Boston Tech Jobs and Startup Jobs

11

Appeals & Grievances Specialist

Devoted Health
Waltham
13 hours ago
+19
Maintain a current knowledge of Devoted Health products, policies and procedures with the ability to relate this information in a clear, concise manner to members, providers, and internal colleagues. Manage the intake, investigation, and resolution of complaints and appeals in a timely and highly effective manner. Correspond with the member to both meet requirements (written acknowledgement and closure letters and telephone contact and documentation as appropriate) and foster deeper trust with our members. Complete data entry and documentation requirements in multiple systems. Coordinate with internal departments relative to the status of a member appeal and the research needed to prepare the case for internal or external review. Interact with Medical Directors, Clinical Guides, Legal, Member Service Guides and other areas in facilitating identification and resolution of appeals. Identify opportunities for service improvement based on key themes in grievances and appeals. Responsible for meeting all regulatory and department timelines.

Desktop Support Engineer

Claims Representative

Manager, Clinical Guide Team

Member Service Guide (Bilingual English / Spanish)

Member Service Guide

Provider Service Specialist (Guide)

RN Clinical Guide ~ Bilingual English / Spanish

Load 4 more jobs8 jobs at Devoted Health

Salesforce Developer

Human Care Systems
Greater Boston Area
1 day ago
+28
Junior Salesforce Developer Summary We are seeking an talented Salesforce Developer with 1-3 years of hands-on experience to join our fast-growing team. This is a 12-month contracted position with a possibility for full-time hire in a different role after the 12 months are up. Remote work is an option for this position.  Company Overview Human Care Systems (www.humancaresystems.com) develops and delivers service & support programs to help

Vice President, Professional Services (Life Scienc…

SHYFT Analytics
Greater Boston Area
6 days ago
+19
The SVP/VP of Professional Services is responsible for setting vision, direction and driving execution for the team responsible for customer solution delivery. In this role you will lead the delivery of high quality, expert services including program and project management, product implementations and best practices, ongoing subscription and solution support and guidance for commercial and clinical effectiveness through SHYFT software. This role is 60% customer care and 40% internal operations focused. Having the ability to build a highly engaged, best-in-class team through recruiting and retention, training and development and motivation and collaboration is a vital component to success in this role.

Systems Administrator

Kyruus
Greater Boston Area
6 days ago
+15
You look for the opportunity to automate repetitive processes at every possible turn. You are a constant learner and take ownership of various technology solutions. You leverage exceptional communication skills - both written and verbal - to support our internal customers - employees, interns, contractors - to provision access and troubleshoot issues across every level of the organization. You’ll serve as the internal subject matter expert on our systems and services, and function as an escalation point for other members of the team. You’ll work with the rest of the Technical Operations team to effectively manage changes throughout our technical stack - endpoints, SaaS apps, network, server infrastructure - from project design through implementation and ongoing support.

Office Manager

Wellframe
Greater Boston Area
6 days ago
+16
If you or a loved one has ever experienced a major medical event, you know how overwhelming it is to process the flood of information that follows—whether it’s hastily delivered guidance from your doctor, or a pile of paperwork on managing your recovery. And once you get home, it can feel impossible to know where to start, or how to stay on track to reach your health goals. At Wellframe, we’re helping healthcare organizations fill this gap, so

Bilingual User Support Associate (English/Spanish)

Wellframe
Greater Boston Area
6 days ago
+16
The User Support Associate will be the first line of response for inbound communications via our helpdesk, ensuring all Wellframe users have a smooth experience with the Wellframe product, including the patient-facing mobile app and the clinician-facing dashboard. The role entails daily contact with our users to assist them with using the Wellframe app and dashboard and helping to troubleshoot issues as they arise, as well as working with internal stakeholders to optimize our service delivery, internal processes, and product.

Client Operations Manager (Implementations)

Wellframe
Greater Boston Area
6 days ago
+16
The Client Operations Manager Manager will be the primary point of contact for his or her assigned clients, working within a multidisciplinary, team-based client delivery model. The Client Operations Manager will own the program implementation, ongoing day-to-day operations, and corresponding relationships with clients. The Client Operations Manager will work closely with the client and the internal Wellframe teams to ensure key program milestones are met on time and that the client is positioned for success with respect to their Wellframe usage and engagement metrics (e.g., client staff adoption, patient onboarding, etc.). At Wellframe, the Client Operations Manager will be the expert source of knowledge about that client’s program attributes, operational trends, and challenges. S/he will be a voice of the client, as well as a client advocate, relaying the clients’ experiences and feedback internally and deriving opportunities for product and service enhancement. This role will marry consultative thinking and planning with strong operational execution.

Administrative Assistant + Team Support

MedTouch
Somerville
1 week ago
+24
Working closely with our CEO and Senior Leaders, the Executive Assistant will serve a critical support role with dynamic teams at MedTouch. Your proactive support style and impeccable attention to detail will enable our leaders to maximize time and accomplish more. As a master of initial impressions, you’ll thrive in engaging visitors and keeping the office in tip-top shape. Your ability to simultaneously juggle several requests will set you up for success and enable many others to put their best foot forward. This role necessitates incredible perspective, optimism, and flexibility – assuming a posture of, “nothing is above or beneath me”.

Director, Client Strategy & Operations, Health…

Wellframe
Greater Boston Area
1 week ago
+16
The Director is responsible for strategic account management of health plan accounts and will have primary accountability for setting the strategic direction, performance targets, and overall success of the account. The Director will navigate clients through change management and tech-enabled transformation of member-facing services to meet client goals, improve the member outcomes, and enhance effectiveness of member-facing services. This individual will evaluate and communicate client performance relative to mutually defined goals and success measures. The Director will identify opportunities to expand the breadth and depth of our solution offerings within those accounts and share information relative to account performance and market insights to impact product, clinical, and service developments. The Director will excel in relationship-building, strategic thinking, written and verbal communication, problem solving, and navigating complex situations.

DevOps / Cloud Engineer

SHYFT Analytics
Greater Boston Area
1 week ago
+19
The Systems Administrator is responsible for the design, implementation, operation, deployment, maintenance and troubleshooting of our cloud based infrastructure services and systems - with a strong focus on automation. The Systems Administrator will deploy, monitor, and troubleshoot infrastructure components in SHYFT Analytics’ production, cloud based hosting environment and develop/maintain services for infrastructure management. A Systems Administrator is expected to provide deep technical expertise and will be a key player in driving change in how product is provisioned, maintained and monitored to be resilient and stable enabling SHYFT Analytics to meet its SLA’s with customers. The Systems Administratoris responsible for maintenance and troubleshooting of live production systems in the event of outage, performance, or functionality issue. The Systems Administrator will have hands-on skills in hybrid clouds. This position promotes sharing information with others in changing skillsets and thought processes.

Office Administrator

Edge Embossing
Greater Boston Area
1 week ago
Edge Embossing is opening a new office in Billerica MA and is currently seeking a permanent hire to join us in an administrative role, providing management of numerous aspects of our operations. We make plastic disposables, mainly for medical devices, and have a lot of customers. Although I guess we're basically a startup, we are venture-backed, well-funded, and will be around for a long time. In addition to general administrative duties, the

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