- CVS Health (Woonsocket, RI)
- …Experience Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ... it all with heart, each and every day. **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide ... routine and ad hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations… more
- Staples (Framingham, MA)
- …system + Workforce planning utilizing ODG guidelines and other resources + Manage WC Claims data for OSHA reporting + Communicate with various stakeholders ... Document all activity in RMIS system + RMIS Support including management of claims data and tracking of claim KPI's + Automobile and General Liability Support as… more
- Wayfair (Boston, MA)
- …US benefits regulations (ACA, ERISA, HIPAA, COBRA, etc.). + Experience with health plan data analysis, claims reporting , and cost containment strategies. + ... and employee education initiatives. + Conduct in-depth analyses of claims data , plan performance, and utilization trends...efforts on 5500 filings, PCORI, RxDC and other mandated reporting + Partner with legal and external counsel to… more
- BJs Wholesale Club (Marlborough, MA)
- …and ensures there is an efficient use of BJ's resources. Reviews open claims to ensure carrier/excess carrier reporting , determines compensability, scheduling of ... compensation training to educate clubs/internal partners. + Manages the data flow through a central Outlook inbox between risk,.... + Partners with Asset Prevention/Safety on team member claims trend information and any required OSHA reporting… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
- Beth Israel Lahey Health (Boston, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Reporting to the Director of Revenue Cycle Operations, this position is responsible for ... planning, coordinating and managing HIPAA EDI activities including Claims , Remittance, as well as Provider Enrollment processing for Harvard Medical Faculty… more
- Guardian Life (Boston, MA)
- …daily, weekly, and monthly reports on team productivity 1) for operational reporting and monitoring purposes; 2) to identify trends and training opportunities; and ... process improvement ideas to revise workflows and procedures. + Support claims initiatives by encouraging/providing relevant feedback and being an effective change… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role is critical in ensuring that our field ... teams have seamless access to accurate, actionable data to drive performance. The role focuses on managing...Serve as the business lead for execution of field reporting and enablement systems within the assigned therapeutic area.… more
- Sumitomo Pharma (Boston, MA)
- …Master's) of relevant experience. + Experience in pharmaceutical commercial operations and data reporting strongly preferred. + Familiarity with sales operations ... + Partner cross-functionally with Sales, Market Access, Commercial Analytics, CRM and Data Strategy to align reporting solutions with business goals and… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data , Specialty pharma, omnichannel data , SalesForce/Veeva ... to optimize the manageability, flexibility, and utility of Otsuka's data assets. **Job Description** Reporting to the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Chiesi (Boston, MA)
- … data mining efforts to solve unmet medical needs; support the analysis of claims data to generate market insights + Identify and shape business challenges ... has an opening for a newly created role of Data Science Manager, reporting to the Head...Experience in biotech / pharmaceuticals preferred + Direct experience claims data analysis is a plus +… more
- Pfizer (Cambridge, MA)
- …trends, and product performance. + **Secondary Data Analysis** : Leverage multiple external data sources (eg, claims data , specialty pharmacy data , ... to support business-critical decisions for Elrexfio. The Senior Manager will manage various data assets, including claims , sales, and specialty pharmacy data… more
- CODAMETRIX (Boston, MA)
- …to clinical care. Overview The Vice President, Data Platforms is a member of the Data & Analytics team, reporting to the Senior Vice President, Data & ... stores, etc.) + Experience working with structured, semi-structured, and unstructured healthcare data (EHR, claims , clinical notes, HL7, FHIR) is highly… more
- Cardinal Health (Boston, MA)
- …and embeddings model. + Extensive knowledge of healthcare data , including clinical data , patient demographics, and claims data . Understanding of HIPAA ... **_What Data Science contributes to Cardinal Health_** The ...data platforms, the access, design and implementation of reporting /business intelligence solutions, and the application of advanced quantitative… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. What we need The Associate Director of Clinical Data Management will be a key leader in executing BCBSMA's data & analytics ... The successful candidate will be responsible for leading the clinical data management function, providing strategic direction, and ensuring the delivery of… more
- US Tech Solutions (Boston, MA)
- …code the technical specifications to operationalize the measures, and create the reporting and dashboards for the care team's needs. **Responsibilities:** + Extract ... data from various sources, including electronic health records (EHRs), claims databases, registries, and other clinical systems and develop the data pipeline… more
- Takeda Pharmaceuticals (Lexington, MA)
- …coordinating with data teams to ensure timeliness and accuracy of data updates, tracking product performance, providing analytical reporting , and optimizing ... Knowledge - experience working with internal and secondary data (IQVIA / Komodo / Symphony claims ,...secondary data (IQVIA / Komodo / Symphony claims , specialty pharmacy, 867, etc.) and integrating results into… more
- Takeda Pharmaceuticals (Lexington, MA)
- …business operations. This role involves tracking product performance, providing analytic reporting , and optimizing data analysis methodologies to identify trends ... + Data Knowledge - Experience working with internal and secondary data (867, specialty pharmacy, IQVIA/Komodo/Symphony claims , etc.) and integrating results… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …dermatology space. This role involves tracking product performance, providing analytical reporting , and optimizing data analysis methodologies to identify trends ... + Data Knowledge - experience working with internal and secondary data (867, specialty pharmacy, IQVIA/Komodo/Symphony claims , etc.) and integrating results… more