Health care manager [h1.location_city]
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Health care manager • cambridge ma
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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_more][last_updated.last_updated_30]
Top 100 AmLaw firm seeks an associate to join its Health Care Practice Group in their Boston office.Qualified candidates will possess 3-6 years of transactional experience.The ideal candidate will ...[show_more][last_updated.last_updated_30]
A career in our Benefits practice, within People and Organisation Consulting services, will provide you with the opportunity to help our clients reset their talent strategies and deliver extraordin...[show_more][last_updated.last_updated_variable_days]
Currently assisting one of our top home care agency partners with a need for an experienced Home Care Registered Nurse (RN) Case Manager for territory coverage in the.
Consolidated territory, less t...[show_more][last_updated.last_updated_30]
Health – The Next Generation of Medicare Advantage.Are you an RN with the following experiences with the geriatric population, looking to move into the health plan world : transitions of care or cas...[show_more][last_updated.last_updated_30]
Reports to : Chief Program Officer.Through support, challenge, and opportunity, Triangle empowers people with disabilities and their families to enjoy rich, fulfilling lives.We are committed to help...[show_more][last_updated.last_updated_30]
Direct Counsel is representing an Am Law firm seeking a Health Care Transactional Associate Attorney.We are looking for candidates with a strong interest in and enthusiasm for health care issues an...[show_more][last_updated.last_updated_variable_days]
A company is looking for a Behavioral Health Care Manager to work full-time and remotely from anywhere within the United States.
Key Responsibilities Accept patient handoffs from Intake Care Manag...[show_more][last_updated.last_updated_30]
Elara Caring is seeking a Registered Nurse (RN) Home Health for a nursing job in Medford, Massachusetts.Job Description & Requirements Specialty : Home Health Discipline : RN Duration : Ongoing Employ...[show_more][last_updated.last_updated_variable_days]
BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Quincy, Massachusetts.Job Description & Requirements Specialty : Home Health Discipline : RN Duration : Ongo...[show_more][last_updated.last_updated_variable_days]
We change the world everyday and want to meet you.Right at Home, In-Home Care & Assistance, is seeking to hire CNA's and Home Health Aides to join a dynamic care team providing clinical expertise i...[show_more][last_updated.last_updated_30]
The LPN will provide direct nursing care to patients while making home visits in designated geographic territories.Ensures all care delivered is within the scope and established standards of profes...[show_more][last_updated.last_updated_less]
You are applying for a position through Medix, a staffing agency.The actual posting represents a position at one of our clients.
Our client is seeking a dedicated Home Health Care Registered Nurse r...[show_more][last_updated.last_updated_variable_days]
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_more][last_updated.last_updated_30]
Application Review Date - December 29th, 2025 Interviews Scheduled for - January 12th & 13th, 2026 About the Position.Lane County Public Health is seeking an experienced and visionary leader to ser...[show_more][last_updated.last_updated_variable_days]
RN Health Care Facility Surveyor - Idaho.Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and wil...[show_more][last_updated.last_updated_variable_days]
Home Health Care Registered Nurse (RN).Non-exempt / Full-time (30+ hours).The Uphams Home Health Services has been in operation since 1975 serving thousands of Boston residents.Uphams Community Car...[show_more][last_updated.last_updated_30]
A public interest law organization in Boston is seeking an experienced litigator to enhance its practice in health care justice.
The ideal candidate will have over 7 years of civil litigation experi...[show_more][last_updated.last_updated_variable_days]
Chronic Care RN (Care Manager).Non-exempt, Licensed, Full Time, Permanent.Hybrid (80% on-site, 20% remote).Charles River Community Health (CRCH).
As an integral member of the chronic care management...[show_more][last_updated.last_updated_variable_days]
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Charles River Community HealthWaltham, MA, United States[job_card.full_time] +1
Health Care Claims Specialist
Crowell & MoringBoston, MA, US[job_card.30_days_ago]
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- [job_card.full_time]
[job_card.job_description]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 The position requires a bachelor’s degree or equivalent combination of education and 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
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
Education
Experience
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.