- Beacon Mobility (Chelmsford, MA)
- …200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and controls to ... a region. This position is responsible for utilizing company defined reporting processes, KPI's and predictive analytics tools to ensure appropriate shareholders… more
- Prime Therapeutics (Boston, MA)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data ... (such as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical, and/or financial data + Previous experience in a client… more
- Commonwealth Care Alliance (Boston, MA)
- …residing in other states will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the ... Claims Sr. Analyst plays a critical role in ensuring accurate, compliant,...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
- Cardinal Health (Boston, MA)
- …tech, specialty pharmacy, or payer/provider a plus). + Proficiency with claims analytics and provider/facility data (Trella, Definitive Healthcare; ... BI tools (Power BI and/or Tableau); advanced Excel + Experience with Salesforce.com reporting , data models, and embedding dashboards. + Clear communicator able… more
- Prime Therapeutics (Boston, MA)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess ... future of pharmacy with us. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… more
- Zurich NA (Boston, MA)
- TPA Operations Sr. Performance Analyst 125087 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes ... decisions, while also managing the downstream flow of TPA data through Claims Mart-ensuring data ...financial scrutiny. + Prepare analyses and comments for all reporting requirements of the Group's projects and be the… 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
- Bank of America (Boston, MA)
- …performance of our fraud strategies. + Identify process improvements and efficiencies via data analysis. + Partner with claims , policy, strategy, and product ... Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond,...**Responsibilities:** + Performs complex analysis of financial models, market data , financial data , and portfolio trends to… more
- Prime Therapeutics (Boston, MA)
- …Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... and will drive the strategic vision for financial pricing analyses and reporting . Will also provide complex consultation and analytic insight to internal and… more
- Highmark Health (Boston, MA)
- …needs. May assist with troubleshooting errors, conducting impact analyses, and/or solving data rejection. May perform simple business analyses in one or more ... in various applications. + Support the coordination, monitoring, and reporting on the progress of projects to ensure adherence...1 - 3 years of experience in a Business Analyst or Business Process Analyst role or… more
- Elevance Health (Woburn, MA)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Molina Healthcare (Boston, MA)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...on a regular basis using SQL, Excel, and other reporting software. + Research, develop, analyze and recommend cost… more
- CVS Health (Boston, MA)
- …And we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... collaboration with cross-functional teams to understand business needs and deliver data -driven solutions that are both technically sound and strategically aligned.… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Medical Expense Team, Segment Leaders, Enterprise Analytics Executive Team, Market Reporting Oversight Team, Pharmacy Leadership Committee, Data Access Layer ... well as BCBSMA Account Facing Value Proposition insights and reporting . The analytics vary in size and scope, and...includes the development and communication of market segment medical claims expense trends with the aim to provide insights… more
- Highmark Health (Boston, MA)
- …bachelor's degree + 10-15 years experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility for ... sources across Highmark's business units, coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and… more
- Chiesi (Boston, MA)
- …and similar + Knowledge of Agile methodology + Understanding of the Pharma market and claims data Location This role is based in our office in Boston, MA, ... will be one of the main contributors of the data democratization, reporting and global analytics. You'll...years of experience in a commercial functions as Market Analyst , SFE Analyst , Marketing Manager, Business … more
- CVS Health (Boston, MA)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation...perform root cause analysis, and recommend improvements to enhance reporting accuracy and data integrity. + Stay… more
- Point32Health (Canton, MA)
- …financial relationship between payers and providers; solid knowledge of health care claims data , coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health ... the Director or Senior Manager, the Senior Network Performance Analyst will be part of a team responsible for...a team responsible for the development, negotiation, monitoring and reporting of the contractual agreements with health care providers… more
- Public Consulting Group (Boston, MA)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... and business analysts, to ensure quality throughout the development lifecycle. Reporting : Prepare and deliver regular status reports to project management and… more