- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a strategic roadmap to recover, ... eliminate, and prevent unnecessary medical expense spending and support the execution for a comprehensive claim accuracy program. The individual will optimize… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible for compiling and analyzing encounter data… more
- Prime Therapeutics (Boston, MA)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is responsible ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support... Medicaid ). This role will also provide actuarial support in complex projects that are highly visible to… more
- Prime Therapeutics (Boston, MA)
- …We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The ... support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support , and maintain financial and actuarial… more
- Center For Health Information And Analysis (Boston, MA)
- …as well as statistical software programs such as R, will enable you to support health care policy decision -making. + Specialized Expertise: Bring at least three ... and insights, and play a pivotal role in evidence-based decision -making. Our work directly impacts the health care system,...health policy impact! CHIA is seeking a Health Policy Analyst to provide hands-on contributions in the development and… more
- Commonwealth Care Alliance (Boston, MA)
- …that impact payment methods, billing/coding or rates, and help drive analytics to support decision making. **Supervision Exercised:** + No, this position does ... corporate reimbursement policies, and works collaboratively with the Claims Coding Analyst to ensure consistency with the Plan's claims processing system(s) +… more