- State of Massachusetts (Boston, MA)
- …Services* **Organization:** **Off of State Treas & Rec Genrl* **Title:** * Claims Analyst I* **Location:** *Massachusetts-Boston-1 Ashburton Place* **Requisition ... https://www.surveymonkey.com/r/FM68GFV *Purpose of the Job:* Process pending unclaimed property claims that are received by the Division. *Essential Functions and… more
- 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, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth),… 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 ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- Cognizant (Boston, MA)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... unit being supported, as well as an understanding of the IT organization's systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating communication between… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, ... be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for… 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
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **Position Summary:**...**Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for completing invoice and reconciliation claim audits ... Quality assurance audit reviews and core functions include reconciling vendor invoiced claims against finalized paid claims to identify and document payment… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- CVS Health (Boston, MA)
- …Senior Data Analyst will be responsible for pulling participation and claims data using SQL, analyzing it, and deriving conclusions and meaningful insights. The ... analyst will work closely with stakeholders to understand their...the ability to communicate effectively with various stakeholders. The analyst will also be expected to develop and maintain… more
- Beth Israel Lahey Health (Charlestown, MA)
- …and Community Relations (CBCR) Department at Beth Israel Lahey Health, the Business Analyst (" Analyst ") provides critical analytic and data support to the entire ... team. The Analyst prepares and reconciles the annual budget, entering and...system operational and financial information systems, public health and claims data. * Independently identifies data needs and ensures… more
- Highmark Health (Boston, MA)
- …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...remediation and Regulatory and legal guidelines. In addition, the Analyst will identify potential areas of processing vulnerability through… more
- Prime Therapeutics (Boston, MA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- State of Massachusetts (Boston, MA)
- …residents with an annual budget of approximately $347M. *Lead Healthcare Policy Analyst : Position Overview* The Office of the Inspector General serves the interest ... healthcare programs. You will review healthcare data and evaluate claims and payment data to identify program performance issues,...healthcare programs. The OIG seeks a Lead Healthcare Policy Analyst to join the HCD to support MassHealth and… more
- MDD Forensic Accountants (Boston, MA)
- DATABASE ANALYST Matson, Driscoll & Damico LLP Status: Full Time, Salary Reports to: Managing Director Location: Remote About the Company Tracing its roots back to ... entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Database... or disputes. MDD is looking for a Database Analyst to serve as an essential supporting function of… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Forecast Analyst - REMOTE **Job Description** The Forecast Analyst is responsible for ... + Provide analysis and conclusions for moderately complex analytical work + Forecast claims and membership in support of company and client revenue forecasting +… more
- Evolent (Boston, MA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Boston, MA)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- 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; ... goals. Device and Non Monetary Fraud and Innovation Senior Analyst - This job is responsible for performing complex analyses...Data Science, Statistics, or related field + Fraud or Claims background with focus on Online Banking, Account Takeover,… more