5 jobs found in quincy

Company Overview: Req ID: 196863 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Benefits Configuration Analyst to join our team in REMOTE, Massachusetts (US-MA), United States (US). Job Description: Role Responsibilities: -Analyzes business and user needs, documenting requirements -Review provider contract terms and translates them into claims adjutication platform configuration (prefer Javalina or Healthpac but could be any (Trizetto, Health Rules, etc.) -Review provider demographic information including affiliated entities, TINs, NPIs, Locations and translates them into configuration Basic Qualifications: -5+ Years of experience in Health Plan Payer operations, provider contract terms, and methodologies, claims processing, and configuration experience with a health plan core claims...

As a Senior Project Manager you are responsible for consistent application of all standard project management methodology processes, tools, and documentation throughout the project lifecycle as aligned to the PMI Project Management Body of Knowledge (PMBOK). Understands service offerings so that they can identify and articulate new business opportunities and provide sales support. Drives all aspects of project management activity, including collaborating and coordinating across the organization and ensuring the following: Changes that affect scope, schedule and resources are identified, managed and controlled with an integrated and cohesive plan. Scope is defined, approved, managed, controlled; ensuring completed deliverables are accepted by the customer. Schedule is developed and managed to on-time delivery. Costs are estimated and managed to deliver project within customer approved budget, while preserving profit margins. Resources are assigned and managed effectively and...

Company Overview: Req ID: 196863 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Benefits Configuration Analyst to join our team in REMOTE, Massachusetts (US-MA), United States (US). Job Description: Role Responsibilities: -Analyzes business and user needs, documenting requirements -Review provider contract terms and translates them into claims adjutication platform configuration (prefer Javalina or Healthpac but could be any (Trizetto, Health Rules, etc.) -Review provider demographic information including affiliated entities, TINs, NPIs, Locations and translates them into configuration Basic Qualifications: -5+ Years of experience in Health Plan Payer operations, provider contract terms, and methodologies, claims processing, and configuration experience with a health plan core claims...

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a [[Edifecs developer]] to join our team in [[Quincy]], [[Massachussets]], [[US]]. We are looking for EDIFECS developers with strong passion for developing quality code and deep understanding of core EDI transactions and EDIFECS modules. Day-to-Day Responsibilities Include: Understands the requirements, develops and evaluates alternative systems solutions. Participate in the Weekly/Daily status call with the client to discuss the action items on outstanding Incidents, Service requests and changes for the week. Documents software systems according to NTT DATA 's system standards, policies and procedures - Specifies, implements, and maintains systems. Codes, tests and Documents software programs for systems of moderate complexity as per the...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...