- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
- Carrington (Boston, MA)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Deloitte (Boston, MA)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... to understand the functional requirements. Working on Billing and Contracts Reimbursement configuration and builds by maintaining industry and client standards… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Associate Director of Professional Reimbursement Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for ... with stakeholders and producing reports for the programs. The Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst would also be responsible… more
- Humana (Boston, MA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- LogixHealth (Bedford, MA)
- Location: On-Site in Bedford, MA $500 Signing Bonus This Role: As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Intermountain Health (Boston, MA)
- …Timely and accurately completes assigned tasks. + Performs or reviews reimbursement processes (ie, reconciliation of third-party G/L accounts, calculation of actual ... and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as needed. +… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding ... reports. **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- Evolent (Boston, MA)
- …seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
- CVS Health (Cumberland, RI)
- …and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider reimbursement logic + Full ... and every day. CVS Health is seeking a Senior Analyst , Medical Economics to join our team! The Sr...., Medical Economics to join our team! The Sr. Analyst participates on complex medical economic projects (eg Medical… more
- State of Massachusetts (Everett, MA)
- …the awarding and disbursement of funds. Review and analyze data on nutrition reimbursement claims to ensure inclusion of the required information for accuracy, ... **Organization:** **Department of Elementary and Secondary Education* **Title:** *Financial Management Analyst * **Location:** *Massachusetts-Everett- 135 Santilli Highway* **Requisition ID:**… more