61 policy specialist jobs at 44 companies in Sutton, MA
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Lead Policy Forms Specialist (Open to Remote)
Madison or Boston
$99k-$167k/yr HybridFull Time
Requires advanced insurance compliance knowledge, experience implementing risk control programs, leading projects or people, and applying process improvement methods to policy forms and product compliance.
1d
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PRINCIPAL HUMAN SERVICES POLICY AND SYSTEMS SPECIALIST
Providence or Rhode Island
$86k-$97k/yr OnsiteFull Time
College graduation and progressively responsible experience using or formulating Department of Human Services policies or systems; equivalent education and experience accepted. Requires policy, data, systems, and regulatory interpretation expertise.
1w
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Lead Policy Forms Specialist (Open to Remote)
Madison or Boston
$99k-$167k/yr HybridFull Time
Requires advanced compliance knowledge, experience implementing risk control programs, leading projects or people, process improvement, research, analysis, and stakeholder collaboration in insurance operations.
6d
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Health Insurance Specialist (Program Policy)
San Francisco or Denver or Atlanta or Chicago or Boston or Woodlawn or Kansas City or New York City or Dallas or Seattle
$91k-$145k/yr HybridFull Time
1+ YOERequires 1 year of specialized experience equivalent to GS-11 analyzing national health insurance policy, refining regulations or guidance, and presenting policy recommendations. No education substitution.
1mo
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Credentialing Specialist
Boston or United States or Puerto Rico
FieldFull Time
4+ YOEPerform credential enrollment, issuance, activation, inventory management, scheduling, and customer support while complying with credentialing policies and security procedures.
Microsoft Office Suite, USAccess
2mo
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Billing Specialist
Warwick, Rhode Island, United States
OnsiteFull Time
High school diploma required (Associate preferred); medical billing experience preferred; proficiency with Excel and Word, electronic billing, typing, phone skills, and knowledge of billing policies and A/R practices.
Microsoft Excel, Microsoft Word
2mo
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Billing Specialist
Shrewsbury, Massachusetts, United States
$26-$31/hr OnsiteFull Time
5+ YOE5+ years healthcare billing experience, 3+ years in insurance verification/authorizations; preferred associate degree in healthcare/business/accounting/finance; knowledge of MassHealth/Medicare/Medicaid MCOs; pass CORI/background check; COVID-19 vaccination policy.
EHR
3d
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Supervisory Program Specialist
Cambridge or Maynard
$142k-$185k/yr OnsiteFull Time
1+ YOE1+ MgmtOne year of specialized experience equivalent to GS-13 developing recruitment strategies, interpreting policies, analyzing data, advising management, and managing performance or conflict resolution.
USA Hire, USAJOBS, Microsoft Excel
1mo
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Delivery Specialist
Attleboro, Massachusetts, United States
$15-$20/hr OnsiteFull Time
Must have valid state driver's license and meet company driving eligibility, clean driving record per company policy, ability to operate and inspect delivery vehicles, use handheld delivery devices, match alphanumeric sequences, and provide customer service; bilingual (Spanish) encouraged.
3w
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Denials Specialist TC
Providence, Rhode Island, United States
HybridPart Time
3+ YOEAssociate degree or equivalent experience and 3+ years hospital patient accounting experience; knowledge of claims administration, ICD-9/10, CPT, UB04/HCFA claims, financial analysis, and payer policies.
Microsoft Teams, LifeChart
1w
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Security Specialist (Port)
Boston, Massachusetts, United States
$121k-$157k/yr OnsiteFull Time
1+ YOEOne year of specialized experience equivalent to GS-12 in maritime security, port security planning, risk assessment, policy development, and security program recommendations; U.S. citizenship and Secret clearance required.
USA Hire, USAJOBS, E-Verify, Thrift Savings Plan (TSP)
3w
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Denials Specialist TC
Providence, Rhode Island, United States
HybridPart Time
3+ YOE3+ years patient accounting experience, knowledge of claims administration and coding (ICD-9/10,CPT,UB04,HCFA1500), ability to analyze denials, perform financial analysis, and work with payer policies.
Microsoft Teams, LifeChart
3w
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Target Security Specialist
Boston, Massachusetts, United States
$21-$31/hr OnsitePart Time
High school diploma or equivalent, age 18+, ability to lift up to 40 lbs, climb ladders, de-escalate and apprehend per policy, communicate effectively and operate handheld scanners and radios.
video surveillance system, case management system, handheld scanners
1w
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Senior Claims Specialist
Hoffman Estates or Boston or Las Vegas or Suwanee or Chandler or Lake Oswego or Indianapolis or Plano or Weatogue or United States
HybridFull Time
3+ YOEBachelor's degree or equivalent training plus 3–5 years of claims experience; advanced claims, liability, policy coverage, and tort law knowledge; negotiation, investigation, leadership, and time management skills; applicable licenses required.
chain-of-custody
1mo
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Target Security Specialist
Milford, Massachusetts, United States
$20-$30/hr OnsiteFull Time
Must be 18+, high school diploma or equivalent, able to lift/move up to 40 lbs, climb ladders, apprehend subjects per policy, work flexible hours (including nights/weekends/holidays), use handheld scanners and communicate effectively.
Target's video surveillance system, handheld scanners
2w
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Drug Authorization Specialist
Brookline or Boston
$135k-$162k/yr OnsiteFull Time
Manages drug, referral, and insurance authorizations; verifies eligibility, coordinates clinical information, documents in EPIC, communicates with providers and payers, and follows HIPAA confidentiality policies.
EPIC, hospital information system, automated eligibility systems, payer websites
3d
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EH&S Specialist I
Marlborough, Massachusetts, United States
$63k-$119k/yr HybridFull Time
0.5+ YOEBachelor’s degree in a related safety or environmental discipline, 6+ months of EHS experience, and 6+ months supporting safety programs, policies, procedures, and regulations. Highly regulated industry experience preferred.
ISO 45001, ISO 14001, SDS
2w
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Information Protection Specialist
Quincy, Massachusetts, United States
$120k-$203k/yr OnsiteFull Time
10+ YOEBachelor's degree required; 10+ years in cybersecurity, technology risk, GRC, or related fields; experience with cyber policy enforcement, risk governance, executive reporting, and enterprise stakeholder management.
NIST, ISO 27001, COBIT, FFIEC, SEC
2mo
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Business Development Specialist
Boston, Massachusetts, United States
$45k-$50k/yr OnsiteFull Time
Support policy renewals, client service, and retention for the Lawyers program; communicate with clients; customer service/office experience; High School Diploma/GED; Microsoft Office proficiency; Salesforce preferred.
Microsoft Office, Salesforce
1w
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Agricultural Program Specialist
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York City or Oklahoma City or Portland or Austin
$106k-$138k/yr OnsiteFull Time
1+ YOERequires agricultural program knowledge and one year of specialized experience equivalent to GS-12, including farm policy development, field guidance, regulatory interpretation, and technology-based program analysis.
automated systems, USA Hire, E-Verify, Microsoft Word
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