• Compliance Analyst - Medicare

    Prime Therapeutics (Boston, MA)
    …that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job ... Description The Compliance Analyst assists in the implementation of Prime's ...**Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D, Medicaid, and/or Affordable Care… more
    Prime Therapeutics (04/24/25)
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  • Senior Financial Reporting Analyst

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic ... those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to… more
    Humana (04/29/25)
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  • Pharmacy Benefit Research Analyst

    State of Massachusetts (Boston, MA)
    …and coordination of Mental Health Parity research and reporting, The Research Analyst will also assist with the monitoring of health insurance utilization, costs ... insurance benefits and access to affordable health products. The health care research analyst will report to the Deputy Commissioner in charge of the Health Care… more
    State of Massachusetts (04/09/25)
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  • Business Analyst - Technical - Senior

    Intermountain Health (Boston, MA)
    …administration, including but not limited to: Medicare enrollment file processes, Medicare COB file processes, Medicare compliance , annual Medicare ... sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and… more
    Intermountain Health (05/08/25)
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  • Community Health Center Program Analyst

    State of Massachusetts (Quincy, MA)
    …is seeking qualified applicants for the position of Community Health Center Program Analyst . The Community Health Center Program Analyst will be responsible for ... and reimbursement policies for assigned programs to ensure effective operations and compliance with established standards. . Review and analyze utilization data for… more
    State of Massachusetts (04/17/25)
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  • IT Business Systems Analyst - ScriptMed…

    Prime Therapeutics (Boston, MA)
    …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
    Prime Therapeutics (04/29/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Boston, MA)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
    Humana (04/30/25)
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