- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …transform healthcare ? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and ... executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… more
- Beth Israel Lahey Health (Burlington, MA)
- …America) Under the managerial oversight of the Senior Manager, the Revenue Performance Analyst serves as a primary point of contact for Billing Director, Service ... cycle and modality specific billing processes and/or workflows. The Revenue Performance Analyst is responsible for working closely with the Service Line Directors… more
- Point32Health (Boston, MA)
- …a Research Analyst . TIDE is the home of several large, complex , multi-institutional research initiatives based within health systems using electronic health data ... with health plans, delivery systems, and public health agencies. The Research Analyst plays a crucial role in supporting key initiatives in TIDE's portfolio.… more
- Beth Israel Lahey Health (Burlington, MA)
- …of the Director, Senior Manager, or Manager of Revenue Cycle, the Revenue Cycle Analyst serves as a primary point of contact for Service Line Directors, Managers, ... as they relate to Epic build decisions, in-depth analysis of denials, complex appeals, audits, credits, cash, coding, workflows, data collection, report details, … more
- Center For Health Information And Analysis (Boston, MA)
- …a driving force in health policy impact! We seek a Senior Health Policy Analyst to lead projects, share content expertise, and provide technical oversight within our ... Informatics and Reporting team. As a Senior Health Policy Analyst at CHIA, you will have the opportunity to:...and quality data, including our newly enhanced Massachusetts All-Payer Claims Database. You will be at the forefront of… more
- Prime Therapeutics (Boston, MA)
- … SQL queries, including 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... and drives every decision we make. **Job Posting Title** Senior Financial Modeling Analyst - Remote **Job Description** The Senior Financial Modeling Analyst … more
- Center For Health Information And Analysis (Boston, MA)
- … healthcare ? Apply now! : http://www.chiamass.gov/join-our-team/ NAGE: Reimbursement Systems Analyst II The full time salary range for this position is ... in health policy impact! We seek a Health Policy Analyst to support projects, share content expertise, and provide...extensive range of health care enrollment, spending, quality, and claims data. You will be at the forefront of… more
- Humana (Boston, MA)
- …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 ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …All Locations: East Boston Description: EBNHC seeking an experienced Revenue Integrity Analyst for remote position! Under the direction of the Manager of Revenue ... Integrity and Payer Contracting, the Revenue Integrity Analyst will provide analytical support to proactively identify performance trends and propose solutions when… more
- Point32Health (Canton, MA)
- …analytical skills and the ability to synthesize large data sets and complex information into key insights. This individual will work effectively across business ... areas and often lead collaborative projects. This person will need to follow complex business processes, consider options when problems arise, and to identify and… more
- Commonwealth Care Alliance (Boston, MA)
- …and develop IT needs. + Establish subject matter expertise in healthcare business functions and operations to develop business requirements, functional requirements, ... that has served in multiple roles such as business analyst , programmer, process analyst , project manager, and...Agile & Scrum experience + Experience working in the healthcare payer space + Experience with X12 EDI transaction… more
- Highmark Health (Boston, MA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more