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Remote D-SNP​/OneCare Claims Review Specialist

Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for: Mass General Brigham Health Plan Holding Company, Inc.
Full Time, Remote/Work from Home position
Listed on 2026-10-06
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 25000 - 34000 USD Yearly USD 25000.00 34000.00 YEAR
Job Description & How to Apply Below

Mass General Brigham Health Plan Holding Company, Inc. is seeking a D-SNP Claims Review Specialist to adjudicate SCO and One Care claims with accuracy and timeliness.

The role is remote, full-time, and follows a Monday–Friday daytime schedule, supporting members and providers across the system. The ideal candidate brings 1–2 years in health insurance claims processing, familiarity with QNXT or Facets, and knowledge of ICD-10, HCPCS, CPT-4, and Revenue Codes.

This posting is for the Remote D-SNP/One Care Claims Review Specialist role at Mass General Brigham Health Plan Holding Company, Inc., based in Somerville, MA, United States.

This opportunity is part of our work in Finance.

The advertised compensation is 25.000 - 34.000.

This role offers the option to work remotely.

We aim to respond to suitable candidates as soon as possible.

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