Health Plans Inc jobs in Massachusetts

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SUPERVISOR OF CUSTOMER SERVICE (ON-SITE/REMOTE)

Assist with problem resolution and supporting front-line staff Oversee the phone queue performance and make necessary adjustments to meet optimal service levels Create and deliver annual performance reviews Support department lead...

CompanyHealth Plans Inc
AddressWestborough, MA
CategoryInformation Technology
Salary$55.4K - $70.2K a year
Job typeFull-time
Date Posted a month ago See detail

Supervisor of Customer Service (On-Site/Remote)

Health Plans Inc

Westborough, MA

$55.4K - $70.2K a year

Assist with problem resolution and supporting front-line staff Oversee the phone queue performance and make necessary adjustments to meet optimal service levels Create and deliver annual performance reviews Support department lead...

Plan Building Specialist (Hybrid/Remote)

Health Plans Inc

Westborough, MA

$39.2K - $49.7K a year

Responsible for installation of new business as well as renewal process for in force businessBenefit Plan BuildingAdjudication Logic BuildingMaintain Benefit Code, Pend Reason Code, Denial Code, Provider Specialty, EOB Message Cod...

Claims Examiner (Hybrid/Remote)

Health Plans Inc

Westborough, MA

$39.9K - $50.5K a year

Maintain quality and production levels as determined by management Maintain updated filings for claim benefit investigation (medical necessity reviews, etc.) as required in accordance with plan benefits Prepare filings for outside...

Case Manager, RN (Remote)

Health Plans Inc

Westborough, MA

$69.7K - $88.3K a year

Conduct utilization management using standardized clinical criteria Consult with Physician Reviewers and other experts to determine appropriateness of care Develop individualized case management plans and Identify quality of care...

Billing & Payment Config. System Specialist (Hybrid/Remote)

Health Plans Inc

Quincy, MA

$39.1K - $49.5K a year

Manage installation of new business as well as renewal process and changes for in force business. Group Master Set Up. Checking Account Set up. Group / Department Set Up Including Mapping for Fulfillment Vendors, Networks and PBMs...