Supervisor Claims Resolution
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 2h ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 4d ago
The date the source published, not the day we noticed it (2026-09-28). Last seen at its source 1h ago.
We have tracked this listing since 28 Sep 2026 (3 days). The employer's own board has carried it every time we have read it, most recently 1 hour ago.
Is it remote?
The listing says yes
The location field doesn't say remote, so our assessment is based on the title or the description. Read the listing before applying.
Who may apply?
Not stated
The description states no restriction of its own. This is the source's own tag.
Pay
$79.6k–115.7k/yr
Read out of the job description by us, not from a structured field. Shown in the posting's own currency and period; we never convert.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
-
workday employer's own board first seen 3d ago · last seen 1h ago
The listing
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.
Responsible for supervising the claims resolution team and managing its inventory of review requests and claims projects. The team reviews claims that have already been finalized when a provider requests further review through a form, phone call, or other channel, or when a claims project identifies items requiring review. Ensures work is assigned, prioritized, and completed accurately and on time, while providing staff guidance and maintaining compliance with applicable policies and requirements.
Essential Functions
-Supervises the daily operations of the claims resolution team, including work assignments, training, coaching, and performance management.
-Manages the inventory of provider review requests and claims projects, monitoring volume, aging, and completion to ensure timely resolution.
-Prioritizes and distributes work based on deadlines, complexity, staff capacity, and operational needs.
-Oversees the review of finalized claims submitted for reconsideration through provider forms, phone calls, and other channels.
-Identifies trends in review requests, claim outcomes, and inventory; escalates recurring issues and recommends corrective actions.
-Coordinates with payers and internal departments as needed to research claim issues and reach accurate resolutions.
-Develops and maintains procedures that support consistent reviews, clear documentation, and efficient inventory management.
-Ensures the team’s work complies with applicable federal and state requirements and organizational policies.
-Prepares reports on inventory, turnaround times, staff productivity, and resolution outcomes, and identifies opportunities for improvement.
Qualifications
Education
- Associate’s degree required. Relevant experience may be considered in lieu of a degree.
Experience
- Three to five years of experience in healthcare claims management or billing required.
- One to two years of supervisory or leadership experience preferred.
Knowledge, Skills, and Abilities
- Strong knowledge of healthcare billing, coding, and claims regulations.
- Ability to analyze finalized claims, identify trends in review requests, and resolve claim issues accurately.
- Strong leadership skills, including the ability to assign work, coach staff, and monitor team performance.
- Ability to manage a varied inventory of provider review requests and claims projects, set priorities, and meet deadlines.
- Clear communication skills for working with providers, payers, staff, and internal departments.
- Strong attention to detail, organization, and problem-solving skills.
- Ability to collaborate across departments to improve claim review processes and resolution outcomes.
Additional Job Details (if applicable)
Working Conditions
- This is a full-time role with a Monday through Friday schedule, generally 8:30-5:00 PM Eastern Time
- This position is eligible for remote work from approved U.S. locations, subject to organizational requirements.
- Remote employees must maintain a stable internet connection and a secure, private, quiet workspace appropriate for handling confidential and protected health information.
- Remote workspace requirements, including privacy and security standards, may be verified in accordance with organizational policy
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$79,560.00 - $115,720.80/Annual
Grade
7
EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.