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Health care administrator Jobs in Lynn, MA

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Health care administrator • lynn ma

Last updated: 12 hours ago
  • Promoted
Health Care Claims Specialist

Health Care Claims Specialist

Crowell & MoringBoston, MA, US
Full-time
Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intelle...Show moreLast updated: 30+ days ago
Health Care Claims Specialist

Health Care Claims Specialist

Crowell & Moring LLPBoston, MA
Full-time
Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intellectua...Show moreLast updated: 30+ days ago
  • Promoted
Member Care Navigator / Community Health Coordinator

Member Care Navigator / Community Health Coordinator

Better Life PartnersBoston, MA, US
Full-time
At Better Life Partners, we provide what it takes to heal from addiction.We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to th...Show moreLast updated: 26 days ago
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Healthcare Administrator

Healthcare Administrator

Monument StaffingBoston, MA, United States
Full-time
My client, a major hospital in Boston, is seeking to hire several Healthcare Admins.Great opportunity for recent grads with customer service skills and / or 1-2 years of experience looking to start a...Show moreLast updated: 6 days ago
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Health Care Associate

Health Care Associate

5 LegalBoston, MA, US
Full-time
Top AmLaw 100 law firm seeks an associate to join the Health Care & Life Sciences practice in their.Candidates should have a minimum of 3 years of relevant experience and possess expertise in t...Show moreLast updated: 8 days ago
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Integrated Primary Care - Behavioral Health Therapist

Integrated Primary Care - Behavioral Health Therapist

Lynn Community Health CenterLynn, MA, US
Full-time
Integrated Primary Care - Behavioral Health Therapist.NOW HIRING FOR Psychologist / LICSW / LCSW / Mental Health Counselor. Would you love to be a part of a diverse team that provides accessible and qua...Show moreLast updated: 30+ days ago
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Care Services Administrator

Care Services Administrator

The ALS AssociationBoston, MA, US
Full-time
Established in 1985, The ALS Association is the only national nonprofit organization fighting ALS on every front.By leading the way in global research, providing assistance for people with ALS thro...Show moreLast updated: 5 days ago
  • Promoted
Payroll Administrator

Payroll Administrator

Goodwin ProcterBoston, MA, US
Full-time
Join Goodwin's Global Operations Team, and make a real impact on a global scale.At Goodwin, we work with some of the world's most successful and innovative investors, entrepreneurs and disruptors i...Show moreLast updated: 30+ days ago
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Billing Administrator

Billing Administrator

UG2Boston, MA, United States
Full-time
The individual must possess excellent numerical and data entry skills, and strong attention to detail.Must have effective communication and interpersonal skills, the ability to work independently, ...Show moreLast updated: 1 day ago
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Contract Administrator

Contract Administrator

Mastech DigitalCambridge, MA, US
Full-time
The Contracts Administrator supports the U.Legal team in managing the full contract lifecycle — from creation and review to execution and storage. This role ensures all contracts are accurate, compl...Show moreLast updated: 12 hours ago
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Director, Behavioral Health Care Delivery

Director, Behavioral Health Care Delivery

Commonwealth Care AllianceBoston, MA, US
Full-time
Director, Behavioral Health Care Delivery.The Director, Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's overall Behavioral Health Care Delivery Program, incl...Show moreLast updated: 14 days ago
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Senior Consultant, Health Care Business Transformation

Senior Consultant, Health Care Business Transformation

FTI Consulting, IncBoston, MA, United States
Full-time
Senior Consultant, Health Care Business Transformation.FTI Consulting is the world’s leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted ...Show moreLast updated: 10 days ago
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Associate General Counsel, Health Care Solutions

Associate General Counsel, Health Care Solutions

Blue Cross Blue Shield AssociationBoston, MA, United States
Full-time
The Healthcare Solutions Counsel provides legal and strategic guidance to the organization's business operations team on matters related to the healthcare industry. This role focuses on supporting i...Show moreLast updated: 22 days ago
Home Health Care RN

Home Health Care RN

Able Home CarePeabody, MA, USA
Full-time
Quick Apply
Per-Diem Home Health Care Registered Nurse.Join our compassionate and dedicated team providing professional care to patients in the comfort of their homes. We are looking for a skilled Home Health C...Show moreLast updated: 30+ days ago
  • Promoted
Home Health Aides and Personal Care Attendants

Home Health Aides and Personal Care Attendants

Home Matters of Greater Boston WestSaugus, MA, US
Full-time +1
We provide everything from companionship to end-of-life hospice care, and we’re committed to supporting our caregivers with the training, resources, and professional growth they need to succe...Show moreLast updated: 11 days ago
Principal Consultant - Oracle Health - Point of Care

Principal Consultant - Oracle Health - Point of Care

OracleBoston, MA, United States
Full-time
Job Description • • • •Principal Consultant • • - • •Oracle Health - Point of Care • • • •Location : United States • • • •Travel : 50% • • • •No visa sponsorship is available for this position.We're on a jour...Show moreLast updated: 9 days ago
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Behavioral Health Navigator, Primary Care

Behavioral Health Navigator, Primary Care

Mass General Brigham Medical Group, Inc.Somerville, MA, United States
Full-time
Primary responsibilities to include : .Engages patients in the management of their behavioral health conditions through goal-setting, coordination with community services and providers, and referral ...Show moreLast updated: 1 day ago
Plant Health Care Technician

Plant Health Care Technician

The Davey Tree Expert CompanyDanvers, MA, US
Full-time
Join one of the largest Employee Owned companies in the nation! Davey has a unique culture that focuses on the open exchanging of ideas, community partnership, a commitment to safety, and deliverin...Show moreLast updated: 30+ days ago
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Health Care Claims Specialist

Health Care Claims Specialist

Crowell & MoringBoston, MA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Job Description

Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intellectual property, and transactional and corporate matters. The firm is internationally recognized for its representation of Fortune 500 companies in high-stakes litigation and government-facing matters, as well as its ongoing commitment to pro bono service and diversity, equity, and inclusion.

Job Summary

The Health Care Claims Analyst role will support attorneys by reviewing claim files, compiling factual summaries, identifying key documents and facilitating legal analysis regarding liability, potential defenses, exposure valuations, and settlement strategies.

This role can be based in any of Crowell's office locations.

Job Responsibilities

  • Review and analyze health care claim files involved in payor / provider disputes, identifying patterns and administrative issues such as coding errors, denial reasons, and medical necessity claims.
  • Evaluate merits and potential liability of claim batches to assess applicability to claims in dispute
  • Review claim analysis and data from clients to validate findings, identify legal and factual issues, and support or challenge conclusions
  • Maintain case summaries, claim trackers and databases ensuring accurate and timely communication with legal teams and clients.
  • Synthesize information into actionable summaries to support legal analysis and trial strategy.

Qualifications

Requirements :

Knowledge, Skills and Abilities

  • Familiarity with health care insurance claims and strong working knowledge of payer-provider contracts, Medicare / Medicaid rules and regulations, and claims reimbursement frameworks
  • Experience reviewing and interpreting large volumes of healthcare claims data, EOBs, and denial codes
  • Strong written communication skills and ability to produce clear, concise and structured claim summaries.
  • Excellent attention to detail, critical thinking and organizational skills
  • Proficiency with MS Suite and data driven analysis tools including document management systems, claims platforms, or litigation databases preferred.
  • Ability to work collaboratively with attorneys and clients to provide support to litigation teams
  • Education

  • The position requires a bachelor’s degree or equivalent combination of education and experience.
  • Experience

  • The position requires a minimum of five (5) years of experience in health care claims analysis, insurance claims, payor-provider disputes, or litigation support with focus on managed care or regulatory compliance, or related field.
  • Prior experience at a law firm or insurance company handling health care litigation or audits.
  • Familiarity with CMS manuals, coverage determinations, and medical necessity standards
  • Understanding of sampling and extrapolation methodologies
  • Additional Information

    Crowell & Moring LLP offers a competitive compensation and comprehensive benefits package. Our benefits include healthcare, vision, dental, retirement, and all-purpose leave and progressive options such as back up childcare, wellness programs, cultural events and social activities. We take great pride in our positive, friendly culture that rewards hard work and success, at the same time recognizing the importance of family and community service.

    Our Firm is committed to fair and equitable compensation practice in accordance with applicable laws. The salary range for this position is $83,000-$108,000. Additional compensation may include a discretionary bonus. The salary for this position may vary based on location, market data, an applicant’s skills and prior experience, certain degrees and certifications, and other factors.

    EOE m / f / d / v

    Crowell & Moring LLP participates in the E-Verify program.