31 ltc claims operations manager jobs found

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Option Care Health. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Extraordinary Careers. Endless Possibilities. With the nation's largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical...

How to apply: Enter the following web address into your web browser, “www.usps.com/careers”, Scroll down and click on “Apply now” in the middle of the page Click on “Continue” Under keywords type “maintenance” Under location select “Massachusetts” Click “Start”, and click on the position you would like to send an application for. United States Postal Service If this job requires qualification on an examination, the number of applicants who will be invited to take or retake the examination may be limited. Branch MA-RI District This job has an exam requirement. Currently, applicants for this posting who do not yet have an exam score are being invited to take the exam. Examining will continue until capacity has been reached. Job Title AREA MAINT TECH Facility Location BOSTON P&DC 25 DORCHESTER AVE BOSTON, MA 02205-0016 CONTACT INFORMATION: Jenney Carter // jenney.e.carter@usps.gov Position Information TITLE: AREA MAINT TECH FLSA...

At Gilead, we're creating a healthier world for all people. For more than 35 years, we've tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer - working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we're looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating...

Description: River Run is a shared services organization that supports banking affiliates, Newburyport Bank, Pentucket Bank and Rollstone Bank & Trust. The Fraud Operations Administrator manages Keeper of the records (KOR) processes, responds to bank requests, monitors daily debit card fraud reports for Reg E compliance, reconciles G/L accounts, and provides professional support to Deposit Operations across a variety of duties. Requirements: Essential Job Functions Manages the Levy process, including managing spreadsheets placing and removing holds, sending money and correspondence. Manages the Subpoena process, including managing spreadsheets compiling documentation and correspondence. Generates reports and assesses card transactions for fraud by reviewing various reports for suspicious card transactions and if needed, notifies branches to authenticate activity. Oversees Debit card and Reg E fraud management process to ensure adherence to Regulation E and...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Prime Therapeutics. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr Health Informatics Analyst - Remote Job Description The Sr. Health Informatics Analyst leads advanced data initiatives that support clinical programs, cost containment strategies, and operational effectiveness. This...

The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will lead the development and execution of a global strategy for integrating and leveraging data-driven insights across multiple Global Medical Affairs (GMA) functions. This role will be responsible for managing the Manager, Medical Analytics and is pivotal in shaping how GMA uses analytics to optimize performance, enhance decision-making, and deliver measurable impact across therapeutic areas. The Director, Medical Excellence & Operations (ME&O) Insights & Analytics will report to the Senior Director, Medical Affairs Solutions & Analytics and will leverage strategic vision, operational excellence, and expertise in data integration to drive innovation and efficiency across functions such as Medical Information, Field Medical, Medical Strategy, and Medical Education. Preferred therapeutic experience includes Nephrology, Central Nervous System (CNS), and rare disease. Key...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status Exempt Hiring Range $68,369.60 - $123,073.60 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details Scheduled Hours: Shift 1 - Day Shift, 8 Hours (United States of America) Hours 40 Cost Center 99940 - 5458 Coding Services This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr. IT Systems Analyst (Data Analyst) Remote Job Description As a Senior IT Systems Analyst (Data Analyst) , you will play a key role in managing and optimizing system and data integrations that support Prime's clinical vendor hub, PartnerIQ . In this role, you will serve as a technical and analytical subject-matter expert responsible for driving seamless data flow between internal platforms, external vendors, and client partners. You will lead end-to-end integration processes including intake, requirements gathering, source-to-target (STT) mapping, SFTP configuration, environment and data readiness, testing, and ongoing IT service management . This position will support and enhance Prime's internal data pipelines...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Sr Health Informatics Analyst - Remote Job Description The Sr. Health Informatics Analyst leads advanced data initiatives that support clinical programs, cost containment strategies, and operational effectiveness. This role partners with cross-functional teams, including clinical services, pharmacy operations, product management, and client services, to transform complex healthcare data into actionable insights. The position applies advanced statistical, analytic, and business acumen, and champions evidence-based decision-making, regulatory compliance, and improved patient and business outcomes. Responsibilities Analyze large-scale healthcare claims, eligibility, provider, and clinical data to identify trends,...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Datavant. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is...

Summary This position serves as a Boiler Plant Operator Leader in the Facilities Management Service of the Central Western Massachusetts VA Medical Center located in Leeds MA. The position is under the general supervision of the Electrical & Boiler Shop Supervisor. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Duties Major duties and responsibilities include: Leading the work section employees in the proper maintenance, repair and operations of the Boiler Plant and its associated machinery & equipment. Scheduling all training for shop employees and to maintain individual training records for assigned employees according to policy and procedures. Working closely with all new installations, in-house projects, boiler inspections and review of project blueprints, inspection of contractor submittals and review of new equipment and material submitted by vendors. Checking inventory...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Otsuka America Pharmaceutical Inc.. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Job Summary The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize global quality system processes across a global quality organization. This role is instrumental in ensuring that quality operations are efficient, compliant, and aligned with strategic business goals. Job Description Operational Excellence Lead continuous improvement initiatives across...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview The LTC Account Manager delivers results by strategically educating key LTC stakeholders including closed door pharmacies, consultant pharmacists, and Tier 1 Nursing Home chains in a compliant and ethical manner, while collaborating with the sales team on educating LTC Healthcare Providers on SMPA product clinical attributes for the LTC resident. They ensure customer satisfaction by understanding...

job summary: Leading construction firm is looking to add an experienced Construction Project Manager to the team. This person will lead the strategic execution of single or multiple large-scale projects. This role is designed for a leader who excels at balancing high-level project strategy with details of site operations, contract negotiation, and financial performance. As a primary stakeholder in the construction operations, you will be responsible for the full project lifecycle-from initial estimating and risk review to final commissioning and closeout. Onsite role with site travel as needed.   location: Newton, Massachusetts job type: Contract salary: $77 - 85 per hour work hours: 8am to 5pm education: Bachelors   responsibilities: Project Strategy & Execution: Oversee daily construction operations and project lifecycles for single or multiple sites, ensuring adherence to schedules, budgets, and the Project Execution Plan (PEP). Contract & Risk...

A Day in Your Life at MKS: The Director of Project Management leads the Plasma, Reactive Gas, and Controls portfolio of strategic programs and projects. The Director of Project Management is accountable for the successful delivery of a portfolio of strategically critical programs spanning the Plasma, Reactive Gas, and Controls businesses. This role owns portfolio-level outcomes, balancing speed, cost, risk, and value realization to achieve defined business objectives. Operating as a member of the VP/GM's leadership staff, the Director leads both enterprise governance and hands-on execution of high-impact initiatives. The role requires strong judgment, executive presence, and the ability to drive alignment and decisive action across a highly matrixed organization. You Will Make an Impact By: Serve as an active member of the VP/GM's staff, contributing to project portfolio plan, management and execution. Lead, mentor, and develop a high-performing team of Project...

The DI Underwriting Medical Consultant , reporting to the Manager, Underwriting Policy and Support in the Underwriting Policy area, is a key business partner for DI Underwriting. This position assists in maintaining the DI underwriting guidelines and is responsible for reviewing individual health risk characteristics for complicated applicants, assisting in making recommendations to underwriting. The role combines clinical judgment, analytics, and strong communication. The applicant should be a medical professional who can understand health conditions and personal characteristics, singly and in combination, and how they influence the probability of disability. You will Assist with medical reviews of current underwriting cases Review older underwriting and claims files when needed to support ongoing IDI underwriting policy research projects Medical guideline authorship, drafting, updating and driving change across underwriting Review medical literature...

Compensation Pay Range: $15.00 - $20.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Assistant Store Manager will support the Store Manager in areas of sales, customer service, store appearance and store operations. This position will manage the store during the Store Manager’s absence and/or when working opposing shifts. The Assistant Manager will be expected to lead the store team members in servicing customers. Bilingual candidates encouraged to apply. ESSENTIAL JOB FUNCTIONS Lead the store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on...

Position Summary Serves as the key stakeholder and subject matter expert (SME) representing Medical review function in internal audits, and health authority inspections. Being available on-site for inspections, internal audit and critical business activities, including at short notice. Provides oversight of the safety profile of Otsuka products Leads the development and execution of medical review strategies for investigational and marketed products Provides strategic leadership of the Global Medical review function and collaborates with other PV functions, vendors and partners. Serves as a member of the Global Medical Safety (GMS) Leadership Team partnering closely with the GMS Head Meets routinely with product specific GPV team members and acts as principal liaison for medical review matters to engage with regulatory agencies on product safety issues. Key Job Responsibilities Represents GPV Medical Safety department from a...

Compensation Pay Range: $15.00 - $20.00 The actual hourly rate will equal or exceed the required minimum wage applicable to the job location. Additional compensation includes annual, quarterly performance, or premiums may be paid in amounts ranging per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. The Assistant Store Manager will support the Store Manager in areas of sales, customer service, store appearance and store operations. This position will manage the store during the Store Manager’s absence and/or when working opposing shifts. The Assistant Manager will be expected to lead the store team members in servicing customers. Bilingual candidates encouraged to apply. ESSENTIAL JOB FUNCTIONS Lead the store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on...

Job Title: AI Lead: Commercial, Launch & Medical Excellence Location: Boston Seaport, USA At AstraZeneca, we pride ourselves on crafting a collaborative culture that champions knowledge-sharing, ambitious thinking and innovation – ultimately providing employees with the opportunity to work across teams, functions and even the globe. Recognizing the importance of individualized flexibility, our ways of working allow employees to balance personal and work commitments while ensuring we continue to create a strong culture of collaboration and teamwork by engaging face-to-face in our offices 3 days a week . Our head office is purposely designed with collaboration in mind, providing space where teams can come together to strategize, brainstorm and connect on key projects. As AstraZeneca continues to put patients at the forefront of our mission, we are excited for our move to Kendall Square/Cambridge in 2026. Find out more information here: Kendall Square Press Release...

Job Title: AI Lead: Commercial, Launch & Medical Excellence Location: Boston Seaport, USA At AstraZeneca, we pride ourselves on crafting a collaborative culture that champions knowledge-sharing, ambitious thinking and innovation – ultimately providing employees with the opportunity to work across teams, functions and even the globe. Recognizing the importance of individualized flexibility, our ways of working allow employees to balance personal and work commitments while ensuring we continue to create a strong culture of collaboration and teamwork by engaging face-to-face in our offices 3 days a week . Our head office is purposely designed with collaboration in mind, providing space where teams can come together to strategize, brainstorm and connect on key projects. As AstraZeneca continues to put patients at the forefront of our mission, we are excited for our move to Kendall Square/Cambridge in 2026. Find out more information here: Kendall Square Press Release...

General Information Country USA State/Region Massachusetts City Andover Team Renewable Energies Seniority Specialist (2-4 years of experience) Job Type Permanent Hire Type Full-Time Work Regimen On-site Posting Date 11-Feb-2026 Expiration Date 30-Apr-2026 Company Enel North America, Inc Description and Requirements Who We Are: Enel North America is a proven renewables leader delivering clean, flexible and sustainable energy solutions. As part of the Enel Group, we develop, build, own and operate renewable power plants and demand response solutions, with over 11 gigawatts (GW) of installed wind and solar capacity, over 1 GW of energy storage and nearly 5 GW of demand response in the US and Canada. For nearly 25 years, we've reliably powered modern life and driven climate action with our people, partners and communities by putting sustainability at the center...

Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at...