- CVS Health (Boston, MA)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the ... accuracy and quality of claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
- Prime Therapeutics (Boston, MA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... business partners with regard to related regulatory activity and quality efforts involving utilization and/or medication therapy management, network management,… more