• Data Reporting Analyst

    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
    Robert Half Technology (05/03/25)
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  • Senior Health Policy Analyst , Health…

    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
    Center For Health Information And Analysis (05/07/25)
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  • Senior Financial Reporting Analyst

    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
    Humana (05/29/25)
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  • Health Policy Analyst

    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
    Center For Health Information And Analysis (05/07/25)
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  • Business Analyst , Community Benefits…

    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
    Beth Israel Lahey Health (05/25/25)
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  • Payment Integrity: Reimbursement Policy Quality…

    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
    Blue Cross Blue Shield of Massachusetts (05/11/25)
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  • Senior Analyst , Client Analytics

    Evolent (Boston, MA)
    …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
    Evolent (05/30/25)
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  • Sr. Market Pricing Analyst - REMOTE

    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
    Prime Therapeutics (05/22/25)
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  • Quality Analyst

    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
    Highmark Health (05/24/25)
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  • Device and Non Monetary Fraud Lead Analyst

    Bank of America (Boston, MA)
    Device and Non Monetary Fraud Lead Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; Charlotte, North Carolina; ... expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an… more
    Bank of America (05/30/25)
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  • EHR Applications Analyst 1-Willow

    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
    Beth Israel Lahey Health (05/17/25)
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  • Analyst , Client Analytics

    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
    Evolent (05/29/25)
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  • Financial Management Analyst

    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
    State of Massachusetts (04/15/25)
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  • Sr. Applied Stars and Quality Analytics…

    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
    Prime Therapeutics (05/24/25)
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  • Risk Adjustment Business Analyst

    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
    Commonwealth Care Alliance (05/23/25)
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  • Senior Contract Analyst

    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 (04/11/25)
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  • Healthcare Reimbursement Analyst , Audit…

    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
    LogixHealth (04/25/25)
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  • Benefits Analyst

    Verint Systems, Inc. (Boston, MA)
    …Learn more at www.verint.com . **Overview of Job Function:** The Benefits Analyst will be responsible for the day-to-day initiatives of all annual projects ... host open enrollment webinars and respond to employee questions + Ensure timely reporting of all federal and state compliance filings (including CMS, WSIB Annual… more
    Verint Systems, Inc. (05/31/25)
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  • Lead Clinical & Population Health Analyst

    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
    Highmark Health (03/13/25)
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  • Associate Clinical & Population Health…

    Highmark Health (Boston, MA)
    …and complexity + Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + Project leadership in ... :** Highmark Health **Job Description :** **JOB SUMMARY** This role creates data -driven insights to identify actionable opportunities aligned to the Quadruple Aim of… more
    Highmark Health (05/31/25)
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