual orientations. Therefore, we encourage talented individuals with diverse backgrounds and experiences to apply. Our Government Investigations and White Collar Defense Practice G

The Patent Technical Specialist assists with patent research, patent application preparation and submission, and patent prosecution activities, as well as searching literature and patent databases to develop and recommend patent strategies, leveraging a strong scientific background. This position will interface with firm attorneys and staff, administrative departments, an

The Sr. Claims Auditor utilizes CPT and ICD 10 coding to review physician claims and medical records for coding accuracy. Internal auditing functions focus on "desktop reviews" of claims, design and quality control of future audits, and other auditing related functions. Review clinical notes and claims submitted to verify the appropriateness of codes billed based on servi

WORKERS COMPENSATION ATTORNEY HUMAN RESOURCES DEPARTMENT CITY OF WORCESTER The City of Worcester seeks qualified applicants for a Workers Compensation Attorney (Labor Relations Specialist) for the Labor Relations Division in the Human Resources Department. Under the direction of the Director of Labor Relations, the position is responsible for all aspects of Workers' Compe

The Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for services ordered. This includes but is not limited to private insurance, Medicare, Medicaid, and Rite care. Ongoing communication with medical billing department regarding authorization, re authorization, and retro authorization of visits Provide p

Reporting to the Manager of Consumer Sales and Performance, the Broker Account Executive is a licensed sales professional with experience in Medicare/Medicare Advantage and individual ACA markets and is responsible for building and managing relationships with WellSense's contracted brokers. The Broker Account Executive provides strategy support and product training broker

YOUR MISSION Budget/forecast, analyze and report on sales, margin and expense performance for ECOM Provide reporting and analysis of ECOM results vs historical and budgeted figures Provide detailed commentary on month end results from a sales and financial expense standpoint Support month end process including reporting, data validation, and calculation of accruals Assist

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 to seamless and affordable

Participate in negotiations of contract language, terms and conditions, cost/price, deliverables, and schedule requirements Facilitate and provide contractual guidance to internal management including sales and finance Work with internal stakeholders to assure compliance with contractual requirements during contract execution and communicate contractual obligations to acc

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 to seamless and affordable

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio

RAND is seeking highly motivated analyst s and experienced practitioners who would like to apply their system acquisition expertise to Analysis of Alternatives ( AoA ) , Business Case Analysis (BCA) , and other related analyse s to directly impact government acquisition policy . The U.S. federal government spends hundreds of billions of dollars each year to acquire and su

To direct and manage the US Miscellaneous Medical & Life Sciences (US MMLS) team within Healthcare. To deliver and execute the annual business plan, set and direct forecasts. To underwrite a Miscellaneous Medical account within the Healthcare team and provide counsel and advice on Underwriting and market issues. Provide technical expertise in this business area and mainta

The Massachusetts Gaming Commission seeks to hire a Financial Monitoring Analyst. This position is responsible for working alongside various department staff to conduct financial monitoring and analysis of gaming and sports wagering operations on a monthly, quarterly, and annual basis. Analytic work includes, but is not limited to, review, validation, and analysis of fina

The Commercial Credit Underwriter (CCU) position is designed and intended to prepare individuals for the role of Portfolio Manager I or a future Credit Professional role by providing specific on the job training as well as experience working within a Lending Team environment. CCUs report directly to the Commercial Credit Officer. The position is accountable primarily to t