- 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
- Robert Half Technology (Lexington, MA)
- Description We are looking for a skilled Data Reporting Analyst to join our team in Lexington, Massachusetts. In this role, you will focus on analyzing ... Scrum, or Lean methodologies for efficient data management and reporting . * Analyze claims and billing data from Medicare, Medicaid, and private insurers… more
- Center For Health Information And Analysis (Boston, MA)
- …share content expertise, and provide technical oversight within our dynamic Health Informatics and Reporting team. As a Senior Health Policy Analyst at CHIA, you ... work with an extensive range of health care enrollment, spending, and quality data , including our newly enhanced Massachusetts All-Payer Claims Database. You… more
- Humana (Boston, MA)
- …caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for ... those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts... + Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic… more
- Center For Health Information And Analysis (Boston, MA)
- …to work with an extensive range of health care enrollment, spending, quality, and claims data . You will be at the forefront of executing analyses, utilizing ... share content expertise, and provide technical oversight within our dynamic Health Informatics and Reporting team. As a Health Policy Analyst at CHIA, you will… more
- Beth Israel Lahey Health (Charlestown, MA)
- …department, hospital and system operational and financial information systems, public health and claims data . * Independently identifies data needs and ... Relations (CBCR) Department at Beth Israel Lahey Health, the Business Analyst (" Analyst ") provides critical analytic and data support to the entire team. The… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …invoice reconciliation QA audits for BCBSMA's payment integrity programs. + Audit vendor claims data and invoices against plan enterprise warehouse claims ... Bring your true colors to blue. What We Need Reporting to the Associate Director of Professional Reimbursement Strategy,...and excel + Proficiency in working with and analyzing claims data + Strong written and verbal… more
- Prime Therapeutics (Boston, MA)
- …Recommend new and revised financial pricing strategies based on analysis of pharmacy claims data , average wholesale drug prices (AWP), health plan margin target ... markets + Interpret financial performance reports to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive… more
- Highmark Health (Boston, MA)
- …Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data relevant to the ... handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse perpetrated by providers,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Reporting to the Executive Director of Epic Patient Financial Services - PB, the Senior ... Epic Operations Analyst serves as the preeminent Epic analytical resource tasked...back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication… more
- Evolent (Boston, MA)
- …culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL ... programs. Import and load data from disparate sources to facilitate reporting for multiple health plans. Build new client relationships to understand analytical… more
- State of Massachusetts (Everett, MA)
- …accurate and timely in the awarding and disbursement of funds. Review and analyze data on nutrition reimbursement claims to ensure inclusion of the required ... would be expected to follow a hybrid model of reporting to work that combines two (2) in-office workdays...awarding and distribution of grant funds; Review and analyze data concerning various statewide child nutrition programs and prepare… more
- Prime Therapeutics (Boston, MA)
- …Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides information, analyses, and consultation to internal and ... or STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or SQL coding… more
- Commonwealth Care Alliance (Boston, MA)
- …techniques, business systems analysis, and reporting using a variety of reporting platforms, systems, sources, and data formats. They will collaborate with ... CCA-Revenue Cycle Management Position Summary: The Risk Adjustment Business Analyst is responsible for understanding and interpreting complex programs, initiatives,… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... This Role: Perform day to day contract implementation duties. The Senior Contract Analyst is responsible for modeling possible contract seniors for our clients to… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department...proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency… more
- Highmark Health (Boston, MA)
- …+ 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project ... few times per year for scheduled business meetings.** This job creates data -driven insights which identify actionable opportunities and/or create analytics and … more
- Highmark Health (Boston, MA)
- …+ 7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project ... Highmark Health **Job Description :** **JOB SUMMARY** This job creates data -driven insights which identify actionable opportunities through analytics and … more
- Intermountain Health (Boston, MA)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... **Qualifications Required** + Demonstrated experience in a role requiring data analysis. + Demonstrates computer skills including spreadsheets, databases, word… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.… more