Supervisor, Medicaid Claims Reviewer — Mass General Brigham Health Plan
Mass General Brigham Health Plan
Pay$79,560.00-$115,720.80
LocationRemote - Somerville, Massachusetts
Remote statusRemote
Phone levelLow phone
IndustryHealthcare / Health Insurance
OccupationClaims Review Supervisor
Job functionMedicaid Claims Quality & Operations Leadership
State restrictionsRemote role; specific eligible states not stated
Eligible countriesUnited States
RegionNorth America
Job Summary
Leads Medicaid claims reviewers, manages daily inventory and productivity, oversees claim accuracy and adjudication integrity, analyzes denial and high-dollar claim trends, handles escalations, and partners with payment-integrity and reimbursement teams.
Job Description
Leads Medicaid claims reviewers, manages daily inventory and productivity, oversees claim accuracy and adjudication integrity, analyzes denial and high-dollar claim trends, handles escalations, and partners with payment-integrity and reimbursement teams.
Additional Requirements & Compensation
Work authorizationNot specified
LanguageStrong written and verbal communication
Time zoneDay shift; exact timezone not specified
Additional Job Details
- Full-time, 40 hours per week, day shift. Requires 3-5 years of healthcare claims review/processing and 1-2 years in a senior or leadership role. Bachelor degree required, with experience potentially considered in lieu
- CPC, CCS or comparable claims/coding certification preferred.
Posting Information
Posted date2026-09-20